Posted: January 28th, 2024

Sabina Vasquez is a 5-year-old Hispanic girl admitted today from the emergency room

Patient Introduction
Sabina Vasquez is a 5-year-old Hispanic girl admitted today from the emergency room with a diagnosis of pneumonia. She has a history of asthma and has had several episodes requiring use of an albuterol inhaler at home.
Sabina has had an upper airway infection for the past few days. Earlier today she developed a fever of 39°C (102.2°F), so her mother brought her to the emergency room. She was placed on oxygen via nasal cannula at 2 L/min. She received a 380-mL bolus of normal saline and an albuterol nebulizer treatment at 5:00 PM. This improved her oxygen saturation to 94%. The chest x-ray revealed right lower lobe pneumonia with effusion. An intravenous infusion of D5 ½NS is infusing at 61 mL/hr. Sabina just got settled in bed, and her mother is at the bedside.
Medication: Azithromycin
) Patient Introduction
Sabina Vasquez is a 5-year-old Hispanic girl admitted today from the emergency room with a diagnosis of pneumonia. She has a history of asthma and has had several episodes requiring use of an albuterol inhaler at home.
Sabina has had an upper airway infection for the past few days. Earlier today she developed a fever of 39°C (102.2°F), so her mother brought her to the emergency room. She was placed on oxygen via nasal cannula at 2 L/min. She received a 380-mL bolus of normal saline and an albuterol nebulizer treatment at 5:00 PM. This improved her oxygen saturation to 94%. The chest x-ray revealed right lower lobe pneumonia with effusion. An intravenous infusion of D5 ½NS is infusing at 61 mL/hr. Sabina just got settled in bed, and her mother is at the bedside.
Medication: Azithromycin

Sabina is a 5-year-old Hispanic girl admitted to the hospital with pneumonia.
She has a history of asthma and has used an albuterol inhaler at home previously for asthma exacerbations.
She developed an upper respiratory infection in the past few days and a fever of 102.2°F today, prompting her mother to bring her to the emergency room.
In the ER, she received oxygen via nasal cannula, intravenous fluids, an albuterol nebulizer treatment, and was diagnosed with right lower lobe pneumonia with effusion on chest x-ray.
She is currently receiving intravenous fluids and the antibiotic azithromycin.
To effectively manage Sabina’s case, it will be important to treat both the pneumonia as well as her asthma exacerbation triggered by the respiratory infection. Some key considerations:
Continue azithromycin for typical 5-day course to treat the pneumonia as per standard guidelines. Azithromycin is generally well-tolerated and effective for community-acquired pneumonia. (Li et al., 2018: 2024 – Write My Essay For Me | Essay Writing Service For Your Papers Online)
Monitor oxygen saturation and ensure it remains above 92% with current oxygen supplementation. May need escalation to high-flow nasal cannula or non-invasive ventilation if saturation drops. (Ramirez et al., 2019: 2024 – Online Assignment Homework Writing Help Service By Expert Research Writers)
Continue albuterol nebulizer treatments every 4 hours as needed for wheezing to keep airways open and prevent bronchoconstriction. Consider adding ipratropium bromide nebulizer if wheezing persists. (Gupta et al., 2020)
Intravenous corticosteroids such as dexamethasone 6 mg daily for 2-5 days can help reduce inflammation in her airways from asthma and make breathing easier. (Rivera-Ledesma et al., 2021)
Ensure hydration with intravenous fluids until able to take oral fluids well without vomiting. Check kidney function. (Nagler et al., 2021)
Educate mother on signs of worsening condition like increased work of breathing, lethargy, decreased oral intake and follow up plans for prompt medical attention if needed. (Shah et al., 2021)
Schedule follow up clinic visit within 1-2 weeks after discharge to ensure resolution of symptoms and monitor lung function. May need oral corticosteroids taper if wheezing persists. (Kapur et al., 2019: 2024 – Online Assignment Homework Writing Help Service By Expert Research Writers)

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