Use this scenаriо tо аnswer questiоns 10-11:You аre caring for a 9-month-old girl who has increased work of breathing, a fever, and a cough. On assessment, you find an alert infant with stridor and retractions. The infant’s SpO2 is 94%. On auscultation, the lungs are clear bilaterally. What medication should you administer first?
Use this scenаriо tо аnswer questiоns 46-49:You аre caring for a 12-year-old girl with acute lymphoblastic leukemia. She is responsive, but she does not ffeel well and appears to be flushed. Her temperature is 39 °C (102.2 °F), heart rate is 118/min, respiratory rate is 36/min, blood pressure is 100/40 mm Hg, and oxygen saturation is 96% on room air. Your assessment reveals mild increase in work of breathing and bounding pulses. The child is placed on 100% oxygen by nonrebreathing mask. Laboratory studies document lactic acidosis. On the basis of the patient’s clinical assessment and history, what type of shock does this patient most likely have?
Use this scenаriо tо аnswer questiоns 30-32:You аre caring for a 3-month-old infant with a 2-day history of vomiting and diarrhea. His parents state that he has been sleeping much more. His heart rate is 190/min, temperature is 37 °C (98.6 °F), blood pressure is 59/29 mm Hg, respiratory rate is 70/min and shallow, and oxygen saturation is 94% on 100% oxygen. His capillary refill time is 4 to 5 seconds, and he has mottled, cool extremities. The infant weighs 6 kg. You have decided that this infant needs fluid resuscitation. How much and what kind of fluid should you administer?