Emergency Department Nursing Case Study: Adolescent Asthmaticus

This case study focuses on a 14-year-old boy, Simon, who presented to the emergency department in status asthmaticus, exhibiting cyanosis, low oxygen saturation, and anxiety. The essay explores the pathophysiology of obstructive lung diseases, particularly asthma in adolescents, and identifies priority nursing interventions. These interventions include managing anxiety through respiratory rehabilitation and physiotherapy, utilizing the semi-Fowler's position to improve oxygen supply, and administering medication such as beclomethasone. The case study emphasizes the importance of effective communication, collaborative practice, and adherence to NMBA standards. The analysis also highlights the impact of hypoxemia, tachypnea, and tachycardia on the patient's condition, along with the role of pursed-lip breathing in improving gaseous exchange. The primary goal of the interventions is to establish airway patency and facilitate gaseous exchange, aiming to improve the patient's overall health and quality of life.