Lizzy Taylor: You are receiving report on a 6-year-old girl who was admitted last evening at 5 p.m. to the pediatric floor for acute exacerbation of asthma. Medications prescribed for patient include Montelukast 10 mg po every day and Q-Var 2 puffs twice a day. Additionally, when Lizzie was admitted to the hospital, Albuterol via nebulizer was prescribed for wheezing every 2 hours.
History: Home medications include Montelukast 10 mg po every day, Q-Var 2 puffs twice a day, and Albuterol 2 puffs q 4 hours prn wheezing at home.
Tammy is a 4-year old who was seen at the well child clinic for a routine examination. During the visit, her mother notes that she has been irritable and that her “belly seems to be distended.” It was noted by the nurse that she has lost weight since her last visit, which may be due to a poor appetite. After a thorough history and physical examination, blood work was ordered. Her findings indicated anemia and thrombocytopenia. Tammy is now admitted to your unit and diagnostic tests are ordered to rule out neuroblastoma.
John is a 65-year-old retired mechanic. He is obese and has been diagnosed with hypertension and diabetes. He comes to the family practice clinic because of urinary hesitancy and a decreased urine flow. This has been going on for 4 months. His friend told him that his prostate may be enlarged. The nurse explains that there are several symptoms associated with benign prostatic hypertrophy (BPH).
Delilah, a 17-year-old, referred herself to the eating disorder center at a prominent psychiatric hospital. During the assessment Delilah described fluctuations in her mood, but she was not aware that she had any significant health problems. She denied alcohol or drug abuse but acknowledged excessive laxative abuse. Initially, she was hesitant to talk about her eating problems. She stated, “I’m ashamed and embarrassed about my eating habits. I have a 3-year history of compulsive eating and binging of which my family is unaware. I have always had a weight control problem.
Vincent Brody is a 67-year-old male admitted directly from the provider’s office several hours ago for exacerbation of his chronic obstructive pulmonary disease (COPD). He is maintaining O2 saturations at 94% on 2 L/min of oxygen per nasal cannula. Patient has a 50-year history of smoking 2 packs a day. He has continued to smoke despite health care providers’ recommendations to quit. During the last year he has had two exacerbations. Physical findings include a barrel chest and clubbed fingers. Weight 154 pounds (70 kg). Height 68 inches (1.72 meters)
Skyler Hansen is an 18-year-old male diagnosed with type 1 diabetes 6 months ago. He was brought to the Emergency Department by his friends. The friends report that he started acting “weird” while they were playing basketball. He has not eaten anything for 5 hours. Skyler told them that he felt lightheaded and was going to lie down on the cement. They became nervous and decided to bring him in to the Emergency Department. The patient is drowsy, wakes with stimulus, has slurred speech, is diaphoretic, and is acting irrationally. Weight 154 pounds (70 Kg). Height 72 inches (1.82 meters); Diagnosed with type 1 diabetes 6 months ago. Immunizations are current. No known drug or food allergies.
