Location via proxy:   [ UP ]  
[Report a bug]   [Manage cookies]                
Scribd Logo
Upload

Welcome to Scribd!

  • 24 views

    MEDICAL Report: Background

    Uploaded by

    mohamed bio
    1) A 1 month old female infant was admitted to the PICU with a history of upper respiratory tract infection symptoms, shortness of breath, cough and secretions. 2) The infant developed recurrent episodes of apnea and cyanosis requiring intubation and mechanical ventilation. 3) On examination on day 7, the infant remained intubated and on mechanical ventilation. A chest x-ray showed a wandering upper lobe lung collapse and the infant was producing copious secretions.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd

    MEDICAL Report: Background

    Uploaded by

    mohamed bio
    24 views2 pages
    1) A 1 month old female infant was admitted to the PICU with a history of upper respiratory tract infection symptoms, shortness of breath, cough and secretions. 2) The infant developed recurrent episodes of apnea and cyanosis requiring intubation and mechanical ventilation. 3) On examination on day 7, the infant remained intubated and on mechanical ventilation. A chest x-ray showed a wandering upper lobe lung collapse and the infant was producing copious secretions.

    Original Description:

    REPORT

    Original Title

    Report

    Copyright

    © © All Rights Reserved

    Available Formats

    DOCX, PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    1) A 1 month old female infant was admitted to the PICU with a history of upper respiratory tract infection symptoms, shortness of breath, cough and secretions. 2) The infant developed recurrent episodes of apnea and cyanosis requiring intubation and mechanical ventilation. 3) On examination on day 7, the infant remained intubated and on mechanical ventilation. A chest x-ray showed a wandering upper lobe lung collapse and the infant was producing copious secretions.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    24 views2 pages

    MEDICAL Report: Background

    Uploaded by

    mohamed bio
    1) A 1 month old female infant was admitted to the PICU with a history of upper respiratory tract infection symptoms, shortness of breath, cough and secretions. 2) The infant developed recurrent episodes of apnea and cyanosis requiring intubation and mechanical ventilation. 3) On examination on day 7, the infant remained intubated and on mechanical ventilation. A chest x-ray showed a wandering upper lobe lung collapse and the infant was producing copious secretions.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    You are on page 1of 2

    MEDICAL Report

    Background:

    GHAZAL 1 MONTH 12 days old female infant , LATE PT 35 WKS , NICU ADMISSION FOR 1WK, CAME TO
    our ER in MCH –Buraidah on 3/11/2019 early morning WITH 1 DAY HX OF URTI SYMPTOMS , SOB,
    COUGH AND SECRETIONS , History of contact to other sick people having URTI at home .AT ER SHE
    DEVELOPPED 1 ATTACK OF APNEA AND CYANOSIS FOR SECONDS IMPROVED WITH STIMULATION AND
    SUCTIONING where for this issue patient admitted to PICU for close observation but at 8:00 AM patient
    developed another attack of apnea with desaturation and bradycardia so patient connected to HFNC
    WHICH UPGRADE TOP noninvasive ( BIPAP after developed another attack of apnea while on HFNC at
    around 4 pm .) . but after connected to noninvasive , again the patient developed another attack of
    apnea with desaturation and bradycardia , so was intubated and connected to mechanical ventilation .
    patient was intubated on 3/11/2019 ( 4:30 pm ) , connected to mechanical ventilation VC mode then
    changed to simv/vc with initial settings TV 21 peep 6 VR 45 fio2 40%and blood , throat and nasal
    cultures were taken. Also, H1N1 and MERscov were sent . Patient started on cefuroxime and tamiflu.

    CURRENT ON EXAMINATION: TODAY D7 in PICU .

    Patient on mechanical ventilation now D6, hemodynamic stable on full NGT feeding.

    -CNS: GCS 11/15, PUIPLS 2MM EQUAL AND REACTIVE, AF AT LEVEL, no abnormal movements. Patient on
    morphine PRN

    -RESP: BILATERAL EQUAL AIR ENTRY, TRANSMITTED SOUNDS, CREPITATION, SECRATION,, last BLOOD GAS
    PH 7.27 PCO2 57 HCO3 23 . PATIENT NOW SHIFTED TO SMIV VC + PS PEEP 7, VR 35, TV 20, PS 12.

    CXR: patient having wondering upper lobe lung collapse. PATINET HAVING PLENTY, COPIUES SECRETION
    WHICH NEED FREQUENT SUCTION

    -CVS: S1+S2+0 . ECHO REPORT: NORMAL CARDIAC ANATOMY AND FUNCTION. BP 77/47 HR 140

    -GIT: LAX, NO ORGANOMEGALLY, on NGT feeding

    -GU: .UOP = Balance=

    -HEAM, ID: NO SPIKING FEVER OR SKIN RASH. PATINET on cefuroxime D7

    LABS:

    CBC: WBCS: 7.7 HB: 11.2 PLT: 250,

    U/E : NA 137 BUN 4.3 CREAT :37 K:3.6

    BLOOD CULTURE: NO GROWTH.


    THROAT CULTURE: MIXED ORAL FLORA.

    NASAL CULTURE: NO GROWTH.

    H1N1 swap: negative

    This report is prepared upon family request. Reason for referral as per family request.

    *ASSESSMENT:

    GHAZAL 35 WEEK, EX PT 35 WKS WITH FREQUANT APNEA AND CYANOSIS INCONTEXT OF


    BRONCHIOLITIS , HEMODYNAMICALLY STABLE

    You might also like