Scanned Document 401211 Health Variations 4: Acute Life Threatening Conditions Assignment 2: Short answer test based on case study Word/time limit: 1250 (+/- 10%) Weighting: 35% Due date: 5pm AEDT...

Scanned Document

401211 Health Variations 4: Acute Life Threatening Conditions
Assignment 2: Short answer test based on case study
Word/time limit:  1250  (+/- 10%)
Weighting: 35%
Due date: 5pm AEDT Monday 22 March 2021 (Week 7)
After you have read this information, head over to the Assignment 2 Q&A discussion board to ask any questions and see what your peers are saying about this assignment.
Assignment overview
This assignment will require you to respond to a short answer questions based on a case study of acute life-threatening and/or traumatic complex health condition.
The purpose of this assessment is to enable you to do the following:
1. Demonstrate knowledge by analysing the information provided in the case study.
2. Apply the clinical information provided in the case study and describe this clinical information within a pathophysiological and patient focused framework.
3. Discuss nursing strategies and evidence based rationales to manage a patient with an acute episode of asthma.
4. Discuss the pharmacological interventions related to the management of a patient with an acute episode of asthma.
This assignment is a mandatory submission, which means that in order to pass this unit of study, you must submit this assignment.
This assignment supports unit learning outcomes 1, 2, 3, 4 and 5.
Assignment details
You are to answer all questions related to the case study provided. Your answers must be directly related to the clinical manifestations that your patient presents with. You must submit your work with a minimum of six references from the past five years including journal articles, textbook material or other appropriate evidence based resources.
Important note: There is a word limit of 1250 words. Use your computer to total the number of words used in your assignment. However, your reference list at the end of your assignment is not included in the word count. In-text citations will be included in the additional 10% word count. If you exceed the word count by 10% (1375 words), the marker will stop marking.
Case study
Poppy is a 9-year-old female, weighing 40kg.
She presented to ED with worsening respiratory symptoms over the past few hours. Her parents state she is unable to talk in full sentences or undertake a peak flow. In ED, Poppy has been given 3 x 20 minutely nebulised Salbutamol with 6LPM of O2, IVF commenced, stat dose of Prednisone administered, chest X-ray shows hyperinflation of both lung fields. She was admitted to ICU due to her deteriorating respiratory function with a diagnosis of acute exace
ation of asthma.
Excerpt of relevant ICU notes
Past history
· Diagnosed with asthma age 2 (infrequent intermittent asthma).
· Cu
ent medications: Ventolin PRN.
· IUTD (immunisations up to date).
Nursing assessment
· A. Clear, speaking in single words
· B. RR 42bpm, SpO2 87% RA, 92% on 6LPM O2 + nebuliser, auscultation decreased AE bibasally, inspiratory and expiratory wheeze
· C. HR 160bpm, ST, peripherally warm
· D. GCS 14/15 (E4, V4, M6)
· E. Accessory muscle use, shoulder shrugging on inspiration, tracheal tug
· F. IVF NaCl 53 ml/h
· G.
· a. Mg- low 0.60mmol/L XXXXXXXXXX10mmol/L) all other pathology is normal.
· b. BGL 9.0mmol/L
· c. Beta-agonist- Salbutamol
· d. Anticholinergic - Atrovent
· e. IV Hydrocortisone
· f. ABG shows respiratory acidosis, (PH 7.32, PaCO2 49, PaO2 70, HCO3 27, BE -2.1, Lactate 1.4)
Plan
· Keep SpO2 92–95%
· Beta-agonist Salbutamol continuous via nebulise
· Anticholinergic Ipratropium
omide (Atrovent) 500microg 4/24
· Hydrocortisone 100mg 6/24
· MgSO4 6.4mmol/20 minutes
· IVF 53ml/h
· Repeat ABGs in 1hou
· Monitor BGL
· Peakflow/spirometry
Case study questions
Question 1
Explain the pathogenesis causing the clinical manifestations with which Poppy presents.
Question 2: 
Step 1: Sit Poppy in a High Fowlers position.
· How does positioning a patient with acute asthma in a High Fowlers position assist to alleviate respiratory distress?
Step 2: Apply and titrate oxygen.
· What oxygen delivery device will you use?
· Why did you choose this device?
· How does providing supplemental oxygen work, and how will it assist Poppy?
Question 3
For each of the following medications, explain the following:
· The mechanism of action.
· Why your patient is receiving this medication in relation to her symptoms and diagnosis?
· What are the nursing considerations for this medication?
· What clinical response you expect?
· What continuing clinical observations will you need to undertake?
Medications
· Salbutamol via nebulise
· Hydrocortisone IV
· Ipratropium
omide via nebulise
Assignment tip
View the marking guide under 'Assignment criteria' to see a detailed
eakdown of how your work will be assessed. This is an excellent place to start your preparations for this assignment.
Refer back to the marking guide frequently to make sure you are meeting the requirements.
Supporting resources
American Psychological Association (APA) referencing style guide (PDF 725 KB)Links to an external site. (Western Sydney U Lib, 2020).
Li
ary Study SmartLinks to an external site.—a li
ary resource that helps you complete assignments (Western Sydney U Lib 2019). 
Western Sydney University Li
ary has further information about referencing on their
Assignment criteria
1. Explain the pathogenesis causing the clinical manifestations with which Poppy presents.
2. Accurately discusses and explains the rationales and justifies the nursing strategies. Discussion is well supported by appropriate evidence.
3. Demonstrates knowledge of the mechanism of action of medications, and demonstrates application to the pathogenesis of asthma.
4. Academic writing: Writes in a clear succinct academic style using co
ect grammar, spelling and punctuation. A minimum of six references from the past five years including journal articles, textbooks or other relevant evidence based resources. All sources of information are clearly and accurately acknowledged applying conventions of APA 7th style referencing.
Your work will be assessed using the following marking guide:
    Assignment 2 marking guide
    Criteria
    No Pass
    Pass
    Credit
    Distinction
    High Distinction
    Explain the pathogenesis causing the clinical manifestations with which Poppy presents.
    Did not meet criterion.
A superficial
description of the pathogenesis in relation to the case study is provided
with a number of significant
inaccuracies,
epetition or lack of clarity. Has not accurately related the clinical
manifestations to the pathogenesis.
The sources of
information are not accurate and clearly evident.
    Using information
from relevant
eferences provides
a basic description
of the pathogenesis
in relation to the case study with some links to the clinical
manifestations
presented by the patient in the case study.
There may be
minor inaccuracies,
omissions o
epetition of
information, lack of clarity or logical flow of the process
of the pathogenesis
of acute
exace
ation of
asthma.
The discussion is mostly supported by appropriate
sources.
    Analyses information
from relevant
sources and
generally provides an
accurate explanation
of the pathogenesis
causing the clinical
manifestations of the patient in the case study.
The explanation is mostly developed in
a logical sequence but there may be one or two
omissions of
significant
information
or all manifestations
are accurately
explained but there is little logical
development in the discussion.
The discussion is clearly and
accurately supported by appropriate
sources.
    Analyses
information from a discerning selection
of sources and
accurately explains
the pathogenesis
causing the clinical
manifestations of the patient in the case study.
Mostly synthesises
the information
effectively in own words and in a logical sequence
including all
manifestations
presented by the patient.
The discussion is clearly and
accurately
supported by
appropriate sources.
    Analyses
information from a discerning selection of sources and
provides an
accurate and
comprehensive
explanation of the
pathogenesis
causing the clinical
manifestations of
the patient in the
case study.
The explanation is
developed in a
logical sequence
and incorporates all manifestations
presented in the
case study. The discussion is
clearly and
accurately
supported by
appropriate sources.
    /15
    0-7
    7.5-9.5
    10-11
     XXXXXXXXXX
    13-15
    Accurately discusses and explains the
ationales and
justifies the nursing strategies.
Discussion is well supported by appropriate
evidence.
    Did not meet criterion.
Provides little
or inaccurate
explanation of
ationales.
Information
predominantly
copied or quoted from inappropriate
sources. The sources of
information are not accurate and clearly evident.
    Provides basic
ationales for the strategies identified but they are not
evidence-based.
The discussion is mostly supported
y appropriate
sources.
    Provides accurate
ationales for the management of a patient with acute
exace
ation of
asthma but not
clearly
evidence based.
The discussion is clearly and
accurately
supported by
appropriate sources.
    Accurately discusses
each nursing
strategy used to
manage a patient with an acute
exace
ation
of asthma. The discussion is
clearly and
accurately
supported by
appropriate sources.
    Comprehensively
and accurately
discusses each
nursing strategy used to manage a patient with an acute exace
ation of
asthma. The
nursing strategies
are well supported by discussion that
clearly explains the rationales.
The discussion is
clearly and
accurately
supported by
appropriate sources.
    /7.5
    0-2
    2.5-3.5
    4.0-5.0
    5.5-6.5
    6.5-7.5
    Demonstrates
knowledge of the mechanism of action of
medications, and demonstrates
application to the pathogenesis of
asthma.
    Did not meet criterion.
The medications’
elationship to an acute exace
ation of asthma is incomplete o
inaccurate with little or no
elationship to the underlying
pathogenesis of an acute exace
ation
of asthma.
Information
predominantly
taken from
inappropriate
sources. The sources of
information are not accurate and clearly evident.
    Provides a basic
explanation of the medications and their relationship to
acute exace
ation
of asthma. The answer may
not be clearly
elated to the
pathogenesis of an acute exace
ation
of asthma o
contain some inaccuracies
or lack clarity.
The discussion is mostly supported by appropriate
sources.
    Explains each
medication and
elates the
medication
to the underlying
pathogenesis and clinical
manifestations of an acute
exace
ation of
asthma. Each
question is
answered in clear and accurate detail
and relates to the case study. The discussion is clearly and
accurately
supported by
appropriate
sources.
    Accurately
discusses each
medication and
elates the
medication
to the underlying
pathogenesis and clinical
manifestations of an acute
exace
ation of
asthma. Each
question is
answered in clear and accurate detail
and relates to the case study. The discussion is clearly and
accurately
supported by
appropriate
sources.
    Comprehensively
and accurately
discusses each
medication and
elates the
medication
to the underlying
pathogenesis and
clinical
manifestations of
an acute
exace
ation of
asthma. Each
question is
answered in clea
and accurate detail and relates to the case study. The discussion is
clearly and
accurately
supported by
appropriate
sources.
    /7.5
    0-2
    2.5-3.5
    4.0-5.0
    5.5-6.5
    6.5-7.5
    Academic writing: 
Writes in a clea
succinct academic style using co
ect grammar, spelling and punctuation. A minimum of six references from the past five years including journal articles, textbooks or other relevant
evidence based
esources. All
sources of
information are
clearly and
accurately
acknowledged
applying
conventions of APA 7th style
eferencing.
    Did not meet criterion.
Writes in an
elementary style with very basic use of language and poor articulation of
ideas. Writing may be ve
ose, convoluted or difficult to read. Organisation of material and main points is unclear. The e
ors in spelling,
punctuation,
grammar and