Respiratory Alterations

Scenario

Kevin is a 6-year-old boy who is brought in for evaluation by his parents. The parents are concerned that he has a really deep cough that he just can’t seem to get over. The history reveals that he was in his usual state of good health until approximately 1 week ago when he developed a profound cough. His parents say that it is deep and sounds like he is barking. He coughs so hard that sometimes he actually vomits. The cough is productive for mucus, but there is no blood in it. Kevin has had a low-grade temperature but nothing really high. His parents do not have a thermometer and don’t know for sure how high it got. His past medical history is negative. He has never had childhood asthma or RSV. His mother says that they moved around a lot in his first 2 years and she is not sure that his immunizations are up to date. She does not have a current vaccination record.

To Prepare

– Review Chapter 27 and Chapter 28 in the Huether and McCance text.

– Identify the pathophysiology of the alteration that you associated with the cough.

– Reflect on how genetics and age factors might impact the disorder.

Post a description of the disorder and underlying respiratory alteration (Croup known as Laryngotracheobronchitis) associated with the type of cough in your selected scenario. Then, explain the pathophysiology of the respiratory alteration. Finally, explain how age and genetics factors might impact the disorder.

**This paper should have Introduction (with a purpose statement) and Conclusion

LEARNING RESOURCES

Huether, S. E., & McCance, K. L. (2017). Understanding pathophysiology (6th ed.). St. Louis, MO: Mosby.

• Chapter 26, “Structure and           Function of the Pulmonary System”

This chapter provides information relating to the structure and function of the pulmonary system to illustrate normal pulmonary function. It focuses on gas transport to build the foundation for examining alterations of pulmonary function.

• Chapter 27, “Alterations of           Pulmonary Function”

This chapter examines clinical manifestations of pulmonary alterations and disorders of the chest wall and pleura. It covers the pathophysiology, clinical manifestations, evaluation, and treatment of obstructive lung diseases such as asthma, chronic obstructive pulmonary disease (COPD), chronic bronchitis, and emphysema.

• Chapter 28, “Alterations of           Pulmonary Function in Children”

This chapter focuses on alterations of pulmonary function that affect children. These alterations include disorders of the upper and lower airways.

Hammer, G. G., & McPhee, S. (2014). Pathophysiology of disease: An introduction to clinical medicine. (7th ed.) New York, NY: McGraw-Hill Education.

• Chapter 9, “Pulmonary           Disease”

This chapter begins with an overview of normal structure and function of the lungs to provide a foundation for examining various lung diseases such as asthma and chronic obstructive pulmonary disease (COPD).

** American Lung Association. (2012). Retrieved from http://www.lung.org/ 

** Asthma and Allergy Foundation of America. (2012). Retrieved from http://www.aafa.org 

** Cystic Fibrosis Foundation. (2012). Retrieved from http://www.cff.org/ 

Instructor Requirements

As advanced practice nurses, we are scholars, nurse researchers and scientists. As such, please use Peer-Reviewed scholarly articles and websites designed for health professionals (not designed for patients) for your references. Students should be using the original citation in up to Date and go to that literature as a reference. The following are examples (not all inclusive) of resources/websites deemed inadmissible for scholarly reference:

1. Up to Date (must use original articles from Up to Date as a resource)

2. Wikipedia

3. Cdc.gov- nonhealthcare professionals section

4. Webmd.com

5. Mayoclinic.com

– This work should have Introduction and Conclusion

– It should have at least 3 current references (2013 and up)

– APA format