status asthmaticus. his dad dad reports this has been the ... · status asthmaticus asthma nil...

URN: QUT158| PATIENT: Simon Hayes DOB: 31/10/2005 | Room: ED GA

Simon is a 14 year old male who presents at the

emergency department in status asthmaticus. His dad

reports he had just been picked for the school soccer team

and was playing his first game when he started to wheeze,

but didn’t want to come off and use his prescribed inhalers.

Dad reports this has been the case more and more as

Simon has moved in to his teenage years. On examination,

Simon has an audible wheeze and is unable to speak in full

sentences. His respiratory rate is 32 breaths per minute.

Pulse oximetry reveals an SaO2 of 88% and a pulse rate of

132. He appears a little cyanotic and is visibly distressed

and anxious. When asked what medication he was taking,

Dad says that Simon had just been taking his “normal

puffers”, but Simon says that he had also been taking

ibuprofen for a sprained ankle he picked up in training.

28/3/19

Ambulance Emergency

x

Salbutamol Inhaler PRN? Ibuprofen recently

SIMON HAYES31/10/2005

NA

NA

Status Asthmaticus

Asthma NIL other

NO

NO

37.2

132

sinus

32

Wheeze +++ 88%

138/64 0 1

Cyanotic. Unable to speak in full sentences. Very Anxious. High work of breathing

7

Sprained ankle recently. Has been taking ibuprofen. Dad says reluctant to use inhalers.

11:00