"Rica Lou" - 3 Years Old w/ Pneumonia
Tuesday, November 18, 2008
Name: "Rica Lou" (9 siblings)
Age: 3 years old
Sex: Female
Weight: 10.3 kg
Medical Diagnosis: Pneumonia, Status Asthmaticus
Father's Occupation: Tricycle driver and garbage collector.
Mother's Occupation: Housewife
November 19, 2008
The nurse on duty reported that she had a convulsion last night. We gave them P350.00 for the oxygen and P100.00 pesos for the dextrose. We also paid for his ABG (arterial blood gas) P400.00 inorder for the doctor to determine what course to take to best help this girl.
Below are scanned Doctor's Perscription Orders that they cannot comply. If they cannot comply then, there is nothing more the doctor can do.
The perscription drug Salbutamol listed below is used for the relief of bronchospasm in conditions such as asthma and chronic obstructive pulmonary disease.
Salbutamol sulfate is usually given by the inhaled route for direct effect on bronchial smooth muscle. This is usually achieved through a metered dose inhaler (MDI), nebuliser or other proprietary delivery devices (e.g. Rotahaler or Autohaler). In these forms of delivery, the maximal effect of Salbutamol can take place within five to twenty minutes of dosing, though some relief is immediately seen. Salbutamol can also be given orally as an inhalant or intravenously.
Hydrocortisone on the other hand is a natural corticosteroid produced by the adrenal glands located adjacent to the kidneys. Corticosteroids have potent anti-inflammatory properties, and are used in a wide variety of inflammatory conditions such as arthritis, colitis, asthma, bronchitis, certain skin rashes, and allergic or inflammatory conditions of the nose and eyes.
November 21, 2008
Went again to the hospital to see how are patient is doing. "Rica Lou" was transfered to the Intensive Care Unit because she was having a hard time breathing last night.
Status asthmaticus is an acute exacerbation of asthma that does not respond to standard treatments of bronchodilators and corticosteroids. Symptoms include chest tightness, rapidly progressive dyspnea (shortness of breath), dry cough and wheezing.
The lung failure means that oxygen can no longer be provided, carbon dioxide can no longer be eliminated, which leads to acidosis.
It is characterized histologically by smooth muscle hyperplasia and basement membrane thickening.
SUMMARY:
Oxygen ------- 350.00
Dextrose ------ 100.00
ABG Lab ------ 400.00
Medicine ------1789.20
Total: ------- P2639.20
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