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"Jaypee" - 3 Month Old w/ Pneumonia Severe
Tuesday, November 18, 2008
Age: 3 Month Old
Sex: Male
Weight: 5.5 Kg
Diagnosis: Asthma & Pneumonia, Severe
Father's Occupation: Tricycle driver
Mother's Occupation: Washes clothes for other people
Just a little insite on how bad the status of the pediatric ward. Two patient share one hospital bed. One patient on the other side and the other patient on the other end of the bed. I ask one of the staff nurse to point out parents who cannot comply with medications because they cannot afford the medicines, he pointed out alot of patients. While we were there we even witness a 7 month old infant die because of asthma. The 7 month old infant was brought by his parents from binalbagan just last night because the infant was having a hard time breathing.
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.
November 19, 2008
The day after we provided him with medicines, doctors are keeping a close eye on him because he had a high fever last night. Lets just pray that he will survive. I can empathize with the parents. I can feel how concern they are with their babies but cannot do anything because they have no money to buy what is needed to help the child.
November 21, 2008
Went to the pediatric ward again to check on the status of the patients we sponsored. We noticed no big improvement, there were additional medicines prescribed by the doctor. It was not much, total amount was only $327.00.
November 22,2008
Nasogastric Tube (NGT) was inserted to facilitate feeding. Mother reported that he had another convulsion last night.
November 24, 2008
Asthma is a chronic disease involving the respiratory system in which the airways occasionally constrict, become inflamed, and are lined with excessive amounts of mucus, often in response to one or more triggers.[1] These episodes may be triggered by such things as exposure to an environmental stimulant such as an allergen, environmental tobacco smoke, cold or warm air, perfume, pet dander, moist air, exercise or exertion, or emotional stress. In children, the
most common triggers are viral illnesses such as those that cause the common cold.[2] This airway narrowing causes symptoms such as wheezing, shortness of breath, chest tightness, and
coughing. The airway constriction responds to bronchodilators. Between episodes, most patients feel well but can have mild symptoms and they may remain short of breath after exercise for
longer periods of time than the unaffected individual. The symptoms of asthma, which can range
from mild to life threatening, can usually be controlled with a combination of drugs and
environmental changes.
SUMMARY:
>>Medicine ---- P1759.80
