Pulmonary Problem Solving I

Scenario Three

History

DM is a 20-month-old female brought into the ED by her parents because of increasing shortness of breath and cough that has worsened over the past several hours. Upon arrival, the following is noted: pulse 136, respiratory rate 40 and labored with intercostals retractions, temperature 102F. SpO2 93% on room air. An occasional ‘bark-like’ cough is noted. The parents state that DM has had what appears to be an upper respiratory infection for the past two days. Use the Auscultation tab to assess lung sounds.

Take a Blood Pressure Reading

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Authors and Reviewers

Heart sounds by Dr. Jonathan Keroes, MD and David Lieberman, Developer, Virtual Cardiac Patient.
Reviewed by Dr. Barbara Erickson, PhD, RN, CCRN.
Last Update: 11/9/2021

Sources

Heart Sounds and Murmurs Across the Lifespan (with CD) Dr Barbara Ann Erickson
Publisher: Mosby
ISBN-10: 0323020453; ISBN-13: 978-0323020459
Heart Sounds and Murmurs: A Practical Guide with Audio CD-ROM 3rd Edition
Elsevier-Health Sciences Division
Barbara A. Erickson, PhD, RN, CCRN
How to measure blood pressure using a manual monitor
Mayo Foundation for Medical Education and Research (MFMER)
Heart and Lung Sounds Reference Guide
PracticalClinicalSkills.com
Manual Blood Pressure Measurement
Vital Sign Measurement Across the Lifespan