How does providing supplemental oxygen work and, how will it assist Peter?

There is a word limit of 1250 words. Use your computer to total the number of words used in your assignment.

However, do not include the reference list at the end of your assignment in the word count. In-text citations will be
included in the additional 10% word count. If you exceed the word count by 10% (1375 words) the marker will stop

Aim of assessment

The aim of this assessment is to enable students to:
1. Demonstrate knowledge by analysing the information provided in the case study.

2. Apply the clinical information provided in the case study and describe this clinical information within a pathophysological and patient focused framework.

3. Discuss nursing strategies and evidence based rationales to manage a patient with an acute episode of asthma.

4. Discuss the pharmacological interventions related to the management of a patient with an acute episode of a
patient episode of asthma.


You are to answer all questions related to the case study provided. Your answers must be directly related to the clinical manifestations that your patient presents with. You must submit your work with a minimum of six references from the past 5 years including journal articles, textbook material or other appropriate evidence based resources.

Case study

Peter is a 10 year old male, weight 45Kg.

He presented to ED with worsening respiratory symptoms over the past few hours. His parents state he is unable to talk in full sentences or undertake a peak flow. In ED Peter has been given 3 x 20 minutely nebulised Salbutamol with 6LPM of O2, IVF commenced, Stat dose of Prednisone administered, Chest X-ray shows hyperinflation of both lung fields. He was admitted to ICU due to his deteriorating respiratory function with a diagnosis of acute exacerbation of asthma.

Past History

Question 1
Explain the pathogenesis causing the clinical manifestations with which Peter presents.

Question 2

1. Sit Peter in a High Fowlers position

– How does positioning a patient with acute asthma in a High Fowlers position assist to alleviate respiratory distress?
1. Apply and titrate oxygen

– What oxygen delivery device will you use?

– Why did you choose this device?

– How does providing supplemental oxygen work and, how will it assist Peter?

Question 3

For each medication below explain

The mechanism of action

Why your patient is receiving this medication in relation to her symptoms and diagnosis?

What are the nursing considerations for this medication?

What clinical response you expect?

What continuing clinical observations will you need to undertake?


All assignments are to be typed
Typing must be according to the following format:
3 cm left and right margins, double spaced.
Font: Arial or Times New Roman

Font size: 12pt

See further submission requirements below

Submission Requirements

1. Electronic copy only. Students are to submit an electronic copy of the assessment. Students are not required to submit the original hard copy of their assessment on campus

2. Submit your assessment electronically through the Turnitin link on the unit vUWS site.

3. Students are to upload the assessment with the following title; Surname_Firstname_assessment title

4. Your assessment must be submitted in .doc, docx format.

5. This assessment is marked online; no paper copy will be accepted. Marks, comments and the marking criteria will be released online. If you do not receive your marked assessment when all others have been returned, it is your responsibility to contact the Unit Coordinator for assistance.


i. Examples may be available on the vUWS site.

ii. There are a number of textbooks and resources available through the Western Sydney University Library that may assist you. Please refer to the unit’s vUWS site for specific unit resources.

iii. Assessments listed as individual assessments must be completed independently. Students are advised to referback to their notes, textbooks or appropriate academic, peer-reviewed resources utilised during unit delivery