Adenotonsillar Hypertrophy Case Study

Pediatric Case Study

Adenotonsillar Hypertrophy with OSA

PVT Corbin Lauda

1. Client Demographics

a. Age: 2-year-old

b. Gender: Male

c. Marital Status/Significant others: Single

d. Primary Language: English, but behind because hearing loss due to repeat ear infections.

e. Religion: No preference

f. Barriers to care:

i. Noted in home life, past medical history, social history, etc.… ii. Developmental Stage and development history issues: Autonomy vs. shame and doubt/failure to thrive, concerns for speech development

g. Other: pertinent information related to admission

2. Client History

a. Chief complaint: Adenotonsillar Hypertrophy with OSA

b. Admitting Diagnosis: Adenotonsillar Hypertrophy (Oversized tonsils and adenoids)

Review of Normal A&P: The respiratory system is composed of two main parts the upper airway, composed of the nose and pharynx and the lower, composed of the trachea, bronchi, bronchioles and alveoli, separated by the larynx. Air enters the nose where it is moistened, then is channeled through the 3 stages of the pharynx until it reached the larynx. The larynx, also known as your vocal cords is protected a flap of tissue known as the epiglottis that folds down as you swallow the prevent aspiration of the substance. After passing your larynx, air is channeled through the trachea into two pyramid shaped organs made of lobes known as the lungs. The lungs contain the bronchi, bronchioles and most importantly the alveoli. The bronchi and bronchioles are in a way like the trachea in the fact that they are pipe like structures used to funnel air down to the smallest level. The alveoli are where gas exchange occurs, they are small sack like structures, entirely wrapped in small capillaries where the oxygen from the air is pulled in the blood and the co2 is dropped off to be exhaled by your

Glucose 74-106 112 With a high serum glucose level, higher than 106 but below 126 means prediabetes, making you susceptible to type 2 diabetes.

Urea Nitrogen 5-18 7.2 Normal values No intervention needed

Creatinine .7-1.2 .24 Low creatinine is a sign of low protein diet, liver disease of low muscle mass. The patient has a failure to thrive. The patient’s diagnosis of failure to thrive accounts for this result.

Calcium 8.6-10.2 7.6 Malnutrition and malabsorption are two causes of hypocalcemia

RSV POSITIVE The Patient has an RSV and needs to be treated for it quickly to avoid complications The patient was started on anti-infective and oxygen therapy

WBC 5-15.7 13.2 Normal values No intervention needed

Hemoglobin 10.5-13.5 10.8 Normal values No intervention needed

Hematocrit 34-40 33.8 Low hematocrit levels can simply a sign of overhydration.

Platelet count 150-490 491 A bone marrow disorder can cause the body to overproduce