A 6-year-old client presents to day surgery for a tonsillectomy and adenoidectomy for recurring strep infections. The clients medical history is positive for obstructive sleep apnea and obesity. Client takes a multivitamin daily and has an allergy to PCN.
Preoperative Assessment:
General: Playing energetically with the Child Life Specialist, in no apparent distress
Eyes: PERRLA, EOM intact
Ears, nose, throat: Tonsils large, grade III, normal dentition
Neck: No noticeable or palpable swelling, redness, or rash around throat or on the face
Lymph nodes: No lymphadenopathy
Cardiovascular: Regular rate and rhythm, S1 + S2, no murmurs, gallops, or rubs
Lungs: Clear to auscultation, no use of accessory muscles, no adventitious sounds
Skin: Warm and dry, no rashes
Abdomen: Normal bowel sounds, abdomen soft and nontender
Musculoskeletal: 5/5 strength, normal range of motion
Neurological: Alert and oriented to person, place, and situation. CN 2-12 grossly intact.
Preoperative Assessment:
General: Playing energetically with the Child Life Specialist, in no apparent distress
Eyes: PERRLA, EOM intact
Ears, nose, throat: Tonsils large, grade III, normal dentition
Neck: No noticeable or palpable swelling, redness, or rash around throat or on the face
Lymph nodes: No lymphadenopathy
Cardiovascular: Regular rate and rhythm, S1 + S2, no murmurs, gallops, or rubs
Lungs: Clear to auscultation, no use of accessory muscles, no adventitious sounds
Skin: Warm and dry, no rashes
Abdomen: Normal bowel sounds, abdomen soft and nontender
Musculoskeletal: 5/5 strength, normal range of motion
Neurological: Alert and oriented to person, place, and situation. CN 2-12 grossly intact.
Vital signs: T 98.6°F (37°C), P 95 beats/min, BP 110/78 mm Hg , RR 24 breaths/min, pulse oximetry reading 96% on RA
Drag words from the choices below to fill in each blank in the following sentence.
larynogospasms
obstructive sleep apnea
asthma
acute airway obstruction
The risk factors from the client’s history puts them at risk for _____________ and ________________.
