Teaching project topic :Firearm safety

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  Teaching_EpiPen_Administration.docx.docx

Running head: TEACHING EPIPEN ADMINISTRATION

2 TEACHING EPIPEN ADMINISTRATION

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Teaching EpiPen Administration

to an Adolescent Patient

Sarah Prouty

West Coast University

Teaching EpiPen Administration

to an Adolescent Patient

Comprehensive Assessment

J.T. is a 12-year-old boy. He was at a barbeque with family and some friends. When he took a drink of his canned soda, a wasp flew out of the can and stung his tongue. Within minutes, his tongue and face started swelling, he developed hives, and he was short of breath and wheezing. He presented to the emergency room with the following vital signs: Blood pressure 74/52, Pulse 132, Respirations 26, Temperature 98.7°F, SaO2 94% room air. He was immediately put on supplemental oxygen. His mother explained what had happened, but she was not aware of any history of allergies. J.T. has younger sisters, and his mother is divorced. His father is somewhat in the picture whenever he decides to come around, and he does not always pay child support. A diagnosis of anaphylaxis was promptly made, and epinephrine was administered via IV route. J.T. was further treated with albuterol solution, corticosteroids, and IV fluids (Miller, 2011). Once stable, the nurse gained a more thorough history, assessment, and began discharge instructions.

Nursing Diagnosis

Ineffective breathing pattern related to bronchospasm and laryngeal edema as evidenced by dyspnea, wheezing, and tachypnea (Martin, 2017).

Deficient knowledge related to lack of exposure as evidenced by patient being unaware of allergy to bee stings (Martin, 2017).

Client Learning Needs Assessment

J.T. was unaware of his allergy to bee stings. Now that he is stable, he is ready to learn about prevention of exposure to allergens and treatment for possible future exposure. J.T. needs to be taught to avoid areas where bees are especially active or with nearby beehives. He should also be instructed to check cans and straws before taking a drink if the beverage was left outside. Wide, open cups are better to be able to see if a bee is inside (Mayo Clinic, 2018). J.T. needs instruction on how to use an EpiPen, and he needs to know when to use it. He needs to come up with a plan to prepare for another possible anaphylactic event, and he needs to alert his family and school of the plan.