You are caring for a school age child who is admitted to an…

You are caring for a school age child who is admitted to an inpatient unit with a diagnosis of new onset seizures. He has been noted to be having “staring” episodes in the class and his teacher reports it takes a few minutes for her to get his attention. In kindergarten, he was very active and had a difficult time sitting for most activities. He is still active and struggles with focus. He has a normal EEG. What is the likely diagnosis for this child, if these events are not considered seizures?

A school age child in status asthmaticus presents with diffu…

A school age child in status asthmaticus presents with diffuse wheezing and hypoxia. You have given 3 duo nebs (albuterol-ipratroprium) and 2 mg/kg of methylpredisolone in the first hour. Oxygen saturations in room air are 89% and 96% on 40% oxygen in between neb administration. What is the next anticipated BEST therapy? 

You are the APP on shift on the cardiac unit and you get a c…

You are the APP on shift on the cardiac unit and you get a call from the bedside RN that her patient, a 1-month-old infant with HLHS s/p Norwood Sano has developed bloody stools, abdomen is distended and has developed an oxygen requirement. What is the most important next step in managing this patient?