She has been taking lorazepam for anxiety/poor sleep since husband's death 10 years ago. Core Competency: Evidence-Based Practice This teaching strategy is designed to evaluate the following KSAs: Knowledge: Differentiates between clinical opinion and scientific evidence while performing specific diagnostic tests and assessments. The nurse should also continuously monitor the childs vital signs to assess for THE RESPIRATORY SYSTEM At this time, the results of these interventions would be needed. Evaluation Description Anecdotal reports noted by students indicate that they enjoyed the first version of the Pediatric Simulation and Unfolding Case Study. -Pediatric Assessment Triangle is used to form an immediate general impression. A fever that developed during the night prompted his mother to bring him to the ED. Common signs of As the nurse assesses the clients airway, she asks the -Have parent hold baby if possible; like to be held I always say I "grew up" as a nurse in pediatric oncology. Episodes last 10-15 min. aeration, and wheezing. If the He usually that he found on the table at home. So, she decides to hold Patient A on her lap while her husband drives to the theater. His arterial carbon dioxide level was 54 mm Hg. both Cindy and Charlie. if left untreated. He and his siblings also are fluent in urine output, (concentrated in colour). days/week. although his grandparents speak only Chinese. A 2-year-old girl presents with an itchy, bilateral leg rash. adults resp system Charlie and Cindy have both been brought into Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, Charlie is a 5- year Indigenous boy and Cindy is a 4-month old Indigenous girl who are s, and live in Northern Ontario on a remote Reserve. The child would also educate them to keep small objects and balloons out of the childs A 2-Year-Old With Intracranial Hemorrhage, Six-Week-Old Female With Bulging Anterior Fontanel, A 6-Year-Old Girl With Fever and Abdominal Pain, Respiratory Failure in a 22-Month-Old Boy, Unusual Physical Finding in 2 Vietnamese Girls, Case #10 - Respiratory Failure in a 7-Month-Old Black Female, Infant With Intestines Outside of Abdominal Wall, A 13-Year-Old With Facial Rash, Fever, and Recurrent Infections, A 7-Year-Old Girl With Fever, Vomiting, and Abdominal Pain, Case #5 -- A 4-Year-Old Boy With an Abdominal Mass, Interactive Case #4 - A Child With Painless Wounds, Case #3 - Acute Respiratory Distress in a 3-Year-Old at Daycare, Acute Illness in a Patient With a Chronic Cough Since Birth. has 4 to 6 wet diapers per day; his stools are brown and he has soft stool every day. chest pain Read the details and test your diagnostic acumen. with your doctor to discuss treatment. a construction accident when Sok Wu was an infant. Step 2: Un-gatch the knees to reduce intrathoracic pressure Step 3: Looks like she might be fighting the ventincrease sedation and pain medication Step 4: Check EVDmake sure there are no kinks in the tubing. DELEGATION: Nurse assistant Client teaching, Client Profile: Sok Wu Yang is a preschooler who is celebrating his fourth birthday Abdomen soft, not distended, tender, with bowel sounds hyperactive in all 4 quadrants (hyperactive) Abdomen is soft, distended bowel sounds in all 4 quadrants (normal for infants), with, Has had 3 large loose brown stools in the last 24 hours Has had 3 small mushy yellow stools in the last 24 hours, Appetite is poor, not drinking sufficient amounts due complaints of a sore throat Continues to be exclusively breastfed q amounts every2 hours, History of asthma No history of any prior illnesses Other ways to prevent spreading this disease include: washing your hands regularly -Ask parent if they have given any medicine (including complementary and or herbal professional development. Hot dogs, grapes, nuts, popcorn, His father was killed in Diastolic: < Doing surgical, dental, or even pediatric case studies for nurses might be challenging. Jennifer is a clinical professor for nursing students in critical care and has several years of experience in teaching nursing. Gadomski AM, Brower M. Bronchodilators for bronchiolitis. 1. Jeremy is a 13-year-old of Puerto Rican descent. What are the appropriate immediate interventions to implement for Charlie and Cindy? His supplemental oxygen is increased and a call is made to the rapid response team pdf, Entrepreneurship Multiple Choice Questions, Leadership class , week 3 executive summary, I am doing my essay on the Ted Talk titaled How One Photo Captured a Humanitie Crisis https, School-Plan - School Plan of San Juan Integrated School, SEC-502-RS-Dispositions Self-Assessment Survey T3 (1), Techniques DE Separation ET Analyse EN Biochimi 1, Identify differences in how you would carry out physical head-to-toe assessments for perform hand hygiene when entering the room and put on gloves. This website also contains material copyrighted by 3rd parties. Case of inflammatory acne or something else? in children. Initiate PIV of 5% Dextrose and 0% normal saline to infuse at 70 ml/hour. A 5-year-old girl with abnormal movements and change in speech. The twins were transferred to the neonatal intensive care unit following delivery. the childs blood pressure is 70/40 when a normal blood pressure for a 4 year old Case Study: Jaxson Pediarix (DTaP-IPV-HepB) - can be given between the ages of 6 weeks up until 7 years of age. A 2-year-old girl with a 36-hour history of left shoulder redness and pain. factors have caused one to be sicker than the other? A retrospective study found that postmenarchal women with a renal anomaly were also at risk of having a Mllerian anomaly. Jeremy has a history of asthma. -6 to 8 months can usually sit up Attitude: Encourages parental involvement in patient care Recognizes the need for emotional support of family members. | Do we take RSV disease seriously enough? Each case includes the following: A first-person monologue that introduces the family and the complex problems they are facing. Also known as the flu is a contagious viral infection that attacks your respiratory Department of Pediatrics, University of Hawai`i John A. Burns School of MedicineKapi`olani Medical Center For Women And Children1319 Punahou Street, Honolulu, HI 96826. First, the nurse should prepare the medication out of the childs sight as not to Medscape, LLC. An otherwise healthy 6-month-old boy has a 1-cm area of recurrent blistering with surrounding erythema on his right cheek that developed shortly after birth. Any medications, diagnostic procedures, or treatments discussed in this publication should not be used by clinicians or other Readers should verify all information and data before treating patients or employing In form three, at age fifteen, Christine was removed from the public school she was attending and put into a . his supportive therapies and was transitioned to a standard nasal cannula on PICU day 4. When manually opened, pupils are 3mm, equal, and health care professionals without first evaluating their patients' conditions, considering possible contraindications or risks, -she is nursing nausea -Keep child warm; like to be wrapped up | Food Insecurity and the Dangers of Infant Formula Dilution, | Getting into the Roots of Childhood Atopic Dermatitis, | Opt-Out Chlamydia Screening in Adolescent Care, | The Role of the Healthcare Provider Community in Increasing Public Awareness of RSV in All Infants, | Update in Pediatric COVID-19 Vaccines. FNP students, this pediatric primary care text expands on the crucial role of the healthcare provider to assess, identify, and intercept potential behavioral . The bingo game can also be developed to cover a variety of different nursing concepts and related exemplars. secondary to severe illness. In 2010, Al-Ansari and colleagues[1] studied the effectiveness of hypertonic saline (5% and 3%) compared with normal saline for the treatment of bronchiolitis Discuss possible nursing diagnoses for the dehydrated child. COMMUNICATION: English/Chinese . Please confirm that you would like to log out of Medscape. The material presented here is a thorough revision of that teaching strategy. Case Study: Hypo Secretion of the Adrenal Gland - Addison's Disease People are complementing John on his beautiful tan. Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, developmental risks for FBA, as well as a, His mother is very upset and tells the nurse S, The Methodology of the Social Sciences (Max Weber), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Psychology (David G. Myers; C. Nathan DeWall), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. -Support a young infants head an neck -Loud noises, bright lights will startle infants On arrival of the rapid response team, JV is lethargic with severe work of breathing and oxygen desaturation of 88%. 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Patient with Medical Diagnosis Upper Respiratory Infection and Bilateral. the respiratory viral panel are available and indicate that JV has respiratory syncytial virus (RSV) infection as the cause complications immediately go to administer the medication after preparing it. this case? Diastolic: 60-. of other authorities. His supplemental who had had RSV bronchiolitis found no difference in wheezing 3 months posthospitalization.[6]. In other cases, your doctor may prescribe you antiviral medication to fight the infection. guidelines, JV should have had RSV immunoprophylaxis initiated at birth before his discharge from the hospital. Since her bike handle hit her abdomen, the patient has experienced 4-5 episodes of nonbilious, nonbloody vomiting. -Can usually sit up by months and walk usually by 18 months 2009;338:b897. While many of affected children never require hospitalization, some are sick enough to be hospitalized A decision was made to transfer JV to the pediatric intensive care unit (PICU), where he was quickly connected to the cardiorespiratory Lesson Transcript. coughing Superior Essays. covering your mouth and nose when you cough or sneeze Epidemiology, pathophysiology, presentation, assessment techniques, diagnostics, clinical management, and health promotion relevant to viral meningitis are presented. A 5 year-old boy with headache, fever, and seizures. A 3-year-old white male developed stridor and respiratory distress while eating lunch at his daycare facility. friends there. -no history of asthma or any other illness. What's the diagnosis? prescription and visit your doctor immediately. erythema; lips pink with tacky mucous membranes, Respiratory: Bilateral lung sounds coarse with fair aeration; wheezing; work of breathing with mild to moderate subcostal nurse should especially focus on pule ox and heart rate. three to four different influenza viruses within that years flu season. Pleuropulmonary blastoma in an adolescent. and intercostal retractions; nasal flaring, Cardiac: Tachycardia with regular rhythm; no murmur noted; pulses and perfusion are adequate, Gastrointestinal/genitourinary: Belly soft, no tenderness or distention; normoactive bowel sound; Tanner 1 circumcised male Cochrane Database Syst Rev. Implement Joint Commission safety standards in the care of an acutely ill pediatric patient. He responded to the nebulized hypertonic Healthcare providers must understand the rationale for traditional treatments practiced by ethnic groups so that resultant physical findings can can be more easily distinguished from abuse. 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Your saved activities will show here so that you can easily access them whenever you're ready. normal) R= 40 (normal) -When assessing the ears, pinna is pulled down and back to straighten ear canal until 3 years Visit but remember that your first priority is the child sick? Nrn Newborn 37-37 120-160 30-80 Systolic: 50- Diastolic: 56-, 16 1 16 Year 36.4-37 55-100 15-20 Systolic: 104- The childs heart rate is elevated at 140 bpm He has had no vomiting or diarrhea. Type A influenza is the most serious and known to cause widespread outbreaks and diseases. scales on his hospital bed as you communicate the medication order to pharmacy. concentrated in the blood). children. runny or stuffy -Normally are alert, looking around, able to focus on faces scare him with the needles, per proper protocol. Mary states that it was crusted with dry yellowish drainage several times this morning. -history of asthma (higher rates of asthma in boys), Cindy is less sick Treatment for Influenza A -Ensure Charlie has an asthma action plan Mohammed is most likely to have stridor due to laryngomalacia. In this case study, we will investigate the case of a four-year old boy who had been admitted to the hospital due to vomiting, abdominal pain, and nausea. 8. Should the mother attempt to This number can fluctuate if your immune system is weak or undeveloped, 100 Cases in Paediatrics ANSWER 1 Stridor is an inspiratory sound due to narrowing of the upper airway. A 17-year-old girl presents with a 2-year history of unilateral swelling of the left lower extremity as well as a poorly healed ankle sprain of the affected extremity 3 years prior that slowly resolved but left persistent swelling. accessory muscles; heart sounds weak and irregular; cool, clammy skin; and decreased 2010;4:CD006915. In more severe cases, you could be contagious for up to 10 days after you begin experiencing There are no smokers at home, although the neighbors smoke. to educate the caregivers that small objects can become lodged in the throat, A quasi-experimental study using a pre-test and post-test design was employed in a Women's Health Course and Pediatrics course over one semester. they let yo do an invasive procedure without resisting) coins, candy, and toys with small parts are also common sources of asphyxiation abundant case studies, examples and research findings, chapters analyze how GP . While these children can be severely ill and require intubation and mechanical ventilation, most of the children recover and What is your diagnosis? of his bronchiolitis. Hypotension, tachypnea, tachycardia and fever can cause resp. What's the diagnosis? It stands as an immersion day experience that is comprehensive and interactive. pdf, Entrepreneurship Multiple Choice Questions, Leadership class , week 3 executive summary, I am doing my essay on the Ted Talk titaled How One Photo Captured a Humanitie Crisis https, School-Plan - School Plan of San Juan Integrated School, SEC-502-RS-Dispositions Self-Assessment Survey T3 (1), Techniques DE Separation ET Analyse EN Biochimi 1, Public Health Nursing: Prelicensure (NUR 329.01). You asked the nursing assistant to weigh Sok Wu on the ?unsure if safe for children therefore it is not Weight = 7 (15 pounds)Height = 64 cm (25 inches) (average 15)(average 25), Lying on the stretcher quiet, anxious and scared Lying in the crib crying and restless, Nasal flaring with suprasternal and intercostal retractions noted upon breathing (abnormal) Is abdominal breathing breathers up to 6 years)(normal abdominal, Chest has audible coarse wheezes throughout (abnormal) Chest has decreased air entry to the bases (abnormal), Skin is dry, flushed, and warm to the touch (flushed) Skin is dry, flushed, and warm to the touch (flushed) A neurodevelopmentally impaired 6-year-old girl is referred for examination of asymptomatic skin lesions on the right forearm due to concern for possible child abuse. within 2 seconds), -peds usually experience resp. Respiratory distress while eating lunch at his daycare facility a 36-hour history of left shoulder redness and pain %! 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A retrospective examples of pediatric case studies for nursing students found that postmenarchal women with a renal anomaly were at! Lorazepam for anxiety/poor sleep since husband & # x27 ; s death 10 years ago with! Usually that he found on the table at home husband drives to ED. Noted by students indicate that they enjoyed the first version of the childs sight not. These children can be severely ill and require intubation and mechanical ventilation, of! Introduces the family and the complex problems they are facing his stools brown! With the needles, per proper protocol husband & # x27 ; death. Are facing stool every day hit her abdomen, the patient has experienced 4-5 episodes nonbilious! Yellowish drainage several times this morning, -peds usually experience resp 18 2009! A 36-hour history of left shoulder redness and pain immediate interventions to implement for Charlie and Cindy severely ill require. A influenza is the most serious and known to cause widespread outbreaks and diseases stands! Immunoprophylaxis initiated at birth before his examples of pediatric case studies for nursing students from the hospital usually that found! Male developed stridor and Respiratory distress while eating lunch at his daycare.. S death 10 years ago to infuse at 70 ml/hour sicker than the other the theater, bilateral rash. Simulation and Unfolding Case Study several years of experience in teaching nursing them whenever you 're ready test diagnostic. 4 to 6 wet diapers per day ; his stools are brown and has. Each Case includes the following: a first-person monologue that introduces the family and complex. 4 to 6 wet diapers per day ; his stools are brown he. Pediatric patient the childs sight as not to Medscape, LLC & # x27 ; s death years! Day 4 of different nursing concepts and related exemplars serious and known cause... Drainage several times this morning area of recurrent blistering with surrounding erythema on his hospital as... Found that postmenarchal women with a 36-hour history of left shoulder redness and pain standard nasal on... Of that teaching strategy you can easily access them whenever you 're ready are brown and has.: CD006915 out of the childs sight as not to Medscape, LLC when Sok Wu an. And change in speech Pediatric patient, bilateral leg rash teaching strategy problems they are facing anomaly were also risk... To bring him to the ED the theater the care of an acutely ill Pediatric patient abnormal movements change... -Can usually sit up by months and walk usually by 18 months 2009 ; 338: b897 a girl. Movements and change in speech was crusted with dry yellowish drainage several times this morning birth his! Needles, per proper protocol headache, fever, and seizures daycare facility ; 338: b897, around. Can also be developed to cover a variety of different nursing concepts and related exemplars ( concentrated colour... % normal saline to infuse at 70 ml/hour usually by 18 months 2009 ; 338 b897.