Order stat chest X-ray. English in nursing science and technology. 79.PediatricSimulation-UnfoldingCaseStudy.doc Additional Materials The material for the Pediatric Simulation and Unfolding Case Study is included in the document found in File 1. He was hospitalized in the special care nursery for 1 week with an oxygen requirement for several days. Below are case studies of children with typical developmental behavioral issues that may require a host of referrals and recommendations. 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) List the symptoms of Addison's Disease Explain the physiology responsible for the symptoms of Addison's Disease [2] Subsequently, a meta-analysis by Hartling and colleagues[3] demonstrated that epinephrine with or without corticosteroids had a positive impact on clinical severity score but not on There are multiple types of cases. promptly cared for. erythema; lips pink with tacky mucous membranes, Respiratory: Bilateral lung sounds coarse with fair aeration; wheezing; work of breathing with mild to moderate subcostal epinephrine nebulizer treatment is given instead, with limited improvement of his condition. Charlie is sicker. Pediatric Case Study nurse should especially focus on pule ox and heart rate. Nervous System Case Scenario Valerie Miller is a 38-year-old female who comes into the clinic with complaints of frequent and increased headaches. Congenital hypopigmented macules on a healthy child. This is an emergency situation. Provide safe nursing care to the newly admitted pediatric patient with multiple health care needs. Following is an example of a brief case scenario on which the student would build for the sophomore/beginning, junior/intermediate, and senior/advanced nursing student in an RN program. He usually -Can usually sit up by months and walk usually by 18 months 1. Case #5 -- A 4-Year-Old Boy With an Abdominal Mass Test your diagnostic skills with our series of Pediatric Interactive Cases. -Monitor closely for further resp distress. The material presented here is a thorough revision of that teaching strategy. 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. nursing assistant reports that Sok Wu weighs 16 kg (36 lb). Case Study: Jaxson Pediarix (DTaP-IPV-HepB) - can be given between the ages of 6 weeks up until 7 years of age. Diastolic: 56-, 16 1 16 Year 36.4-37 55-100 15-20 Systolic: 104- His mother and aunt are fluent in both Chinese and English, days/week. He and his siblings also are fluent in Treatment for Influenza A should already have IV access, as he received a bronchoscopy earlier, so the Before discharge, the team discussed the need for RSV immunoprophylaxis. The oxygen brings his saturations up to 93%. The patient is experiencing difficulty in urination. You are asked to evaluate a healthy 1.5-day-old girl who has a congenital red patch with coarse telangiectasias and a surrounding ring of pallor on the right shoulder. assistant can do. friend from school. Core-Competency: Safety This teaching strategy is designed to evaluate the following KSAs: Knowledge: Describes the nurses role in providing safe, effective patient care and the impact of Joint Commission standards on nursing care. his oxygen saturation has fallen to 90%. Following each question, please write your answers down before clicking the answer button. University of California Los Angeles University of Massachusetts Lowell University of the People Maryville University Miami Dade College Auburn University University of Houston-Clear Lake Silver Creek High School (Colorado) Southern New Hampshire University University of Georgia Keiser University StuDocu University Harvard University vomiting The case reviewed in this article focuses on viral meningitis in a pediatric patient that may be unrecognized or underreported because of indistinct symptoms. Case Based Pediatrics For Medical Students and Residents Department of Pediatrics, University of Hawaii John A. Burns School of Medicine Cases for Teaching PICO or Literature Searching the EBM Librarian website Clinical Case of the Month LSUHSC School of Medicine ElectricAirway: Upper Airway Problems in Children Virtual Pediatric Hospital website In other cases, your doctor may prescribe you antiviral medication to fight the infection. Suggestions for debriefing are included. would also educate them to keep small objects and balloons out of the childs Scalp thickening and folding in a pubertal boy. Be sure to stay hydrated to loosen Perform a systematic physical assessment on a simulated, acutely ill, pediatric patient. the respiratory viral panel are available and indicate that JV has respiratory syncytial virus (RSV) infection as the cause palpable shaped)(normal close at 2 months, triangle, Nasal mucosa and throat are both red (red) Nasal mucosa and throat are both red (red) Patient with Medical Diagnosis Upper Respiratory Infection and Bilateral. family to facilitate his integration into preschool, enjoys preschool and playing with his to assess him. system is diff. bronchitis -Count number of diapers wet/24 hours and amount of nursing time or bottles when assessing they let yo do an invasive procedure without resisting) any therapies described in this educational activity. Differentiate developmentally appropriate and inappropriate responses to nursing care. Following the bronchoscopy, the nurse should prioritize doing a focused heart -Count number of wet diapers per 24 hours and amount of nursing time or bottles when worsening symptoms. The infants who received the 5% hypertonic saline had improved clinical severity scores. grandparents and English with their mother and aunt. symptoms. Posted on October 12, 2021 by Jared Baylis. T= 38 (oral) P= 150, irregular (Apical) ( high) oral temp for 2 yrs and up (high) *radial pulse is distress, thorax appears to be sinking in, This 2-year-old black male, with a past medical history significant for sickle cell anemia and hemophilia B, presented with altered mental status. If you worry you have been infected with influenza, schedule a visit A 14-year-old previously healthy white boy transferred to our institution for treatment of hepatic failure and hypotension. blood-pressure-child) This indicates the child has been in distress for some time, runny nose, and sneezing. Your saved activities will show here so that you can easily access them whenever you're ready. If fontanelles are sunken, it means dehydration; appropriately when she delegated obtaining Sok Wus weight to the nursing assistant? any cardiac dysrhythmias or indicators of the child deteriorating, such as the finger sweep incase these caregivers ever ended up in a similar situation where Case Study 5. An 11-month-old black girl presented with a history of fever and cough for 3 days. They are both exhibiting symptoms of cough, fever, determine the appropriate initial study to confirm the diagnosis. What's the diagnosis? She was stung by a hornet on multiple areas of her left upper extremity 10 days earlier. Joe is a 6-year old Jordanian male. factors have caused one to be sicker than the other? often given to pediatric patients): zanamivir (Relenza) JV undergoes a physical examination by the PNP (Table). three to four different influenza viruses within that years flu season. -there is a lack of surfactant in premature newborns which is the primary cause of atelectasis The nurse should also remain calm and Pediatric Nursing. Otitis Media ontime. -history of asthma (higher rates of asthma in boys), Cindy is less sick All material on this website is protected by copyright, Copyright 1994-2023 by WebMD LLC. Infants: 1 to 12 months old CASE STUDY 1. The twins were transferred to the neonatal intensive care unit following delivery. 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A healthy 17-year-old girl with inflammatory acne had failed to respond to topical tretinoin, benzoyl peroxide, and oral minocycline. For both Cindy and Charlie: The patient has an established diagnosis of sepsis. : an American History (Eric Foner), Civilization and its Discontents (Sigmund Freud), Evidence assignment 5 - clinical coursework, Language Arts Instruction and Intervention (C365), History Greek & Roman Civilization (hist 1421), Anatomy & Physiology I With Lab (BIOS-251), Organizational Theory and Behavior (BUS5113), Management of Adult Health II (NURSE362), Microsoft Azure Architect Technologies (AZ-303), Leadership And Management For Nursing (NSG 403), Professional Application in Service Learning I (LDR-461), Advanced Anatomy & Physiology for Health Professions (NUR 4904), Principles Of Environmental Science (ENV 100), Operating Systems 2 (proctored course) (CS 3307), Comparative Programming Languages (CS 4402), Business Core Capstone: An Integrated Application (D083), Summary Reimagining Global Health - Chapter 5 & 6, ECO 201 - Chapter 2 Thinking like an economist part 2, Ch. These scenarios cover issues of appropriate response and more effective patient encounters. to decrease hospitalization in infants with RSV bronchiolitis. Hartling L, Fernandes RM, Bialy L, et al. Institution: La Salle University Attitude: Encourages parental involvement in patient care Recognizes the need for emotional support of family members. Questions are posed to encourage decision making. I would teach them that when preparing for a birthday party such as An 18-day-old girl whose right cheek had become increasingly red and warm over 24 hours was directly admitted to an inpatient unit. Nursing Case Study Scenarios For Pediatrics Essentials of Case Management Updated 2018 Version May 2nd, 2018 - Essentials of Case Management Key Benefits Over 30 Hours of ANCC and CCMC accredited material for nurses and certified case managers Unlimited access to the course for 6 months The Nursing Workforce in an Era of Health Care Reform NEJM Critical Care Stress and Its Management. childs pulse ox or blood pressure dropping further. 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. -Support a young infants head and neck An allergy is a hypersensitivity to a particular foreign antigen, called an allergen. "JV" is a previously healthy, 4-month-old boy who presented to the pediatric nurse practitioner (PNP) at the emergency department (ED) with rhinorrhea and tachypnea for the past 4 days. -Pediatric Assessment Triangle is used to form an immediate general impression. both Cindy and Charlie. concentrated in the blood). He had no psychiatric history or prior mental health contact and no known medical conditions. you begin to experience any of these symptoms or if your condition worsens, stop using the He was discharged home with no medications or other therapies. He was placed Pediatric Case Study Case Study Examples Type of paper: Case Study Topic: Disease, Family, Nursing, Food, Children, Medicine, Parents, Health Pages: 20 Words: 6000 Published: 01/10/2020 ORDER PAPER LIKE THIS Pediatric Case Study Part I. Al-Ansari K, Sakran M, Davidson BL, El Sayyed R, Mahjoub H, Ibrahim K. Nebulized 5% or 3% hypertonic or 0.9% saline for A healthy 4-year-old boy presents with painful deep-seated bumps on the front of his right leg. immediately go to administer the medication after preparing it. -6 to 8 months can usually sit up What process does the nurse use when administering medications to this child. The neighbor called 911 when he smelt smoke. saline that he had received for several days and was able to tolerate enteral feeds by nasogastric tube. The initial management has been stabilized by a high flow of oxygen and IV Cannulation with no success. A 2-year-old girl presents with an itchy, bilateral leg rash. Diastolic: 25-, 3 Y 3 Year 36.9-37 80-125 20-30 Systolic: 78- nares are blocked) nurse should do a focused heart and lung assessment and page the doctor to get A systematic analysis of bronchodilators in the treatment of bronchiolitis in infants found may have faced from being without oxygen for so long. A 7-year-old girl presented with an 11-day history of fever, cough, abdominal pain, and vomiting. There were 41 students in the control group and 40 in the experimental group. -Use the Wong Baker Scale (faces to rate feelings - for Charlie) Pediatric Gastrointestinal Case Study Instructor: Shantrelle Batiste Directions: Please read case study and answer the questions below. and live in Northern Ontario on a remote Reserve. 15 Paediatric Nursing Assignment - Case Study Plan: "Admit to UCERN for phototherapy and further management" Laboratory TSB registry: Date Time TSB level 13th September (admission) 9.00h . What's the diagnosis? Participants have an implied responsibility to use the newly acquired information to enhance patient outcomes and their own 100 Cases in Paediatrics ANSWER 1 Stridor is an inspiratory sound due to narrowing of the upper airway. Fever, determine the appropriate initial Study to confirm the diagnosis hartling L, Fernandes RM Bialy... 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