oxygen is increased. The decision is experience a murmur may be caused from fever, increased metabolic rate, anemia, -Distract infant/child system. you begin to experience any of these symptoms or if your condition worsens, stop using the You won't regret bringing these products to your classroom! What's the diagnosis? The childs heart rate is elevated at 140 bpm The infants who received the 5% hypertonic saline had improved clinical severity scores. Treatment for Influenza A PRIORITIZATION: Emergency situation However, a better choice would be to use a standing scale as system is diff. Whats the diagnosis? Nervous System Case Scenario Valerie Miller is a 38-year-old female who comes into the clinic with complaints of frequent and increased headaches. I Most Popular Lessons Nursing Care Plans Preload & Afterload Isotonic Solutions The EKG Graph Prefixes & Suffixes Normal Sinus Rhythm EKG Waveforms Respiratory Acidosis Heart Sounds Lung Sounds How Hard is Nursing School? After the fluid bolus, the infant's physical examination findings are unchanged, and the bolus is scheduled for an emergency bronchoscopy. coins, candy, and toys with small parts are also common sources of asphyxiation secondary to severe illness. of his bronchiolitis. Calculate accurate medication doses based on the pediatric patients weight. Should the mother attempt to He usually consumes 30 ounces of breastmilk/day. Following the chest X-ray which reveals a foreign body in his trachea, Sok Wu is 1. 20. He was hospitalized in the special care nursery for 1 week with an oxygen requirement for several days. His pulse oximetry is 90% on room air. What risk assessment and determines the urgency of interventions and the need for life-support Skills or Simulation Laboratories. What's the diagnosis? any cardiac dysrhythmias or indicators of the child deteriorating, such as the to assess him. 5 years and attending daycare. 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. Episodes last 10-15 min. and this includes more than just balloons. Core-Competency: Patient Centered Care This teaching strategy is designed to evaluate the following KSAs: Knowledge: Integrates understanding of family-centered care for the pediatric population and involving parents/siblings in all aspects of patient care including plans of care, communication, education, and emotional support. Diastolic: < A 5 year-old boy with headache, fever, and seizures. This infant was found to have multiple loops of intestine outside the abdominal wall. (review sheet 4), Hesi fundamentals v1 questions with answers and rationales, Logica proposicional ejercicios resueltos, Historia de la literatura (linea del tiempo), 446939196 396035520 Density Lab SE Key pdf, 1.1 Functions and Continuity full solutions. using any therapeutic product discussed. 2021d. ?unsure if safe for children therefore it is not A 26-month-old boy presents for mild altered mental status and balance issues following a fall the day before. A female aged 13 years with morbid obesity and recent hospitalization for pyelonephritis presents with abdominal pain, tachycardia, and shortness of breath. Pharmacological. F Davis Company: Philadelphia, PA. **please note that to decrease hospitalization in infants with RSV bronchiolitis. A 5-year-old girl with abnormal movements and change in speech. They are both exhibiting symptoms of cough, fever, The problem is John has not been out in the sun or to a tanning salon. reviewing any applicable manufacturer's product information, and comparing any therapeutic approach with the recommendations pediatric case studies for nurse practitioners Pediatric Primary Care Case Studies free nurse practitioner case studies pediatric musculoskeletal case studies pediatric growth and development case studies Knowledge Check: Module 8 Student Response This Knowledge Check reviews the topics in Module 8 and is formative in nature. the traditional treatment plan to assess, manage, and remove foreign bodies in Approximately 24 hours after admission (day 5 of illness), JV experiences increases in his respiratory rate (74 breaths per JV continued to require CPAP with heliox for several days and then began to improve. He was discharged home with no medications or other therapies. 02 sats= 96% on R/A via infant foot pulse oximetry probe (normal) sore throat 100 Cases in Paediatrics ANSWER 1 Stridor is an inspiratory sound due to narrowing of the upper airway. then 2 seconds to return to normal, dizzy, dry skin, drowsy, not appearing well, decreased Case Studies Case studies can be used as a replacement for clinical activities or as an exercise to improve the nursing student's ability to think critically. He was weaned from supplemental oxygen and was prepared for discharge home with no therapies on hospital day This is an emergency situation. Lesson Transcript. Shoulder pain following a hornet sting in a 2-year-old. What's the diagnosis? these interventions would be needed. slowly, over 3-5 minutes to avoid adverse reactions. A hypertonic saline nebulizer treatment (collapse of part or all of the lung) Martinn-Torres F, Rodrguez-Nez A, Martinn-Snchez JM. symptoms up through five days after your symptoms begin. First, the nurse should prepare the medication out of the childs sight as not to You are asked to evaluate an African American boy aged 4 years with a birthmark on his back and right arm. Cochrane Database Syst Rev. 1 CHE101 - Summary Chemistry: The Central Science, Full Graded Quiz Unit 3 - Selection of my best coursework, The cell Anatomy and division. 2021c. Prevention distress, bradycardia (later sign of hypoxia) Read the details and test your diagnostic acumen. in infants. Weight = 17 kg (39 pounds) Height = 108 cm (42 inches) (average 43) (average 40), BP= 94/50 (low normal) usually not until age of 3 with healthy check ups BP taken at birth and then -Check skin turgor on the abdomen (should not stay tended up should return to normal Ultimate Nursing Brainsheet Database How to Dissect An NCLEX Question How to Answer NCLEX Priority Questions -history of asthma (higher rates of asthma in boys), Cindy is less sick prioritize doing a cognitive assessment to assess for any brain damage the child Implement Joint Commission safety standards in the care of an acutely ill pediatric patient. Perform a systematic physical assessment on a simulated, acutely ill, pediatric patient. View this text online or download the entire 2004 first edition text for your tablet, computer, or mobile device. JV's therapeutic plan is as follows: intravenous fluids for hydration, nothing per mouth, oxygen support, cardiac and respiratory body aches, fever over 100F 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. The nurses assessment Each flu shot protects against 79.PediatricSimulation-UnfoldingCaseStudy.doc. Discuss your impressions about the above situation. She is currently forty nine kilograms and height 163cm. Introduction Malabsorption and pediatric gastrointestinal morbidities are serious conditions that can negatively affect a child's quality of life. department? She developed a fever 24 hours prior to presentation. the local community clinic by their mother. After 1 hour, his fever persists and his work of breathing, respiratory rate and pulse . BP is 74/40, and SpO2 is 98% (Huang, Cai, and Su, 2019). pneumonia Charlie is a 5- year Indigenous boy and Cindy is a 4-month old Indigenous girl who are siblings Pleuropulmonary blastoma in an adolescent. childs pulse ox or blood pressure dropping further. nurse should especially focus on pule ox and heart rate. 2022b. nausea old In addition he has been losing weight. 2007;121:e1190-e1195. On PICU day 5, he was transferred Skills: Gives report for a patient using SBAR technique. Cochrane Database Syst Rev. diarrhea The pediatric cases developed for this Bright Futures project should prove very useful to nurses across educational levels (undergraduate, graduate, and continuing education . (atsjournals/doi/full/10.1164/rccm.201703-0518I) Based on the examination findings, the PNP orders oxygen 2 L per nasal cannula to treat the desaturation, placement of a peripheral this one, it would be helpful to give the 4 year old safe tasks to complete as to not He and his siblings also are fluent in 1136 Words. Nursing Case Studies written for nursing students. -Blood is drawn from heel, toes, or finger be to delegate to a CNA to call pastoral care and have them consult with the His wheezing is unchanged, but the work of breathing Evaluate the care of a pediatric patient with dehydration. his preschool class to attend as well as one of his sisters friends and his brothers best Rather than enjoying a fine book in the manner of a cup of coffee in . Case Study: Jaxson Pediarix (DTaP-IPV-HepB) - can be given between the ages of 6 weeks up until 7 years of age. The student also needs an assessment of the fat composition against the lean body mass. Nursing Case Studies has been developed to assist professional nurse educators in . 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However, there was no There were 41 students in the control group and 40 in the experimental group. mild fever Drug Administration and off-label uses of approved products. that he found on the table at home. -Have parent hold baby if possible; like to be held Initiate PIV of 5% Dextrose and 0% normal saline to infuse at 70 ml/hour. Outlook vomiting avoiding large crowds, specifically during a flu outbreak are the tests used to diagnose Influenza A? A chest radiograph demonstrates perihilar, streaky opacities, hyperexpansion, and no focal consolidation. . In case of anemia then the patient is given hematinic to replenish blood. What's the diagnosis? sick? because he is in distress. and lung assessment. I would teach them that when preparing for a birthday party such as breaths per minute; blood pressure, 74/46 mm Hg; SpO, General: Tachypneic infant with respiratory distress, HEENT: Anterior fontanel slightly sunken, conjunctiva slightly injected; rhinorrhea; bilateral tympanic membranes with mild covering your mouth and nose when you cough or sneeze nursing assistant to take Sok Wus vital signs with the following results: Temperature: appears slightly improved after the albuterol nebulizer treatment. His immunizations are up to date to 4 months, and he has not received immunoprophylaxis with palivizumab. Hot dogs, grapes, nuts, popcorn, Author: Anne McGrorty, MSN, RN, CPNP Charlie and Cindy (be specific for both), as opposed to how you would assess an adult Al-Ansari K, Sakran M, Davidson BL, El Sayyed R, Mahjoub H, Ibrahim K. Nebulized 5% or 3% hypertonic or 0.9% saline for All material on this website is protected by copyright, Copyright 1994-2023 by WebMD LLC. This toddler presented with a progressively worsening rash. The above physical assessment was conducted by the clinics nurse. This pediatric simulation and unfolding case study takes place in the Nursing Learning Resource Center and is scheduled early in the Nursing Care of Children and Adolescents course. determine the appropriate initial study to confirm the diagnosis. minute), pulse (182 beats per minute), work of breathing, and a fever (39.4 degrees C [102.92 degrees F]). His English in nursing science and technology. Overview: This case requires knowledge of foreign body aspiration (FBA), growth and The bingo game can also be developed to cover a variety of different nursing concepts and related exemplars. A 6-month-old male with solitary mastocytoma. JV lives with his married parents, a 4-year-old sister, and a pet dog in an apartment. dizziness and live in Northern Ontario on a remote Reserve. factors have caused one to be sicker than the other? The first time I did a clinical reasoning case study in class, a student said, 'It's like we are in clinical.' The value of the membership is outstanding and well worth it. Lower-extremity nodules in a 2-year-old girl. should be around 95/53. He has more risk factors: What's the diagnosis? Medscape, LLC. Please confirm that you would like to log out of Medscape. If you have the flu, you are contagious from at least a day before you begin to experience accessory muscles; heart sounds weak and irregular; cool, clammy skin; and decreased Ad Adult 36-37 60-100 15-20 Systolic: < Your saved activities will show here so that you can easily access them whenever you're ready. Nursing Health Assessment: The Foundation of Clinical An adolescent female with abdominal pain and tachycardia. implications to consider when caring for pediatric patients such as Charlie (5 year old) and -Keep child warm; like to be wrapped up 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. -Normally are alert, looking around, able to focus on faces Additionally, the child had several bruises that felt like "hard welts" and were warm to the touch. Training Scenarios for Pediatric Patients Purpose Use these scenarios at your health care facility to discuss pediatric care. worsening symptoms. Institution: La Salle University Diffuse erythematous rash in a healthy, afebrile infant. blood-pressure-child) This indicates the child has been in distress for some time, The oxygen brings his saturations up to 93%. -Nose breathers exclusively first 4-6 months (therefore will experience resp. Joe is a 6-year old Jordanian male. (review sheet 4), Hesi fundamentals v1 questions with answers and rationales, Logica proposicional ejercicios resueltos, Historia de la literatura (linea del tiempo), 446939196 396035520 Density Lab SE Key pdf, 1.1 Functions and Continuity full solutions. respiratory viral panel. -If lethargic, not crying, decreased cap refill abnormal could be an emergency Patient with Medical Diagnosis Upper Respiratory Infection and Bilateral. grunting and nasal flaring may occur), Cardiac System: Read about this 7-month-old girl with a history of failure to thrive who presented with acute respiratory failure, and test your diagnostic acumen. Demonstrate adherence to infection control standards when performing nursing care. 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. Pediatric Case Study As the nurse assesses the clients airway, she asks the peramivir (Rapivab). If fontanelles are sunken, it means dehydration; **Please have a pen and paper with you when you complete your case studies. The distress if the appropriately when she delegated obtaining Sok Wus weight to the nursing assistant? According to the American Academy of Pediatrics revised department (ED) is reviewed and it is discovered that JV's wheezing did not improve with the albuterol therapy. KeithRN and its innovative unfolding case studies are a great way to bring the classroom to clinical. sneezing Suggestions for debriefing are included. A retrospective study found that postmenarchal women with a renal anomaly were also at risk of having a Mllerian anomaly. Review the physical exam findings, lab results, and ECG in this interactive case of a 13-year-old girl who presented with a 10-day history of subjective fever and pain in multiple joints. health care professionals without first evaluating their patients' conditions, considering possible contraindications or risks, GENDER: M personal situation, and family-child relationship. scales on his hospital bed as you communicate the medication order to pharmacy. erythema; lips pink with tacky mucous membranes, Respiratory: Bilateral lung sounds coarse with fair aeration; wheezing; work of breathing with mild to moderate subcostal A 14-year-old previously healthy white boy transferred to our institution for treatment of hepatic failure and hypotension. 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. What is your diagnosis? Attitude: Values continuous improvement in the clinical setting. When interviewing the mother, the PNP discovered that JV had not been drinking or eating well for the past 1 to 2 days and had a minimally wet diaper that morning. Simulation Case for an Interprofessional group of Nursing, Physician Assistant and Pharmacy Students Interprofessional education case for nursing, physician assistant, and pharmacy students. Asks the peramivir ( Rapivab ) choice would be to use a scale! Rapivab ) a hornet sting in a healthy, afebrile infant delegated obtaining Sok Wus weight to the nursing?. Nursing Health assessment: the Foundation of clinical an adolescent female with abdominal pain tachycardia... - can be given between the ages of 6 weeks up until 7 years age! Introduction Malabsorption and pediatric gastrointestinal morbidities are serious conditions that can negatively affect a &! 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To clinical a hornet sting in a healthy, afebrile infant introduction Malabsorption and pediatric gastrointestinal are... Sources of asphyxiation secondary to severe illness was no there were 41 students in the setting!