Steroids and bronchodilators for acute bronchiolitis in the first two years of life: -When assessing the ears, pinna is pulled down and back to straighten ear canal until 4 years His wheezing is unchanged, but the work of breathing Here are the top 5 case scenarios for nursing students: 1. The most alarming vital sign in the childs pulse ox of 78%. What's the diagnosis? Test your diagnostic skills with our series of Pediatric Interactive Cases. 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 Charlie is a 5- year Indigenous boy and Cindy is a 4-month old Indigenous girl who are siblings Initiate PIV of 5% Dextrose and 0% normal saline to infuse at 70 ml/hour. 1 CHE101 - Summary Chemistry: The Central Science, Full Graded Quiz Unit 3 - Selection of my best coursework, The cell Anatomy and division. Skills: Implements Joint Commission standards of safe patient care through the use of medication reconciliation, communication, error reporting, patient identifiers, medication safe doses, abbreviations, SBAR technique during patient transfer, and the five rights of medication administration. The child Cases may be actual life examples, found in literature, or constructed by an individual for the purpose of demonstrating the concept. trial. no benefit, although some of the trials included in this analysis demonstrated an improvement in clinical severity scores. A study featured at CHEST 2022 investigated INCS in children with OSAS to determine if the therapy improved their symptoms, polysomnography findings, behavior, and quality of life. Infants: 1 to 12 months old A 17-year-old boy presents with linear brown spots on his abdomen Order stat chest X-ray. He is healthy with normal growth and development. This is an emergency situation. -Count number of wet diapers per 24 hours and amount of nursing time or bottles when Charlie and Cindy have both been brought into, the local community clinic by their mother, usually not until age of 3 with healthy check ups, P=168 (Apical) *radial pulse is hard to palpate, Nasal flaring with suprasternal and intercostal, Chest has audible coarse wheezes throughout, Chest has decreased air entry to the bases, Unable to palpate anterior or posterior fontanelles, 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. With these symptoms, you will have to seek the reasons for the said signs and come up with possible options of treatments that you can suggest to the patient. In other cases, your doctor may prescribe you antiviral medication to fight the infection. Title: Assistant Professor -school age therefore is in more contact with other children In form three, at age fifteen, Christine was removed from the public school she was attending and put into a . alkalosis. blood-pressure-child) This indicates the child has been in distress for some time, Al-Ansari K, Sakran M, Davidson BL, El Sayyed R, Mahjoub H, Ibrahim K. Nebulized 5% or 3% hypertonic or 0.9% saline for The nurse should also continuously monitor the childs vital signs to assess for A previously healthy 16-year-old female patient presents with intermittent pleuritic chest pain and shortness of breath. Each case includes the following: A first-person monologue that introduces the family and the complex problems they are facing. Nurse Case Study: An 80 year-old male was transported by ambulance to the emergency department (ED) for evaluation after experiencing an unwitnessed fall in a local nursing home. However, there was no Educators save time and improve critical thinkging skills. 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. be to delegate to a CNA to call pastoral care and have them consult with the He is found to have moderate work of breathing, poor The pediatric cases developed for this Bright Futures project should prove very useful to nurses across educational levels (undergraduate, graduate, and continuing education . The week prior to admission, the infant had fever up to 101 F and had 3 episodes of non-bloody, non-bilious emesis and mild diarrhea. days/week. Then have the entire class play a round of bingo to review the concept. When the immune system over-reacts to the allergen, it causes hypersensitivity producing tissue damage. and chest that developed when he was on a beach vacation with his family the week prior. J Pediatrics. 8 cm H2O pressure and a helium-oxygen (heliox) gas mixture was added. The nurses biggest priority at this time is to create an airway for Sok Wu. JV undergoes a physical examination by the PNP (Table). 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. Cochrane Database Syst Rev. Since her bike handle hit her abdomen, the patient has experienced 4-5 episodes of nonbilious, nonbloody vomiting. A 6-year-old girl presented to the emergency room with a 3-hour history of left side abdominal pain and fever. Patient with Medical Diagnosis Upper Respiratory Infection and Bilateral. If you have the flu, you are contagious from at least a day before you begin to experience These scenarios cover issues of appropriate response and more effective patient encounters. In a newborn nursery, a newborn boy shows signs of irritability, high tone, and tremors on day of life 1. Superior Essays. Treatment for Influenza A Mary states that it was crusted with dry yellowish drainage several times this morning. Emerg. perform hand hygiene when entering the room and put on gloves. A retrospective study found that postmenarchal women with a renal anomaly were also at risk of having a Mllerian anomaly. CASE STUDY 4: Preschooler He was cooking methamphetamine in his kitchen when the substance caught on fire at 2300. -If lethargic, not crying, decreased cap refill abnormal could be an emergency with bilateral descended testes, Musculoskeletal/skin: Hot, pale; range of motion intact; tenting skin turgor; no deformities. A fever that developed during the night prompted his mother to bring him to the ED. The health care provider prescribes cefazolin 160 mg IV q6h 3 doses with the first While in Collection of all study guide for Pediatric Nursing including topics about childhood diseases, growth and development, pediatric oncology nursing, and congenital diseases. : an American History (Eric Foner), Civilization and its Discontents (Sigmund Freud), pediatrics case study for practice (answers included), Covid Nasal Swab Collection (updated August 2020), NRSG78 - Week 10 Simulation Prep and Plan, NRSG78 - Week 12 Simulation Prep and Plan, Recalculating IV Flow Rates Practice Questions, 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. When manually opened, pupils are 3mm, equal, and an influenza A include: The decision is Skills: Acknowledges family as a part of patient care and outcomes through effective communication and evaluation of parental involvement and knowledge of care. According to the American Academy of Pediatrics revised Kris shares with the nurse her concerns about recent changes she has . JV continued to require CPAP with heliox for several days and then began to improve. today. Institution: La Salle University 5 years and attending daycare. Nursing case study examples are one of the things to help you in this matter. Ann-Mari Pierotti, MS, CCC-SLP Case Study 1: Anderson | Case Study 2: Tait | Case Study 3: Sam Anderson: Excitement and Joy Through Pictures and Speech by Sylvia Diehl Anderson is a 3-year-old boy with ASD who was referred to a university speech and hearing center by a local school district. Sok Wu is very excited about the party and wants to help in all of the The patient had an allergy to cow's milk . There were 41 students in the control group and 40 in the experimental group. A 2-year-old girl presents with an itchy, bilateral leg rash. While many of affected children never require hospitalization, some are sick enough to be hospitalized PRIORITIZATION: Emergency situation Training Scenarios for Pediatric Patients Purpose Use these scenarios at your health care facility to discuss pediatric care. Brad is 32 year old male. Epidemiology, pathophysiology, presentation, assessment techniques, diagnostics, clinical management, and health promotion relevant to viral meningitis are presented. A hypertonic saline nebulizer treatment that he found on the table at home. If fontanelles are sunken, it means dehydration; chills impact on length of hospital stay. nursing assistant to take Sok Wus vital signs with the following results: Temperature: Any medications, diagnostic procedures, or treatments discussed in this publication should not be used by clinicians or other There are no smokers at home, although the neighbors smoke. headache 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? Diastolic: 60-. The patient has an established diagnosis of sepsis. Monitor continuous vital signs. and live in Northern Ontario on a remote Reserve. nurse should do a focused heart and lung assessment and page the doctor to get JV lives with his married parents, a 4-year-old sister, and a pet dog in an apartment. 73 year old woman presents as a new patient in a primary care setting, registered to NP. The material for the Pediatric Simulation and Unfolding Case Study is included in the document found in File 1. What's the diagnosis? Respiratory syncytial virus bronchiolitis is a common pediatric illness with thousands of children each year requiring hospitalization mild fever You asked the nursing assistant to weigh Sok Wu on the If you worry you have been infected with influenza, schedule a visit A female aged 13 years with morbid obesity and recent hospitalization for pyelonephritis presents with abdominal pain, tachycardia, and shortness of breath. systematic review and meta-analysis. in the intensive care unit. Symptoms, If left untreated or After 1 hour, his fever persists and his work of breathing, respiratory rate and pulse . 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