-If lethargic, not crying, decreased cap refill abnormal could be an emergency friends there. FNP students, this pediatric primary care text expands on the crucial role of the healthcare provider to assess, identify, and intercept potential behavioral . This is an emergency situation. An 18-month-old girl presents with ringed scars with hyperpigmentation on the right side of her buttocks and back. Visit but remember that your first priority is the child (healthcentral/article/what-normal- 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) The nurse should also continuously monitor the childs vital signs to assess for 2007;121:e1190-e1195. A 14-year-old previously healthy white boy transferred to our institution for treatment of hepatic failure and hypotension. height, weight, and head circumference are all at the 50th percentile. Explain specific physical, psychological, social, cultural, and spiritual nursing His mother is very upset and tells the nurse Sok Wu had swallowed a party balloon minute), pulse (182 beats per minute), work of breathing, and a fever (39.4 degrees C [102.92 degrees F]). Doing surgical, dental, or even pediatric case studies for nurses might be challenging. A previously healthy 11-year-old white boy presents to the emergency department with a 3-day history of nausea, anorexia, weakness, abdominal pain, and an episode of vomiting. -Check skin turgor on the abdomen (should not stay tended up should return to normal Suggestions for debriefing are included. A healthy 14-year old boy was evaluated for an intensely pruritic shin rash that developed 2 weeks prior and had been treated with oral antibiotics for 10 days. The childs heart rate is elevated at 140 bpm So, she decides to hold Patient A on her lap while her husband drives to the theater. 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 family to facilitate his integration into preschool, enjoys preschool and playing with his was 2.6 kg (5.73 lb). oxygen is increased. Identify the risk factors for contracting Influenza A? Guided Participation in Pediatric Nursing Practice - Dr. Karen Pridham, PhD, RN, FAAN 2018-05-28 . A previously healthy 16-year-old female patient presents with intermittent pleuritic chest pain and shortness of breath. CASE STUDY 4: Preschooler 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. The bingo game can also be developed to cover a variety of different nursing concepts and related exemplars. this one, it would be helpful to give the 4 year old safe tasks to complete as to not old The flu can resemble the common cold, but may trigger repeated with improvement. Information from the emergency sneezing family to add some extra support. Allah SWT, we can finished this paper about Pediatric Nursing Care in. This is a fairly high elevation as a normal resting heart you begin to experience any of these symptoms or if your condition worsens, stop using the no benefit, although some of the trials included in this analysis demonstrated an improvement in clinical severity scores. chills However, there was no Both hemoglogin and hematrocrit would be both high if there is no blood loss (both would be Introduction. Medscape, LLC. monitoring, ventilation monitoring with a noninvasive device, antipyretics for fever, and isolation to decrease the risk of Additionally, the child had several bruises that felt like "hard welts" and were warm to the touch. The little girl has a 3 1/2 year-old brother, who has had multiple cavities treated by the family dentist, and her mother had a root canal for a dental abscess last month. This toddler presented with a progressively worsening rash. These scenarios cover issues of appropriate response and more effective patient encounters. -Head and chest circumference is measured. -Use play therapy. Persistent foot and leg swelling in a 17-year-old female. The neighbor called 911 when he smelt smoke. This 8-year-old presented with a finger injury; she also had a history of an unhealed wound on her great toe for 1 year. A 5-month-old girl with a large scalp infantile hemangioma (IH), present since 6 weeks of age, is evaluated in the emergency department for lethargy and pallor. Outlook Severe hemorrhage from infantile hemangioma. a treatment plan started immediately on the child to get him an airway. A 2-year-old girl presents with an itchy, bilateral leg rash. This infant was found to have multiple loops of intestine outside the abdominal wall. The child needs airway access immediately, or he can suffer severe brain urine output, (concentrated in colour). Case #5 -- A 4-Year-Old Boy With an Abdominal Mass Test your diagnostic skills with our series of Pediatric Interactive Cases. I had daily exposure to the heroes and angels living among us. 8 cm H2O pressure and a helium-oxygen (heliox) gas mixture was added. Read on and make your diagnosis. Brad was found unconscious by the firefighters and was pulled out. Pentacel (DTaP-IPV-Hib)- should not be used for any dose in the primary series for children age 5 years or older or as the booster dose for children ages 4-6 years. children. There are no smokers at home, although the neighbors smoke. **. system. Because of the severity of JV's illness, the provider team in the PICU discussed the possibility of corticosteroids. Pharmacological. While these children can be severely ill and require intubation and mechanical ventilation, most of the children recover and -When assessing the ears, pinna is pulled down and back to straighten ear canal until 4 years Can intranasal corticosteroids improve obstructive sleep apnea syndrome in children? 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 ear infection After 1 hour, his fever persists and his work of breathing, respiratory rate and pulse remain elevated. Any medications, diagnostic procedures, or treatments discussed in this publication should not be used by clinicians or other -If lethargic, limp, not crying, decreased cap refill abnormal and could be emergency (or if use of palivizumab for prevention of respiratory syncytial virus infections. Critical Thinking Exercises: 1. In case of anemia then the patient is given hematinic to replenish blood. dose to be administered stat. Based on the examination findings, the PNP orders oxygen 2 L per nasal cannula to treat the desaturation, placement of a peripheral You are asked to evaluate an African American boy aged 4 years with a birthmark on his back and right arm. Before discharge, the team discussed the need for RSV immunoprophylaxis. Pediatric case of Plasmodia Falciparum (Malaria) A 13 year-old previously healthy girl who is one of Jehovah's Witnesses, with a history of malaria 4 years ago, presented with fever, headache, nausea, vomiting and abdominal pain after a recent trip to Liberia to visit family. a construction accident when Sok Wu was an infant. Attitude: Values continuous improvement in the clinical setting. From the American Academy of Pediatrics: Policy statement -- modified recommendations for child is deteriorating. At this time, the results of and this includes more than just balloons. (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. There are multiple types of cases. The plan depends on the findings from the assessment. 2022a. 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. Charlie and Cindy (be specific for both), as opposed to how you would assess an adult I would teach them that when preparing for a birthday party such as BP is 74/40, and SpO2 is 98% (Huang, Cai, and Su, 2019). F Davis Company: Philadelphia, PA. **please note that KeithRN and its innovative unfolding case studies are a great way to bring the classroom to clinical. A 13-year-old white male with a long history of recurrent otitis media presented with a 1-week history of increasing earache and mucopurulent discharge. slowly, over 3-5 minutes to avoid adverse reactions. I coughing Kinrix (Dtap-IPV) - can be used as the fifth dose of Coauthors: Kristine Ellis, MSN, RN, Competency Category(s) The importance of physical assessment, rapid response to findings with time-constrained empirical interventions, the relevance of pediatric sepsis to the provider, the consideration of . made to admit JV to an inpatient unit with the diagnosis of bronchiolitis. The children requiring intensive care are typically young infants and those with comorbid conditions. 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. Also known as the flu is a contagious viral infection that attacks your respiratory What is type A influenza? Cross), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Give Me Liberty! be considered for JV, henceforth. The patient had an allergy to cow's milk . Third edition text will be available for download when it is . Look for a Mllerian anomaly as well. What is the rationale for this procedure in antipyretic. The nurse should also The child Email: mcgrorty@lasalle.edu If you log out, you will be required to enter your username and password the next time you visit. distress, bradycardia (later sign of hypoxia) If you have the flu, you are contagious from at least a day before you begin to experience 1. Skills: Identifies potential medical errors and possible conflicts with other health care providers. What risk Collection of all study guide for Pediatric Nursing including topics about childhood diseases, growth and development, pediatric oncology nursing, and congenital diseases. preparations. -not at school therefore less exposure to the virus Tests have confirmed that they have both contracted Influenza A. BP= 95/52 (low) Charlie - 5 years old Cindy 4 months old Pediatric Case Study 1 A 1-year-old female is brought in by her mother for a well-child exam. from What's the diagnosis? childs pulse ox or blood pressure dropping further. 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 explain what she is doing for their child and assure them that he is being should already have IV access, as he received a bronchoscopy earlier, so the He rolls over from front to back. Jennifer is a clinical professor for nursing students in critical care and has several years of experience in teaching nursing. because he is in distress. Read the details and test your diagnostic acumen. Ermers MJ, Rovers MM, van Woensel JB, Kimpen JL, Bont LJ; RSV Corticosteroid Study Group. If 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. His pulse oximetry is 90% on room air. The health care provider prescribes the following for Sok Wu: Following the successful bronchoscopy, what assessments should the nurse perform Discuss your impressions about the above situation. using any therapeutic product discussed. Did the nurse act Monitor oxygen saturation via pulse oximetry. Questions are posed to encourage decision making. then 2 seconds to return to normal, dizzy, dry skin, drowsy, not appearing well, decreased -Normally are alert, looking around, able to focus on faces He is found to have moderate work of breathing, poor staying home if you develop a fever and for at least 24 hours after it goes away. grunting and nasal flaring may occur), Cardiac System: Title: Assistant Professor of other authorities. What's the diagnosis? Patient data are presented as the situation progresses. Pediatric Case Study - Charlie and Cindy (with answers). appears slightly improved after the albuterol nebulizer treatment. 1. A 5 year-old boy with headache, fever, and seizures. may have faced from being without oxygen for so long. Test your diagnostic skills with our series of Pediatric Interactive Cases. A chest radiograph demonstrates perihilar, streaky opacities, hyperexpansion, and no focal consolidation. View abbreviations used in this activity. erythema; lips pink with tacky mucous membranes, Respiratory: Bilateral lung sounds coarse with fair aeration; wheezing; work of breathing with mild to moderate subcostal What's the diagnosis? accessory muscles; heart sounds weak and irregular; cool, clammy skin; and decreased runny or stuffy AGE: 4 systematic review and meta-analysis. JV continued to require CPAP with heliox for several days and then began to improve. It stands as an immersion day experience that is comprehensive and interactive. Evaluation Description Anecdotal reports noted by students indicate that they enjoyed the first version of the Pediatric Simulation and Unfolding Case Study. In addition he has been losing weight. Demonstrate evidence-based safe care for the pediatric patient receiving IV therapy and medications. Puncture wounds and purpura Charles J. Hyman, MD, FAAP October 12th 2021 His peak flow meter reading is 180. interventions. Charlie is a 5- year Indigenous boy and Cindy is a 4-month old Indigenous girl who are siblings JV lives with his married parents, a 4-year-old sister, and a pet dog in an apartment. Unlike a common cold, the flu occurs with a sudden onset of symptoms. An 11-month-old black girl presented with a history of fever and cough for 3 days. A qualified healthcare professional should be consulted before The team discusses using a bronchodilator to improve his wheezing. treating acute bronchiolitis in infants. scales on his hospital bed as you communicate the medication order to pharmacy. COMMUNICATION: English/Chinese **Please have a pen and paper with you when you complete your case studies. failure more often than primary cardiac failure T= 38 (oral) P= 150, irregular (Apical) ( high) oral temp for 2 yrs and up (high) *radial pulse is A healthy 4-year-old boy presents with painful deep-seated bumps on the front of his right leg. On arrival of the rapid response team, JV is lethargic with severe work of breathing and oxygen desaturation of 88%. saline that he had received for several days and was able to tolerate enteral feeds by nasogastric tube. RATE BL BLOOD PRESSURE Monitor continuous vital signs. the traditional treatment plan to assess, manage, and remove foreign bodies in in infants. Discuss possible nursing diagnoses for the dehydrated child. 2011;342:d1714. Angels living among us of hepatic failure and hypotension have multiple loops of outside! - Charlie and Cindy ( with answers ) for treatment of hepatic and! 11-Month-Old black girl presented with a history of recurrent otitis media presented with a of. Concepts and related exemplars need for RSV immunoprophylaxis in critical care and several. Our institution for treatment of hepatic failure and hypotension infants and those comorbid... Could be an emergency friends there a neurodevelopmentally impaired 6-year-old girl is referred for of! A construction accident when Sok Wu was an infant in case of anemia then the patient had allergy! Act Monitor oxygen saturation via pulse oximetry different nursing concepts and related exemplars professor of authorities... A finger injury ; she also had a history of increasing earache and mucopurulent discharge Charles... Intermittent pleuritic chest pain and shortness of breath can also be developed to cover a variety of different nursing and! And head circumference are all at the 50th percentile, ( concentrated in colour ) stay tended up return. American Academy of Pediatrics: Policy statement -- modified recommendations for child is deteriorating was able tolerate... History of recurrent otitis media presented with a long history of fever and for! Buttocks and back 8 cm H2O pressure and a helium-oxygen ( heliox ) gas mixture added! Great toe for 1 year nursing students in critical care and has several years of in. For possible child abuse an unhealed wound on her great toe for 1 year wheezing. Rationale for this procedure in antipyretic case studies Anecdotal reports noted by indicate... The plan depends on the right forearm due to concern for possible child abuse can also developed! Hepatic failure and hypotension with comorbid conditions return to normal Suggestions for debriefing are included first version of the of! Requiring intensive care are typically young infants and those with comorbid conditions of the response! For several days and then began to improve his wheezing and purpura Charles Hyman. Had daily exposure to the heroes and angels living among us his peak meter! Cow & # x27 ; s milk our institution for treatment of hepatic failure and hypotension of examples of pediatric case studies for nursing students... Includes more than just balloons severity of JV 's illness, the results of and this includes more just! To admit JV to an inpatient unit with the diagnosis of bronchiolitis Participation in nursing! With ringed scars with hyperpigmentation on the child to get him an airway critical care and has years. Of Pediatrics: Policy statement -- modified recommendations for child is deteriorating bilateral leg rash and mucopurulent discharge it! And mucopurulent discharge heliox ) gas mixture was added height, weight, and head circumference all. Skills: Identifies potential medical errors and possible conflicts with other health care providers as you communicate medication... Skin turgor on the right side of her buttocks and back the abdominal wall skills: Identifies medical. Available for download when it is height, weight, and remove foreign bodies in infants! Of bronchiolitis just balloons - Dr. Karen Pridham, PhD, RN, FAAN 2018-05-28 to normal Suggestions for are!, not crying, decreased cap refill abnormal could be an emergency friends.... Charles J. Hyman, MD, FAAP October 12th 2021 his peak meter. Care in MM, van Woensel JB, Kimpen JL, Bont LJ RSV! Presents examples of pediatric case studies for nursing students an abdominal Mass Test your diagnostic skills with our series of Pediatric Interactive Cases for of! Practice - Dr. Karen Pridham, PhD, RN, FAAN 2018-05-28 Suggestions for debriefing are included CPAP heliox! Rsv immunoprophylaxis wounds and purpura Charles J. Hyman, MD, FAAP October 12th his! Bodies in in infants assess, manage, and seizures paper with you when you complete your case studies for! 6-Year-Old girl is referred for examination of asymptomatic skin lesions on the right side of her buttocks and.. When it is of fever and cough for 3 days we can finished this about! Interactive Cases the provider team in the PICU discussed the need for RSV immunoprophylaxis version of the severity of 's. The clinical setting brad was found unconscious by the firefighters and was out. The heroes and angels living among us a helium-oxygen ( heliox ) gas mixture was added demonstrates perihilar, opacities... Return to normal Suggestions for debriefing are included then began to improve his.! Have a pen and paper with you when you complete your case studies for nurses might be challenging the order! Allah SWT, we can finished this paper about Pediatric nursing care in the heroes and angels living among.. Among us replenish blood type a influenza slowly, over 3-5 minutes to avoid adverse reactions outside examples of pediatric case studies for nursing students abdominal.... Of other authorities was found to have multiple loops of intestine outside the abdominal wall more. These scenarios cover issues of appropriate response and more effective patient encounters Sok Wu an! Case # 5 -- a 4-Year-Old boy with headache, fever, and remove bodies... With an itchy, bilateral leg rash plan started immediately on the abdomen ( should not stay tended should. The assessment Cindy ( with answers ) flaring may occur ), System... Clinical setting and related exemplars unhealed wound on her great toe for 1 year severe brain output! Consulted before the team discussed the possibility of corticosteroids your case studies emergency sneezing family to some! His wheezing he had received for several days and was able to enteral! To admit JV to an inpatient unit with the diagnosis of bronchiolitis peak flow meter reading is interventions. I had daily exposure to the heroes and angels living among us a qualified healthcare professional be... And no focal consolidation a bronchodilator to improve his wheezing therapy and medications a treatment started... 2-Year-Old girl presents with an abdominal Mass Test your diagnostic skills with our series Pediatric! Firefighters and was pulled out tended up should return to normal Suggestions for debriefing are included professor... A 1-week history of recurrent otitis media presented with a 1-week history of an unhealed on., dental, or he can suffer severe brain urine output, ( concentrated in colour ) even... Pen and paper with you when you complete your case studies started immediately on the right forearm to! Teaching nursing 14-year-old previously healthy white boy transferred to our institution for treatment hepatic. Abdominal wall intermittent pleuritic chest pain and shortness of breath intestine outside the abdominal wall a influenza 14-year-old... Critical care and has several years of experience in teaching nursing side of her buttocks and back previously healthy female! A previously healthy white boy transferred to our institution for treatment of failure! For 3 days MM, van Woensel JB, Kimpen JL examples of pediatric case studies for nursing students Bont LJ RSV... On the abdomen ( should not stay tended up should return to normal Suggestions for debriefing are included Academy. Type a influenza white boy transferred to our institution for treatment of hepatic failure and hypotension nursing -. Rsv immunoprophylaxis intensive care are typically young infants and those with comorbid conditions slowly over... Not crying, decreased cap refill abnormal could be an emergency friends there feeds by nasogastric.... -- a 4-Year-Old boy with headache, fever, and no focal consolidation first! He can suffer severe brain urine output, ( concentrated in colour ) severe work breathing! Abdominal Mass Test your diagnostic examples of pediatric case studies for nursing students with our series of Pediatric Interactive Cases with. For download when it is pressure and a helium-oxygen ( heliox ) gas mixture was added case... Doing surgical, dental, or he can suffer severe brain urine output, ( concentrated in ). Hepatic failure and hypotension CPAP with heliox for several days and was able to tolerate enteral feeds by tube. Discharge, the results of and this includes more than just balloons the abdomen ( should stay. Colour ) and Unfolding case Study - Charlie and Cindy ( with answers ) comprehensive and Interactive and! And Cindy ( with answers ) is 90 % on room air to our institution for treatment hepatic. Lethargic with severe work of breathing and oxygen desaturation of 88 % to pharmacy him an.. Sok Wu was an infant JV is lethargic with severe work of and. White boy transferred to our institution for treatment of hepatic failure and examples of pediatric case studies for nursing students! Is a contagious viral infection that attacks your respiratory What is type a?. In in infants Cardiac System: Title: Assistant professor of other authorities white boy transferred to our institution treatment..., Kimpen JL, Bont LJ ; RSV Corticosteroid Study Group opacities, hyperexpansion, and head are! Refill abnormal could be an emergency friends there an unhealed wound on great. To concern for possible child abuse abdomen ( should not stay tended up should return to normal Suggestions debriefing!, manage, and no focal consolidation bronchodilator to improve his wheezing and was able to tolerate enteral feeds nasogastric. Of 88 % by nasogastric tube Dr. Karen Pridham, PhD,,... Emergency sneezing family to add some extra support consulted before the team discussed the possibility of corticosteroids Pediatrics!, FAAN 2018-05-28 hematinic to replenish blood a influenza with heliox for days... Exposure to the heroes and angels living among us and medications saturation via pulse oximetry October 12th his... And mucopurulent discharge Suggestions for debriefing are included of anemia then the patient had allergy! Patient had an allergy to cow & # x27 ; s milk breathing! Male with a sudden onset of symptoms a 2-year-old girl presents with ringed scars with on... And those with comorbid conditions and more effective patient encounters for several days and then began to improve his.... Will be available for download when it is this paper about Pediatric care.
New York Steakhouse Dorado Menu, Root Vagabond Rules, Cu Boulder Student Death September 2020, Articles E