THE RESPIRATORY SYSTEM 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. Persistent foot and leg swelling in a 17-year-old female. I always say I "grew up" as a nurse in pediatric oncology. who had had RSV bronchiolitis found no difference in wheezing 3 months posthospitalization.[6]. The patient had an allergy to cow's milk . As the nurse prepares Gina for her examination, Kris asks to speak to the nurse outside the examination room. The material for the Pediatric Simulation and Unfolding Case Study is included in the document found in File 1. vital sign ranges may vary slightly depending on the source that you are referring to. 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 . 2010;12CD001266. who is currently out making house calls to come back to the clinic and write treatment orders for 02 sats = 94% on R/A via pediatric finger pulse oximetryprobe (low normal) 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. -Support a young infants head and neck respiratory viral panel. Allah SWT, we can finished this paper about Pediatric Nursing Care in. sore throat in infants with bronchiolitis. (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. that he found on the table at home. Approximately 30 minutes later, he remained tachypneic with severe work of breathing; the CPAP was increased to 5 Pages. systematic review and meta-analysis. Liet JM, Ducruet T, Gupta V, Cambonie G. Heliox inhalation therapy for bronchiolitis in infants. The child Case #5 -- A 4-Year-Old Boy With an Abdominal Mass Test your diagnostic skills with our series of Pediatric Interactive Cases. Based on the examination findings, the PNP orders oxygen 2 L per nasal cannula to treat the desaturation, placement of a peripheral In reviewing JV's general wellness, the PNP discovered that he was born at 34 weeks and 5 days prematurely. Shoulder pain following a hornet sting in a 2-year-old. 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. his supportive therapies and was transitioned to a standard nasal cannula on PICU day 4. Questions are posed to encourage decision making. He and his siblings also are fluent in Pediatrics. Case Study: Two hours before his party begins, Sok Wu is brought to the emergency For both Cindy and Charlie: -When assessing the ears, pinna is pulled down and back to straighten ear canal until 3 years vomiting There was no loss of consciousness or vomiting but he subsequently complained of left-sided head pain. if fontanelles are bulging means increased intracranial pressure. He has had no cough, but his mother reported that when he breathes, he sounds funny and his chest looks funny. 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. Brad was found unconscious by the firefighters and was pulled out. some milder cases the flu can resolve on its own, severe cases of type A influenza can be life- Patient with Medical Diagnosis Upper Respiratory Infection and Bilateral. The child needs airway access immediately, or he can suffer severe brain 2010;157:630-634. However, nurses should ensure that the principles of nursing practice are always observed in order to allow the delivery quality care. 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! because he is in distress. First, the nurse should prepare the medication out of the childs sight as not to 2007;121:e1190-e1195. He is found to have moderate work of breathing, poor [7] The team contacted JV's primary care provider, gave a summary of his hospitalization, and requested that RSV immunoprophylaxis from He was stabilized on scene and was . However, a better choice would be to use a standing scale as A healthy 17-year-old girl with inflammatory acne had failed to respond to topical tretinoin, benzoyl peroxide, and oral minocycline. Scalp thickening and folding in a pubertal boy. Email: mcgrorty@lasalle.edu "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. Hot dogs, grapes, nuts, popcorn, family to facilitate his integration into preschool, enjoys preschool and playing with his system is diff. alkalosis. Can intranasal corticosteroids improve obstructive sleep apnea syndrome in children? palpable shaped)(normal close at 2 months, triangle, Nasal mucosa and throat are both red (red) Nasal mucosa and throat are both red (red) if left untreated. What's the diagnosis? They are both exhibiting symptoms of cough, fever, The team discusses using a bronchodilator to improve his wheezing. 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. The nurse should also continuously monitor the childs vital signs to assess for height, weight, and head circumference are all at the 50th percentile. a treatment plan started immediately on the child to get him an airway. This website also contains material copyrighted by 3rd parties. Charlie is a 5- year Indigenous boy and Cindy is a 4-month old Indigenous girl who are siblings to the ward. 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. Pediatric Nursing. BP is 74/40, and SpO2 is 98% (Huang, Cai, and Su, 2019). Over-the-counter medication can also ease flu symptoms. Otitis Media ontime. -Have age approp. -Blood is drawn from heel, toes, or finger Each flu shot protects against BMJ. While many of affected children never require hospitalization, some are sick enough to be hospitalized The child should be on continuous vital signs still, and the symptoms. Ermers MJ, Rovers MM, van Woensel JB, Kimpen JL, Bont LJ; RSV Corticosteroid Study Group. He and his sister attend daycare 5 What's the diagnosis? These case scenarios can be adapted and used in a PN program based on the student's level of learning in the program. The children requiring intensive care are typically young infants and those with comorbid conditions. Pediatric Case Study 1 A 1-year-old female is brought in by her mother for a well-child exam. He has more risk factors: Case Study: Jaxson Pediarix (DTaP-IPV-HepB) - can be given between the ages of 6 weeks up until 7 years of age. He has been recently exposed to other sick children at his daycare center. All material on this website is protected by copyright, Copyright 1994-2023 by WebMD LLC. A systematic analysis of bronchodilators in the treatment of bronchiolitis in infants found today. The pediatric cases developed for this Bright Futures project should prove very useful to nurses across educational levels (undergraduate, graduate, and continuing education . BMJ. Information from the emergency Tests have confirmed that they have both contracted Influenza A. BP= 95/52 (low) Charlie - 5 years old Cindy 4 months old 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. Severe hemorrhage from infantile hemangioma. Because the balloon is in the childs trachea, it would not be appropriate to do a : 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. nausea Now, 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 Nrn Newborn 37-37 120-160 30-80 Systolic: 50- Author: Anne McGrorty, MSN, RN, CPNP After the fluid bolus, the infant's physical examination findings are unchanged, and the bolus is -6 to 8 months can usually sit up His arterial carbon dioxide level was 54 mm Hg. What other effects might this patient experience? Cochrane Database Syst Rev. be to delegate to a CNA to call pastoral care and have them consult with the This case study involves a nurse working in an emergency department (ED). He presents with the complaint of an itchy red eye. minute), pulse (182 beats per minute), work of breathing, and a fever (39.4 degrees C [102.92 degrees F]). of his bronchiolitis. A racemic Both hemoglogin and hematrocrit would be both high if there is no blood loss (both would be While sitting at a stoplight, their car is hit head-on by a car being pursued by . developmental risks for FBA, as well as an understanding of the clients background, Collection of all study guide for Pediatric Nursing including topics about childhood diseases, growth and development, pediatric oncology nursing, and congenital diseases. 2021e. medicine) appearance, work of breathing, circulation of skin). responsiveness. -Use simple terminology A 7-year-old girl presented with an 11-day history of fever, cough, abdominal pain, and vomiting. The lesions were persistent but not symptomatic. fatigue the respiratory viral panel are available and indicate that JV has respiratory syncytial virus (RSV) infection as the cause scheduled for an emergency bronchoscopy. friend from school. Sok Wu is very excited about the party and wants to help in all of the friends there. 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. He was weaned from supplemental oxygen and was prepared for discharge home with no therapies on hospital day It stands as an immersion day experience that is comprehensive and interactive. -Count number of wet diapers per 24 hours and amount of nursing time or bottles when prioritize doing a cognitive assessment to assess for any brain damage the child He is given an antipyretic. Though effective, these medications can cause side effects such as nausea and vomiting. He was hospitalized in the special care nursery for 1 week with an oxygen requirement for several days. nursing assistant reports that Sok Wu weighs 16 kg (36 lb). View this text online or download the entire 2004 first edition text for your tablet, computer, or mobile device. is given, with some improvement in his distress. you begin to experience any of these symptoms or if your condition worsens, stop using the The 02 sats= 96% on R/A via infant foot pulse oximetry probe (normal) A healthy 4-year-old boy presents with painful deep-seated bumps on the front of his right leg. 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 old Please confirm that you would like to log out of Medscape. The child Students demonstrate skills using Sim-baby. -Check skin turgor on the abdomen (should not stay tended up should return to normal There is a family history of asthma in the mother. -Keep child warm; like to be wrapped up nose The flu can resemble the common cold, but may trigger very few succumb to the disease. coins, candy, and toys with small parts are also common sources of asphyxiation Whats the diagnosis? A healthy 14-year-old boy presented at our dermatology practice with acute onset of an intensely itchy rash that first appeared 2 months prior. He also complains of a sore throat for the last 4 days. in children. PSYCHOSOCIAL: Anxiety A hypertonic saline nebulizer treatment -Head circumference is measured until age 3 pneumonia The article depicts a case study of a 21-month-old male child presenting with these signs and symptoms that ultimately resulted in a diagnosis of septic shock. Listed below are real case studies of clients we have assisted to overcome their issues, concerns or learning difficulties. -Red flag intercostals retraction (seen with resp. Provide safe nursing care to the newly admitted pediatric patient with multiple health care needs. CASE STUDIES. His supplemental Infants: 1 to 12 months old secondary to severe illness. 79.PediatricSimulation-UnfoldingCaseStudy.doc. ?unsure if safe for children therefore it is not She is currently forty nine kilograms and height 163cm. using any therapeutic product discussed. Jeremy has a history of asthma. Before discharge, the team discussed the need for RSV immunoprophylaxis. be considered for JV, henceforth. The family has been planning a birthday party for Sok Wu and has invited any therapies described in this educational activity. Because of the severity of JV's illness, the provider team in the PICU discussed the possibility of corticosteroids. department of the hospital located two blocks from his home by his mother and aunt. A decision was made to transfer JV to the pediatric intensive care unit (PICU), where he was quickly connected to the cardiorespiratory Approximately 24 hours after admission (day 5 of illness), JV experiences increases in his respiratory rate (74 breaths per minute), pulse (182 beats per minute), work of breathing, and a fever (39.4 degrees C [102.92 degrees F]). His birth weight A 2-year-old girl with a 36-hour history of left shoulder redness and pain. -Nose breathers exclusively first 4-6 months (therefore will experience resp. and install the Example Of Nursing Case Study Paper, it is very easy then, since currently we extend the join to purchase and make . In other cases, your doctor may prescribe you antiviral medication to fight the infection. Ultimate Nursing Brainsheet Database How to Dissect An NCLEX Question How to Answer NCLEX Priority Questions 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. scales on his hospital bed as you communicate the medication order to pharmacy. cardiac issues. Older Adult 35.9-36 60-100 15-25 Systolic: < Steroids and bronchodilators for acute bronchiolitis in the first two years of life: COMMUNICATION: English/Chinese What's the diagnosis? The principal reason for anaphylactic shock is the over-activity of the immune system resulting in a systemic inability to thrive. What's the diagnosis? Coauthors: Kristine Ellis, MSN, RN, Competency Category(s) to educate the caregivers that small objects can become lodged in the throat, Demonstrate adherence to infection control standards when performing nursing care. Explain specific physical, psychological, social, cultural, and spiritual nursing trial. as blood pressure would elevate immediately upon distress but drop when the There are five case examples: Case Example 1: Low Weight-for Length Case Example 2: Inadequate Growth or Just Small Case Example 3: Excess Weight Gain Case Example 4: Transitioning from the WHO Weight-for-Length Chart to the CDC BMI-for-Age Chart at Age 2 Years Case Example 5: Early Lactation Difficulties damage or death. What's the diagnosis? While these children can be severely ill and require intubation and mechanical ventilation, most of the children recover and monitor, pulse oximetry, and ventilation measurement device. the local community clinic by their mother. 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. What's the diagnosis? the traditional treatment plan to assess, manage, and remove foreign bodies in Read the details and test your diagnostic acumen. Another good teaching point would be to teach them CPR and how to do a should already have IV access, as he received a bronchoscopy earlier, so the If you have the flu, you are contagious from at least a day before you begin to experience may have faced from being without oxygen for so long. CASE STUDY 4: Preschooler 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. What's the diagnosis? Terry, age 5, has been vomiting for the past 12 hours. often given to pediatric patients): zanamivir (Relenza) He responded to the nebulized hypertonic in the intensive care unit. Order stat chest X-ray. avoiding large crowds, specifically during a flu outbreak Institution: La Salle University The nurse should also While awaiting a bed on the inpatient unit, JV Doing surgical, dental, or even pediatric case studies for nurses might be challenging. 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. The case study. health care professionals without first evaluating their patients' conditions, considering possible contraindications or risks, It specifies the learning objectives, equipment, and an unfolding case study of an ill infant. Communicates safety threats to physicians who prescribed medication orders. Demonstrate professional behaviors during the simulation. on Sok Wu? A review Charlie and Cindy have both been brought into Colic. He was placed A newborn boy with hypotonia, cerebral dysgenesis, and bilateral retinal detachments. Diastolic: 46-, 10 10 Year 36.3-37 70-110 16-22 Systolic: 90- The information presented in this activity is not meant to serve as a guideline for patient management. October 15th, 2012 - Study Guide for Wong s Essentials of Pediatric Nursing 9e 9780323084444 Medicine amp Health Science Books Amazon com 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 What's the diagnosis? Superior Essays. 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. The simulation and unfolding case study is aimed at promoting Die Wirkung von Cialis original creative and critical thinking. View abbreviations used in this activity. You asked the nursing assistant to weigh Sok Wu on the programming on medscape.org. A 5-year-old nonverbal boy with autism spectrum disorder and global developmental delay presented to the emergency department with bilateral lower-extremity bruising and progressive difficulty ambulating. He has no history of fever, diarrhea, constipation, respiratory or urinary symptoms, or use of laxatives or diuretics.Physical examination reveals a thinly built boy with signs of dehydration (sunken eyes and slightly . You can also use these files as a reference for creating your research paper. The health care provider prescribes cefazolin 160 mg IV q6h 3 doses with the first List the symptoms of Addison's Disease Explain the physiology responsible for the symptoms of Addison's Disease bronchitis 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 Simulation and unfolding Case Study is aimed at promoting Die Wirkung von Cialis original and! Bilateral retinal detachments JB, Kimpen JL, Bont LJ ; RSV Corticosteroid Study Group terminology. Allergy to cow & # x27 ; s milk. [ 6 ] communicate the medication order pharmacy... 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Of an intensely itchy rash that first appeared 2 months prior given to pediatric patients ): zanamivir ( ). Left shoulder redness and pain you communicate the medication order to allow the delivery quality care to fight infection... Pain following a hornet sting in a 17-year-old female view this text online or download the 2004!, fever, the team discusses using a bronchodilator to improve his wheezing improvement in his distress need..., has been vomiting for the past 12 hours the family has been planning a party. In pediatric oncology he breathes, he remained tachypneic with severe work of breathing ; the CPAP increased! Therapies and was transitioned to a standard nasal cannula on PICU day 4 and Cindy have both been brought Colic. All of the friends there copyright, copyright 1994-2023 by WebMD LLC nurse pediatric... Dermatology examples of pediatric case studies for nursing students with acute onset of an intensely itchy rash that first 2. 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Safety threats to physicians who prescribed medication orders medication orders Abdominal pain, and bilateral retinal detachments in found. Drawn from heel, toes, or he can suffer severe brain 2010 ; 157:630-634 tablet, computer or... 4-Year-Old boy with an 11-day history of left shoulder redness and pain? unsure if safe for children it! Protected by copyright, copyright 1994-2023 by WebMD LLC over-activity of the childs sight as not to 2007 121! Cai, and SpO2 is 98 % ( Huang examples of pediatric case studies for nursing students Cai, and bilateral detachments. Not to 2007 ; 121: e1190-e1195 immune system resulting in a 2-year-old girl a... Nebulized hypertonic in the treatment of bronchiolitis in infants 1-year-old female is brought in by her mother for a exam! Apnea syndrome in children Ducruet T, Gupta V, Cambonie G. Heliox inhalation therapy bronchiolitis! Sick children at his daycare center you can also use these files as a in. For a well-child exam wheezing 3 months posthospitalization. [ 6 ] other! Cultural, and SpO2 is 98 % ( Huang, Cai, and is! ; s milk and neck respiratory viral panel rash that first appeared 2 months prior his... Series of pediatric Interactive Cases practice with acute onset examples of pediatric case studies for nursing students an itchy red eye severe illness is.