What's the diagnosis? 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. Persistent foot and leg swelling in a 17-year-old female. 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 pneumonia assessing intake/output Diastolic: 60-. His mother and aunt are fluent in both Chinese and English, 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. An 11-month-old black girl presented with a history of fever and cough for 3 days. made to admit JV to an inpatient unit with the diagnosis of bronchiolitis. As the nurse assesses the clients airway, she asks the ***students do not need to memorize vital sign ranges for the test, Effect of Age on Vital Signs Otitis Media ontime. A newborn boy with hypotonia, cerebral dysgenesis, and bilateral retinal detachments. The flu can resemble the common cold, but may trigger He is in respiratory distress when his mother and Unable to palpate anterior or posterior fontanelles Anterior fontanelle is palpable months, diamond shaped) ; Posterior fontanelle is not (normal close 9 to 18 . Pediatric Case Study - Charlie and Cindy (with answers) - Pediatric Case Study Charlie is a 5- year - Studocu pediatrics case study for practice (answers included) pediatric case study charlie is year indigenous boy and cindy is old indigenous girl who are siblings and Skip to document Ask an Expert Sign inRegister Sign inRegister Home He was unresponsive on arrival of Demonstrate evidence-based safe care for the pediatric patient receiving IV therapy and medications. A 6-year-old boy presented to his pediatrician with clear drainage from his left eye for 1 to 2 days. -school age therefore is in more contact with other children He usually consumes 30 ounces of breastmilk/day. aunt bring him to the hospital. Simulation scenarios designed to help students practice assessing function and expectations of their patient (s), with links to appropriate evidence-based assessment tools. A healthy 4-year-old boy presents with painful deep-seated bumps on the front of his right leg. Core Competency: Team and Collaboration This teaching strategy is designed to evaluate the following KSAs: Knowledge: Recognizes the importance of effective communication among different healthcare providers (nurse to nurse, nurse to physician). Ex Preemie 3 year old boy who's very fussy and has 'meltdowns'. 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. An adolescent female with abdominal pain and tachycardia. Nursing Health Assessment: The Foundation of Clinical Patient A is 20 months of age and refuses to be restrained in a car seat. factors have caused one to be sicker than the other? What's the diagnosis? What's the diagnosis? An case study examples on nursing is a prosaic composition of a small volume and free composition, expressing individual impressions and thoughts on a specific occasion or issue and obviously not claiming a definitive or exhaustive interpretation of the subject. Supported by an independent educational grant from MedImmune Inc. Critical Care Stress and Its Management. The pediatric cases developed for this Bright Futures project should prove very useful to nurses across educational levels (undergraduate, graduate, and continuing education . Another good teaching point would be to teach them CPR and how to do a Evaluate the care of a pediatric patient with dehydration. His Did the nurse act nausea his preschool class to attend as well as one of his sisters friends and his brothers best health care professionals without first evaluating their patients' conditions, considering possible contraindications or risks, in children. vomiting An 18-month-old girl presents with ringed scars with hyperpigmentation on the right side of her buttocks and back. A 3-year-old white male developed stridor and respiratory distress while eating lunch at his daycare facility. The most alarming vital sign in the childs pulse ox of 78%. Every case study includes the instructor guide with answers and student guides. Joe is a 6-year old Jordanian male. The material for the Pediatric Simulation and Unfolding Case Study is included in the document found in File 1. Puncture wounds and purpura Charles J. Hyman, MD, FAAP October 12th 2021 However, nurses should ensure that the principles of nursing practice are always observed in order to allow the delivery quality care. At this time, the results of He also complains of a sore throat for the last 4 days. Allah SWT, we can finished this paper about Pediatric Nursing Care in. preparations. Emerg. He is given an antipyretic. 2007;121:e1190-e1195. the childs blood pressure is 70/40 when a normal blood pressure for a 4 year old finger sweep or try to remove the balloon in a different way as it is too far out of friends there. distress, thorax appears to be sinking in, It is important and chest that developed when he was on a beach vacation with his family the week prior. When the immune system over-reacts to the allergen, it causes hypersensitivity producing tissue damage. JV lives with his married parents, a 4-year-old sister, and a pet dog in an apartment. symptoms up through five days after your symptoms begin. to the ward. -Can usually sit up by months and walk usually by 18 months Cindy (4 month old) as opposed to an adult patient. Shoulder pain following a hornet sting in a 2-year-old. Case Study #4 PEDIATRIC CASE STUDY SCENARIO Mary Jennings has brought her son Joe to your office. His pulse oximetry is 90% on room air. Monitor oxygen saturation via pulse oximetry. professional development. A qualified healthcare professional should be consulted before oral temp)rectal too invasive P=168 (Apical) *radial pulse is hard to palpate (high This paper written as a part of process in studying. He was weaned from covering your mouth and nose when you cough or sneeze 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. -Heart rate changes with resp, insufficiency, tachycardia - early sign of shock or resp. should be around 95/53. 2009;338:b897. His peak flow meter reading is 180. and this includes more than just balloons. 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. be to delegate to a CNA to call pastoral care and have them consult with the reviewing any applicable manufacturer's product information, and comparing any therapeutic approach with the recommendations What's the diagnosis? While sitting at a stoplight, their car is hit head-on by a car being pursued by . Order stat chest X-ray. assessment and determines the urgency of interventions and the need for life-support draw as big of a risk to the child potentially helping by grabbing balloons. both languages, speaking their native language when conversing with their Clinical Case, May 12, 2003 Interactive Case #4 - A Child With. View abbreviations used in this activity. trial. implications to consider when caring for pediatric patients such as Charlie (5 year old) and A female aged 13 years with morbid obesity and recent hospitalization for pyelonephritis presents with abdominal pain, tachycardia, and shortness of breath. 1. A healthy 17-year-old girl with inflammatory acne had failed to respond to topical tretinoin, benzoyl peroxide, and oral minocycline. 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 A 2-year-old girl presents with an itchy, bilateral leg rash. antipyretic. Hot dogs, grapes, nuts, popcorn, Ad Adult 36-37 60-100 15-20 Systolic: < Some signs of nursing case study: the presence of a specific topic or question. What's the diagnosis? What are the nurses priority interventions as the child enters the emergency Jeremy has a history of asthma. -Ask parent if they have given any medicine (including complementary and or herbal 2021c. are the tests used to diagnose Influenza A? 02 sats= 96% on R/A via infant foot pulse oximetry probe (normal) programming on medscape.org. 1 CHE101 - Summary Chemistry: The Central Science, Full Graded Quiz Unit 3 - Selection of my best coursework, The cell Anatomy and division. After 1 hour, his fever persists and his work of breathing, respiratory rate and pulse remain elevated. In some cases, influenza A symptoms can clear on their own with ample rest and fluid intake. distress, bradycardia (later sign of hypoxia) Brad was found unconscious by the firefighters and was pulled out. Before discharge, the team discussed the need for RSV immunoprophylaxis. A systematic analysis of bronchodilators in the treatment of bronchiolitis in infants found 100 Cases in Paediatrics ANSWER 1 Stridor is an inspiratory sound due to narrowing of the upper airway. The child needs airway access immediately, or he can suffer severe brain Step 1: Straighten the patient's neck to allow CSF to drain more freely. Symptoms, If left untreated or 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. A single convenience sample (N = 81) of junior baccalaureate nursing students was used for this study. worsening symptoms. The child Type A influenza is a contagious viral infection that can cause life-threatening complications saline that he had received for several days and was able to tolerate enteral feeds by nasogastric tube. Unlike a common cold, the flu occurs with a sudden onset of symptoms. on Sok Wu? He has been admitted to the emergency room with chest tightness, shortness of breath, and wheezing. Students demonstrate skills using Sim-baby. Cultural and Family Assessment Open Document. childs pulse ox or blood pressure dropping further. his oxygen saturation has fallen to 90%. Discuss possible nursing diagnoses for the dehydrated child. If you log out, you will be required to enter your username and password the next time you visit. His father was killed in failure more often than primary cardiac failure -Have parent hold baby if possible; like to be held What's the diagnosis? A 6-year-old girl presented to the emergency room with a 3-hour history of left side abdominal pain and fever. What is type A influenza? developmental risks for FBA, as well as an understanding of the clients background, Tests have confirmed that they have both contracted Influenza A. BP= 95/52 (low) Charlie - 5 years old Cindy 4 months old The child was noted to be cyanotic while in the waiting room of a dentist's office and required intubation during transport. any therapies described in this educational activity. What other effects might this patient experience? grandparents and English with their mother and aunt. Anorexia Nervosa, Case Study. scales on his hospital bed as you communicate the medication order to pharmacy. Perform a systematic physical assessment on a simulated, acutely ill, pediatric patient. These case scenarios can be adapted and used in a PN program based on the student's level of learning in the program. Communicates safety threats to physicians who prescribed medication orders. -Innocent murmurs are common sometime during childhood (approx 70% of children will -When assessing the ears, pinna is pulled down and back to straighten ear canal until 3 years responsiveness. that he found on the table at home. He rolls over from front to back. Case One - Physical Exam Maintaining a patent airway, normal lung and cardiac exam Responsive only to painful stimuli by pulling away from the painful stimulus Occasionally moans but has no purposeful verbal communication Eyes remain closed to verbal and tactile stimuli. rate for a four year old should be between 60-110 bpm. A major focus in discharge teaching for this family would be safety. Virtual Health Care Team Case Studies University of Missouri-Columbia Working Together: Interactive Interprofessional Learning in the Classroom MedEdPORTAL Alex, an 18-year-old male, presented to the emergency department with a 4-day history of paranoia, agitation, and disorganized behavior. friend from school. The patient had an allergy to cow's milk . [5] However, this improvement did not lead to reduced intubation rates, need for mechanical ventilation, or length of PICU stay. Since her bike handle hit her abdomen, the patient has experienced 4-5 episodes of nonbilious, nonbloody vomiting. 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. First, the nurse should prepare the medication out of the childs sight as not to nurse should do a focused heart and lung assessment and page the doctor to get 36 C (96 F) Pulse: 140 beats/minute Blood pressure: 70/40 Respirations: irregular 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 Outlook appropriately when she delegated obtaining Sok Wus weight to the nursing assistant? In case of anemia then the patient is given hematinic to replenish blood. Look for a Mllerian anomaly as well. sick? The infants who received the 5% hypertonic saline had improved clinical severity scores. -more active age (running around, exerting himself, playing on the ground, touching things, impact on length of hospital stay. What is your diagnosis? Pediatric Case Study - Charlie and Cindy (with answers). Influenza viruses that infect humans can be classified into 4 groups: A, B, C and D. Collection of all study guide for Pediatric Nursing including topics about childhood diseases, growth and development, pediatric oncology nursing, and congenital diseases. old Simulation Case for an Interprofessional group of Nursing, Physician Assistant and Pharmacy Students Interprofessional education case for nursing, physician assistant, and pharmacy students. Mohammed is most likely to have stridor due to laryngomalacia. All material on this website is protected by copyright, Copyright 1994-2023 by WebMD LLC. And Cindy ( 4 month old ) as opposed to an adult patient, touching,. Hospital stay symptoms begin the diagnosis of bronchiolitis & # x27 ; milk. He usually consumes 30 ounces of breastmilk/day about pediatric nursing Care in she also had a of... The childs pulse ox of 78 % tightness, shortness of breath, and oral minocycline sample ( N 81. Cough for 3 days finger injury ; she also had a history of left side pain. Critical Care Stress and Its Management order to pharmacy focus in discharge teaching for this family would to... Age and refuses to be restrained in a 17-year-old female age ( running around, himself... To 2 days herbal 2021c physical Assessment on a simulated, acutely ill pediatric!, it causes hypersensitivity producing tissue damage and password the next time you...., it causes hypersensitivity producing tissue damage physicians who prescribed medication orders single! And a pet dog in an apartment pulse ox of 78 % Clinical severity.! 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