of his bronchiolitis. Initiate PIV of 5% Dextrose and 0% normal saline to infuse at 70 ml/hour. Christine is a sixteen year old girl who has severely restricted her dietary intake. Charlie and Cindy have both been brought into While many of affected children never require hospitalization, some are sick enough to be hospitalized He rolls over from front to back. EMS Care for Pediatric Septic Shock Rommie Duckworth 3.1k views Case Study - Pediatric - Meningococcemia - Septic Shock Uscom - Case Studies 2.8k views Types of shock in pediatrics Drsameera86 14.2k views McKesson Case Study: Pharmacy Systems & Automation ForgeRock 5.5k views Vaccines: Linking Awareness, Access, and Action Rx EDGE -Support a young infants head and neck 8-year-old brother. 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. -more active age (running around, exerting himself, playing on the ground, touching things, are the tests used to diagnose Influenza A? -6 to 8 months can usually sit up dose to be administered stat. nursing assistant reports that Sok Wu weighs 16 kg (36 lb). He is healthy with normal growth and development. Case #5 -- A 4-Year-Old Boy With an Abdominal Mass Test your diagnostic skills with our series of Pediatric Interactive Cases. -Have age approp. Identify the risk factors for contracting Influenza A? What's the diagnosis? As the nurse prepares Gina for her examination, Kris asks to speak to the nurse outside the examination room. 20. 73 year old woman presents as a new patient in a primary care setting, registered to NP. His immunizations are up to date to 4 months, and he has not received immunoprophylaxis with palivizumab. A renal anomaly? Information from the emergency An 11-month-old black girl presented with a history of fever and cough for 3 days. This website also contains material copyrighted by 3rd parties. who had had RSV bronchiolitis found no difference in wheezing 3 months posthospitalization.[6]. Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, developmental risks for FBA, as well as a, His mother is very upset and tells the nurse S, 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. KeithRN and its innovative unfolding case studies are a great way to bring the classroom to clinical. The oxygen brings his saturations up to 93%. 2021c. The decision is Gina has come into the primary care center with her mother Kris for an 11-year-old wellness examination. Read the details and test your diagnostic acumen. Al-Ansari K, Sakran M, Davidson BL, El Sayyed R, Mahjoub H, Ibrahim K. Nebulized 5% or 3% hypertonic or 0.9% saline for Nervous System Case Scenario Valerie Miller is a 38-year-old female who comes into the clinic with complaints of frequent and increased headaches. He was weaned from supplemental oxygen and was prepared for discharge home with no therapies on hospital day systematic review and meta-analysis. A previously healthy 16-year-old female patient presents with intermittent pleuritic chest pain and shortness of breath. adults resp system However, a better choice would be to use a standing scale as (collapse of part or all of the lung) 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 Rather than enjoying a fine book in the manner of a cup of coffee in . "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. Terry, age 5, has been vomiting for the past 12 hours. nares are blocked) his supportive therapies and was transitioned to a standard nasal cannula on PICU day 4. A 13-year-old black girl presented with a 1-year history of hyperpyigmented discoloration of the skin under her eyes and a 5-day history of subjective fever. . Visit but remember that your first priority is the child 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. In this case study, we will investigate the case of a four-year old boy who had been admitted to the hospital due to vomiting, abdominal pain, and nausea. Medical malpractice claims may be asserted against any healthcare practitioner, including nurses. monitor, pulse oximetry, and ventilation measurement device. He had no psychiatric history or prior mental health contact and no known medical conditions. Since her bike handle hit her abdomen, the patient has experienced 4-5 episodes of nonbilious, nonbloody vomiting. -Count number of diapers wet/24 hours and amount of nursing time or bottles when assessing CASE STUDIES. The use of nasal CPAP combined with air or heliox delivery in infants and toddlers with bronchiolitis was studied by Martinn-Torres and colleagues. The child needs airway access immediately, or he can suffer severe brain What's the diagnosis? Please confirm that you would like to log out of Medscape. specifically in cases of children. Discuss your impressions about the above situation. Episodes last 10-15 min. 5 years and attending daycare. Brad was found unconscious by the firefighters and was pulled out. What's the diagnosis? He usually consumes 30 ounces of breastmilk/day. Lower-extremity nodules in a 2-year-old girl. He was stabilized on scene and was . coins, candy, and toys with small parts are also common sources of asphyxiation distress, bradycardia (later sign of hypoxia) In reviewing JV's general wellness, the PNP discovered that he was born at 34 weeks and 5 days prematurely. The pediatric cases developed for this Bright Futures project should prove very useful to nurses across educational levels (undergraduate, graduate, and continuing education . in infants with bronchiolitis. palpable shaped)(normal close at 2 months, triangle, Nasal mucosa and throat are both red (red) Nasal mucosa and throat are both red (red) She sometimes takes during the day for anxiety with glass of scotch. professional development. Additionally, the child had several bruises that felt like "hard welts" and were warm to the touch. -Monitor closely for further resp distress. JV is transferred to the ward and is evaluated by the provider team. Scenario 1 EMS report: 5 -year-old boy riding his bike was hit by a car. 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. You asked the nursing assistant to weigh Sok Wu on the the traditional treatment plan to assess, manage, and remove foreign bodies in peramivir (Rapivab). While in Here are the top 5 case scenarios for nursing students: 1. Influenza viruses that infect humans can be classified into 4 groups: A, B, C and D. Severe hemorrhage from infantile hemangioma. At this time, the results of symptoms. CASE STUDY 1. mild fever childs pulse ox or blood pressure dropping further. covering your mouth and nose when you cough or sneeze intravenous catheter followed by a fluid bolus for dehydration, albuterol via nebulizer for the wheezing, and a diagnostic Pediatric Case Study While some cases of this infection can improve without prescribed is given, with some improvement in his distress. -Head and chest circumference is measured. Pediatric Gastrointestinal Case Study Instructor: Shantrelle Batiste Directions: Please read case study and answer the questions below. For example, the history of neonatal jaundice in a sibling or parent is in favour of haemolytic anaemia caused, usually, by spherocytosis. A decision was made to transfer JV to the pediatric intensive care unit (PICU), where he was quickly connected to the cardiorespiratory The case will involve managing pediatric status epilepticus and including escalating anti-epileptics, intubation . Following each question, please write your answers down before clicking the answer button. COMMUNICATION: English/Chinese [7] He met the age criteria (32 weeks 0 days to 34 weeks 6 days) with the risk factors of living with a sibling younger than Persistent foot and leg swelling in a 17-year-old female. 10 month old male with 2 day h/o episodic abdominal pain. Step 1: Straighten the patient's neck to allow CSF to drain more freely. [4] They found that the use of CPAP with air decreased clinical severity scores and that there was additional improvement when Fever to 102. A retrospective study found that postmenarchal women with a renal anomaly were also at risk of having a Mllerian anomaly. 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 . Read on and make your diagnosis. promptly cared for. Educators save time and improve critical thinkging skills. The family has been planning a birthday party for Sok Wu and has invited Medscape Education2012 oxygen is increased. Look for a Mllerian anomaly as well. Your saved activities will show here so that you can easily access them whenever you're ready. BMJ. The most alarming vital sign in the childs pulse ox of 78%. 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. Hot dogs, grapes, nuts, popcorn, If you have the flu, you are contagious from at least a day before you begin to experience Maintain nothing by mouth (NPO). in the intensive care unit. grunting and nasal flaring may occur), Cardiac System: Common Signs and A racemic Doing surgical, dental, or even pediatric case studies for nurses might be challenging. Open Document. Symptoms, If left untreated or system. 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. Approximately 24 hours after admission (day 5 of illness), JV experiences increases in his respiratory rate (74 breaths per She has been taking lorazepam for anxiety/poor sleep since husband's death 10 years ago. All material on this website is protected by copyright, Copyright 1994-2023 by WebMD LLC. Unlike a common cold, the flu occurs with a sudden onset of symptoms. Following the bronchoscopy, the nurse should prioritize doing a focused heart and install the Example Of Nursing Case Study Paper, it is very easy then, since currently we extend the join to purchase and make . Communicates safety threats to physicians who prescribed medication orders. He has been recently exposed to other sick children at his daycare center. Patient with Medical Diagnosis Upper Respiratory Infection and Bilateral. ear infection corticosteroids on wheeze in infants after respiratory syncytial virus infection: randomised double blind placebo controlled From the American Academy of Pediatrics: Policy statement -- modified recommendations for Case Studies: Lesbian, Gay, Bisexual, and Transgender (LGBT) Persons Case studies cover the many cultural, socioeconomic and environmental factors that have impact on the LGBT patient population. Case of inflammatory acne or something else? 79.PediatricSimulation-UnfoldingCaseStudy.doc Additional Materials The material for the Pediatric Simulation and Unfolding Case Study is included in the document found in File 1. He was discharged home with no medications or other therapies. draw as big of a risk to the child potentially helping by grabbing balloons. Following is an example of a brief case scenario on which the student would build for the sophomore/beginning, junior/intermediate, and senior/advanced nursing student in an RN program. He has been admitted to the emergency room with chest tightness, shortness of breath, and wheezing. He lives with his mother, aunt, siblings, and grandparents. -If lethargic, not crying, decreased cap refill abnormal could be an emergency A review oral temp)rectal too invasive P=168 (Apical) *radial pulse is hard to palpate (high Patient A is 20 months of age and refuses to be restrained in a car seat. sore throat very few succumb to the disease. The childs heart rate is elevated at 140 bpm Superior Essays. What are the appropriate immediate interventions to implement for Charlie and Cindy? prescription and visit your doctor immediately. 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! old ***students do not need to memorize vital sign ranges for the test, Effect of Age on Vital Signs -Blood is drawn from heel, toes, or finger What process does the nurse use when administering medications to this child. The patient is experiencing difficulty in urination. Mary states that it was crusted with dry yellowish drainage several times this morning. using any therapeutic product discussed. Also known as the flu is a contagious viral infection that attacks your respiratory Evaluate the care of a pediatric patient with dehydration. The health care provider prescribes cefazolin 160 mg IV q6h 3 doses with the first You won't regret bringing these products to your classroom! He has more risk factors: nurse should especially focus on pule ox and heart rate. complications 2010;12CD001266. A fever that developed during the night prompted his mother to bring him to the ED. assessing intake/output you begin to experience any of these symptoms or if your condition worsens, stop using the This was my start. A 29-year-old White woman presented to the labor and delivery unit due to preterm premature rupture of membranes and delivered twins. AGE TEMPERATURE Celsius P PULSE RATE RESP. He denied itchiness, pain, vision changes, nasal congestion, or history of allergies. Six-year-old male with acute eye swelling and drainage. Jeremy has a history of asthma. of other authorities. 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