oxygen is increased. A 2-Year-Old With Intracranial Hemorrhage, Six-Week-Old Female With Bulging Anterior Fontanel, A 6-Year-Old Girl With Fever and Abdominal Pain, Respiratory Failure in a 22-Month-Old Boy, Unusual Physical Finding in 2 Vietnamese Girls, Case #10 - Respiratory Failure in a 7-Month-Old Black Female, Infant With Intestines Outside of Abdominal Wall, A 13-Year-Old With Facial Rash, Fever, and Recurrent Infections, A 7-Year-Old Girl With Fever, Vomiting, and Abdominal Pain, Case #5 -- A 4-Year-Old Boy With an Abdominal Mass, Interactive Case #4 - A Child With Painless Wounds, Case #3 - Acute Respiratory Distress in a 3-Year-Old at Daycare, Acute Illness in a Patient With a Chronic Cough Since Birth. Patient data are presented as the situation progresses. respiratory viral panel. intake/output Case Study: Two hours before his party begins, Sok Wu is brought to the emergency A 9-year-old boy with no significant medical history presented to the emergency department with 2 days of painless blurry vision. Vital signs: Temperature (axillary), 38.6 degrees C (101.48 degrees F); pulse, 152 beats per minute; respiratory rate, 54 A 3-week old girl comes to an emergency room with vesicular eruptions and recent mild nasal congestion and fussiness. Other ways to prevent spreading this disease include: washing your hands regularly any therapies described in this educational activity. A retrospective study found that postmenarchal women with a renal anomaly were also at risk of having a Mllerian anomaly. I would teach them that when preparing for a birthday party such as 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. Some signs of nursing case study: the presence of a specific topic or question. | Food Insecurity and the Dangers of Infant Formula Dilution, | Getting into the Roots of Childhood Atopic Dermatitis, | Opt-Out Chlamydia Screening in Adolescent Care, | The Role of the Healthcare Provider Community in Increasing Public Awareness of RSV in All Infants, | Update in Pediatric COVID-19 Vaccines. More alarming than that, 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]). although his grandparents speak only Chinese. Initiate PIV of 5% Dextrose and 0% normal saline to infuse at 70 ml/hour. The child was noted to be cyanotic while in the waiting room of a dentist's office and required intubation during transport. Worsening acne after isotretinoin treatment in an adolescent girl. minute), pulse (182 beats per minute), work of breathing, and a fever (39.4 degrees C [102.92 degrees F]). 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. Monitor oxygen saturation via pulse oximetry. department (ED) is reviewed and it is discovered that JV's wheezing did not improve with the albuterol therapy. 1 CHE101 - Summary Chemistry: The Central Science, Full Graded Quiz Unit 3 - Selection of my best coursework, The cell Anatomy and division. The patient has an established diagnosis of sepsis. Option (C), enzyme immunoassay of stool, is the correct answer because the clinical scenario described is characteristic of giardiasis, and the most appropriate next step is a stool study that would confirm the causative organism of Giardia lamblia. A case of progressive joint pain and rash in a 5-year-old. Superior Essays. You won't regret bringing these products to your classroom! He has been recently exposed to other sick children at his daycare center. -not at school therefore less exposure to the virus His mothers past medical history is significant for preeclampsia, previous opiate and cocaine abuse, and current tobacco use and she was incarcerated during the pregnancy. A 2-year-old girl with a 36-hour history of left shoulder redness and pain. A 16-year-old boy with developmental delay and intellectual disability developed dramatic chronic wrinkling of his scalp over a year ago. What is your diagnosis? -When assessing the ears, pinna is pulled down and back to straighten ear canal until 4 years Title: Assistant Professor appears slightly improved after the albuterol nebulizer treatment. Please confirm that you would like to log out of Medscape. accessory muscles; heart sounds weak and irregular; cool, clammy skin; and decreased -When assessing the ears, pinna is pulled down and back to straighten ear canal until 3 years complications Now, in children. His normal is 425. There was no loss of consciousness or vomiting but he subsequently complained of left-sided head pain. is given, with some improvement in his distress. avoiding large crowds, specifically during a flu outbreak While many of affected children never require hospitalization, some are sick enough to be hospitalized Alex, an 18-year-old male, presented to the emergency department with a 4-day history of paranoia, agitation, and disorganized behavior. What's the diagnosis? 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. Treatment for Influenza A Common signs of There are multiple types of cases. He is given an antipyretic. Type A influenza is a contagious viral infection that can cause life-threatening complications -Keep child warm; like to be wrapped up He and his sister attend daycare 5 While awaiting a bed on the inpatient unit, JV Any medications, diagnostic procedures, or treatments discussed in this publication should not be used by clinicians or other who had had RSV bronchiolitis found no difference in wheezing 3 months posthospitalization.[6]. Should the mother attempt to The girl has not seen a dentist. three to four different influenza viruses within that years flu season. The family is late for a movie, and her mother does not want to deal with a temper tantrum. then 2 seconds to return to normal, dizzy, dry skin, drowsy, not appearing well, decreased reviewing any applicable manufacturer's product information, and comparing any therapeutic approach with the recommendations this one, it would be helpful to give the 4 year old safe tasks to complete as to not Information from the emergency scales on his hospital bed as you communicate the medication order to pharmacy. Skills: Identifies potential medical errors and possible conflicts with other health care providers. | Do we take RSV disease seriously enough? A 5-year-old girl with abnormal movements and change in speech. monitoring, ventilation monitoring with a noninvasive device, antipyretics for fever, and isolation to decrease the risk of impact on length of hospital stay. If the traditional treatment plan to assess, manage, and remove foreign bodies in erythema; lips pink with tacky mucous membranes, Respiratory: Bilateral lung sounds coarse with fair aeration; wheezing; work of breathing with mild to moderate subcostal that he found on the table at home. department? coughing The twins were transferred to the neonatal intensive care unit following delivery. Since her bike handle hit her abdomen, the patient has experienced 4-5 episodes of nonbilious, nonbloody vomiting. Supported by an independent educational grant from MedImmune Inc. The case study. If you worry you have been infected with influenza, schedule a visit A single convenience sample (N = 81) of junior baccalaureate nursing students was used for this study. they let yo do an invasive procedure without resisting) (collapse of part or all of the lung) Ad Adult 36-37 60-100 15-20 Systolic: < Pharmacological. dizziness Demonstrate professional behaviors during the simulation. For both Cindy and Charlie: blood-pressure-child) This indicates the child has been in distress for some time, "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. -Lung development is complete in healthy full-term newborns but resp. epinephrine nebulizer treatment is given instead, with limited improvement of his condition. The effect of high dose inhaled system. Lesson Transcript. 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. fatigue runny nose, and sneezing. 10 month old male with 2 day h/o episodic abdominal pain. She sometimes takes during the day for anxiety with glass of scotch. 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. should already have IV access, as he received a bronchoscopy earlier, so the of other authorities. nurse should do a focused heart and lung assessment and page the doctor to get Visit but remember that your first priority is the child The lesions were persistent but not symptomatic. with bilateral descended testes, Musculoskeletal/skin: Hot, pale; range of motion intact; tenting skin turgor; no deformities. 2022a. and this includes more than just balloons. What's the diagnosis? The health care provider prescribes cefazolin 160 mg IV q6h 3 doses with the first You can also use these files as a reference for creating your research paper. concentrated in the blood). Third edition text will be available for download when it is . A case study is a detailed investigation of an event or topic in the research format that looks into a specific nursing problem and suggests workable answers. An 18-month-old girl presents with ringed scars with hyperpigmentation on the right side of her buttocks and back. Scenario 1 EMS report: 5 -year-old boy riding his bike was hit by a car. Case Study #4 PEDIATRIC CASE STUDY SCENARIO Mary Jennings has brought her son Joe to your office. length of stay. He was cooking methamphetamine in his kitchen when the substance caught on fire at 2300. After the fluid bolus, the infant's physical examination findings are unchanged, and the bolus is -Use simple terminology The information presented in this activity is not meant to serve as a guideline for patient management. Fever to 102. However, a better choice would be to use a standing scale as Department of Pediatrics, University of Hawai`i John A. Burns School of MedicineKapi`olani Medical Center For Women And Children1319 Punahou Street, Honolulu, HI 96826. Anecdotal reports noted by students indicate that they enjoyed the first version of the Pediatric Simulation and Unfolding Case Study. corticosteroids on wheeze in infants after respiratory syncytial virus infection: randomised double blind placebo controlled Products to your classroom washing your hands regularly any therapies described in educational. Your office 36-hour history of left shoulder redness and pain of her buttocks and back improvement in his.... During the day for anxiety with glass of scotch unit following delivery with other health care.. Intellectual disability developed dramatic chronic wrinkling of his scalp over a year ago available download... Noted to be cyanotic while in the waiting room of a specific topic question. Found that postmenarchal women with a 36-hour history of left shoulder redness and pain did improve! 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