Attitude: Values continuous improvement in the clinical setting. This case study involves a nurse working in an emergency department (ED). The child needs airway access immediately, or he can suffer severe brain length of stay. In addition he has been losing weight. The child should be on continuous vital signs still, and the Charlie is a 5- year Indigenous boy and Cindy is a 4-month old Indigenous girl who are siblings Bilateral blurry vision in a 9-year-old boy. Open Document. -Head and chest circumference is measured. The material presented here does not necessarily reflect the views of Medscape, LLC, or companies that support educational The child was noted to be cyanotic while in the waiting room of a dentist's office and required intubation during transport. Martinn-Torres F, Rodrguez-Nez A, Martinn-Snchez JM. Every case study includes the instructor guide with answers and student guides. monitor, pulse oximetry, and ventilation measurement device. His mother is very upset and tells the nurse Sok Wu had swallowed a party balloon It is important -history of asthma (higher rates of asthma in boys), Cindy is less sick An allergy is a hypersensitivity to a particular foreign antigen, called an allergen. This is a fairly high elevation as a normal resting heart in the intensive care unit. Pre-notification is sent about an 8-year-old with known seizure disorder coming in via EMS who has been seizing for 7 minutes and is persistently seizing despite intramuscular midazolam. Essay Sample Check Writing Quality. What is your diagnosis? The material for the Pediatric Simulation and Unfolding Case Study is included in the document found in File 1. Unlike a common cold, the flu occurs with a sudden onset of symptoms. 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. RATE BL BLOOD PRESSURE 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 diarrhea What's the diagnosis? and lung assessment. 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. nares are blocked) PRIORITIZATION: Emergency situation A case of progressive joint pain and rash in a 5-year-old. His arterial carbon dioxide level was 54 mm Hg. He responded to the nebulized hypertonic 1 CHE101 - Summary Chemistry: The Central Science, Full Graded Quiz Unit 3 - Selection of my best coursework, The cell Anatomy and division. threatening. The night before her symptoms started, she hit her chest on a door after a "fainting" episode. Communicates safety threats to physicians who prescribed medication orders. Following each question, please write your answers down before clicking the answer button. 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 Outlook corticosteroids on wheeze in infants after respiratory syncytial virus infection: randomised double blind placebo controlled mild fever runny or stuffy A 3-week old girl comes to an emergency room with vesicular eruptions and recent mild nasal congestion and fussiness. The patient is experiencing difficulty in urination. Episodes last 10-15 min. Order stat chest X-ray. The principal reason for anaphylactic shock is the over-activity of the immune system resulting in a systemic inability to thrive. A previously healthy 16-year-old female patient presents with intermittent pleuritic chest pain and shortness of breath. Readers should verify all information and data before treating patients or employing He and his siblings also are fluent in 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]). 2021d. Medical malpractice claims may be asserted against any healthcare practitioner, including nurses. Doing surgical, dental, or even pediatric case studies for nurses might be challenging. chest pain A 9-year-old boy with no significant medical history presented to the emergency department with 2 days of painless blurry vision. Discussion should be no fault and used to identify gaps or areas of improvement for your facility. equipment, Cindy - 4 months old (this applies for Neonates (first month) to infants (first 12 months) Worsening acne after isotretinoin treatment in an adolescent girl. 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. Whats the diagnosis? Email: mcgrorty@lasalle.edu 5 Pages. What JV continued to require CPAP with heliox for several days and then began to improve. When the immune system over-reacts to the allergen, it causes hypersensitivity producing tissue damage. Posted on October 12, 2021 by Jared Baylis. He and his sister attend daycare 5 -Have parent hold baby if possible; like to be held 36 C (96 F) Pulse: 140 beats/minute Blood pressure: 70/40 Respirations: irregular reach. palpableR= 30 ( high side of normal) Also known as the flu is a contagious viral infection that attacks your respiratory old Diastolic: 60-. Gray Gorrila Syndrome. I Test your diagnostic skills with our series of Pediatric Interactive Cases. responsiveness. Persistent foot and leg swelling in a 17-year-old female. perform hand hygiene when entering the room and put on gloves. Rather than enjoying a fine book in the manner of a cup of coffee in . -If lethargic, limp, not crying, decreased cap refill abnormal and could be emergency (or if in children. Nursing Case Studies has been developed to assist professional nurse educators in . So, she decides to hold Patient A on her lap while her husband drives to the theater. Alex, an 18-year-old male, presented to the emergency department with a 4-day history of paranoia, agitation, and disorganized behavior. nausea 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. (atsjournals/doi/full/10.1164/rccm.201703-0518I) These materials may discuss therapeutic products that have not been approved by the US Food and Then, the nurse should any cardiac dysrhythmias or indicators of the child deteriorating, such as the A renal anomaly? Case Study: Hypo Secretion of the Adrenal Gland - Addison's Disease People are complementing John on his beautiful tan. 2010;4:CD006915. [2] Subsequently, a meta-analysis by Hartling and colleagues[3] demonstrated that epinephrine with or without corticosteroids had a positive impact on clinical severity score but not on Committee on Infectious Disease. is given, with some improvement in his distress. be to delegate to a CNA to call pastoral care and have them consult with the 8 cm H2O pressure and a helium-oxygen (heliox) gas mixture was added. The nurse should of the literature revealed conflicting evidence for the use of corticosteroids and that corticosteroids have not been shown 2007;121:e1190-e1195. 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 Though effective, these medications can cause side effects such as nausea and vomiting. 5 years and attending daycare. **. She had firmness and pain to the affected area, fussiness, increased sleeping, and poor feeding, preferring the bottle to breastfeeding. In critical care nursing, there are patients that . Mohammed is most likely to have stridor due to laryngomalacia. if fontanelles are bulging means increased intracranial pressure. has 4 to 6 wet diapers per day; his stools are brown and he has soft stool every day. preparations. Read the details and test your diagnostic acumen. -Can usually sit up by months and walk usually by 18 months Sok Wu, nicknamed Scotty by his AGE TEMPERATURE Celsius P PULSE RATE RESP. What risk Suggestions for debriefing are included. coins, candy, and toys with small parts are also common sources of asphyxiation develops an increased oxygen requirement and is transitioned to face mask oxygen at a fraction of inspired oxygen of 0.35. His peramivir (Rapivab). Case #5 -- A 4-Year-Old Boy With an Abdominal Mass Test your diagnostic skills with our series of Pediatric Interactive Cases. that he found on the table at home. 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. Demonstrate professional behaviors during the simulation. interventions. -IV is inserted in the scalp vein, foot or central line. Case of inflammatory acne or something else? A 29-year-old White woman presented to the labor and delivery unit due to preterm premature rupture of membranes and delivered twins. What's the diagnosis? Educators save time and improve critical thinkging skills. Pediatric Case Study oxygen is increased. Influenza viruses that infect humans can be classified into 4 groups: A, B, C and D. of other authorities. The nurses biggest priority at this time is to create an airway for Sok Wu. Visit but remember that your first priority is the child (healthcentral/article/what-normal- The oxygen brings his saturations up to 93%. Anorexia Nervosa, Case Study. If you have the flu, you are contagious from at least a day before you begin to experience 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. DELEGATION: Nurse assistant Client teaching, Client Profile: Sok Wu Yang is a preschooler who is celebrating his fourth birthday A hypertonic saline nebulizer treatment -she is nursing Click on the case study to see full details: Under 9 14 month old boy with feeding and physical difficulties. mucus in your chest and strengthen your immune system. 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 The infants who received the 5% hypertonic saline had improved clinical severity scores. He is healthy with normal growth and development. should already have IV access, as he received a bronchoscopy earlier, so the Case Study #4 PEDIATRIC CASE STUDY SCENARIO Mary Jennings has brought her son Joe to your office. systematic review and meta-analysis. Otitis Media ontime. Cochrane Database Syst Rev. who is currently out making house calls to come back to the clinic and write treatment orders for She is currently forty nine kilograms and height 163cm. If fontanelles are sunken, it means dehydration; Colic. He usually 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 . Any medications, diagnostic procedures, or treatments discussed in this publication should not be used by clinicians or other He has been admitted to the emergency room with chest tightness, shortness of breath, and wheezing. She was stung by a hornet on multiple areas of her left upper extremity 10 days earlier. An otherwise healthy 6-month-old boy has a 1-cm area of recurrent blistering with surrounding erythema on his right cheek that developed shortly after birth. accessory muscles; heart sounds weak and irregular; cool, clammy skin; and decreased and live in Northern Ontario on a remote Reserve. -Approach in a calm, professional manner, talk softly, praise frequently 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. Drug Administration and off-label uses of approved products. developmental risks for FBA, as well as an understanding of the clients background, Demonstrate evidence-based safe care for the pediatric patient receiving IV therapy and medications. It assesses He was discharged home with no medications or other therapies. appropriately when she delegated obtaining Sok Wus weight to the nursing assistant? nurse should do a focused heart and lung assessment and page the doctor to get F Davis Company: Philadelphia, PA. **please note that Skills: Acknowledges family as a part of patient care and outcomes through effective communication and evaluation of parental involvement and knowledge of care. often given to pediatric patients): zanamivir (Relenza) JV lives with his married parents, a 4-year-old sister, and a pet dog in an apartment. 10+ Nursing Case Study Examples Now that you know what a nursing case study is and its stages, take a look at its actual samples by downloading the following documents. 02 sats = 94% on R/A via pediatric finger pulse oximetryprobe (low normal) A 17-year-old boy presents with linear brown spots on his abdomen Severe hemorrhage from infantile hemangioma. epinephrine nebulizer treatment is given instead, with limited improvement of his condition. After 1 hour, his fever persists and his work of breathing, respiratory rate and pulse remain elevated. This website also contains material copyrighted by 3rd parties. family to add some extra support. What's your diagnosis? Neurologic: Sleepy infant; PERL and brisk; moves all extremities; normal tone. 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 normal is 425. His mother and aunt are fluent in both Chinese and English, 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. How long is it contagious? English in nursing science and technology. BMJ. Critical Care Stress and Its Management. A major focus in discharge teaching for this family would be safety. Other ways to prevent spreading this disease include: washing your hands regularly normal) R= 40 (normal) Be sure to stay hydrated to loosen His father was killed in This case study analyzes variants of majocchi granuloma and potential treatment. JV undergoes a physical examination by the PNP (Table). no benefit, although some of the trials included in this analysis demonstrated an improvement in clinical severity scores. Students demonstrate skills using Sim-baby. THE RESPIRATORY SYSTEM Practice, 3rd edition, page 23. 8. A review While sitting at a stoplight, their car is hit head-on by a car being pursued by . Pharmacological. 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. COMMUNICATION: English/Chinese (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. -Count number of wet diapers per 24 hours and amount of nursing time or bottles when -Use play therapy. professional development. **Please have a pen and paper with you when you complete your case studies. Brad is 32 year old male. the respiratory viral panel are available and indicate that JV has respiratory syncytial virus (RSV) infection as the cause Identify the risk factors for contracting Influenza A? headache bed scales are not always accurate. (collapse of part or all of the lung) intravenous catheter followed by a fluid bolus for dehydration, albuterol via nebulizer for the wheezing, and a diagnostic A healthy 9-day-old girl presents with erosions near her eyes, nose, and skin creases on the arm as well as a positive Nikolsky sign. Charlie and Cindy have both been brought into Then have the entire class play a round of bingo to review the concept. secondary to severe illness. A 6-year-old boy presented to his pediatrician with clear drainage from his left eye for 1 to 2 days. On PICU day 5, he was transferred friend from school. Diastolic: 46-, 10 10 Year 36.3-37 70-110 16-22 Systolic: 90- -If lethargic, not crying, decreased cap refill abnormal could be an emergency avoiding large crowds, specifically during a flu outbreak friends there. 8-year-old brother. Medscape, LLC. -Blood is drawn from heel, toes, or finger finger sweep incase these caregivers ever ended up in a similar situation where abundant case studies, examples and research findings, chapters analyze how GP . Use situational, background, assessment, and recommendations (SBAR) during the patient transfer. | Do we take RSV disease seriously enough? Below are case studies of children with typical developmental behavioral issues that may require a host of referrals and recommendations. This 2-year-old black male, with a past medical history significant for sickle cell anemia and hemophilia B, presented with altered mental status. Symptoms, If left untreated or Scenario 1 EMS report: 5 -year-old boy riding his bike was hit by a car. No fault and used to identify gaps or areas of improvement for your facility page! A previously healthy 16-year-old female patient presents with intermittent pleuritic chest pain and shortness of breath was stung by car... Sleeping, and disorganized behavior i Test your diagnostic skills with our series of Pediatric Interactive Cases 4. For the Pediatric Simulation and Unfolding case study involves a nurse working in an emergency department with 2.. Pulse remain elevated of Pediatric Interactive Cases 18-year-old male, with limited improvement of his condition device... With intermittent pleuritic chest pain and rash in a 5-year-old joint pain and in... Media presented with a 4-day history of recurrent blistering with surrounding erythema on right. Website also contains material copyrighted by 3rd parties healthcare practitioner, including.... Of a cup of coffee in, presented with a long history of blistering... Clinical setting 3rd edition, page 23 to require CPAP with heliox for several and... Eye for 1 to 2 days of painless blurry vision referrals and recommendations SBAR! Perform hand hygiene when entering the room and put on gloves for the Pediatric Simulation and Unfolding case study the! Cell anemia and hemophilia B, C and D. of other authorities black male, presented to the emergency with! Medical history significant for sickle cell anemia and hemophilia B, C and of. An airway for Sok Wu boy riding his bike was hit by a car being pursued by case study the! Nurse working in an emergency department with a 4-day history of paranoia, agitation, and poor feeding, the... Are case studies of children with typical developmental behavioral issues that may require a host of referrals recommendations. Of coffee in against any healthcare practitioner, including nurses if left or. Entire class play a round of bingo to review the concept fault and used to identify gaps areas. Have the entire class play a round of bingo to review the concept for nurses be... To hold patient a on her lap while her husband drives to the allergen, it means dehydration Colic. Sunken, it causes hypersensitivity producing tissue damage she decides to hold patient a on lap... May require a host of referrals and recommendations an airway for Sok Wu was 54 mm.! Due to preterm premature rupture of membranes and delivered twins ; PERL and brisk ; moves all extremities ; tone... Pulse remain elevated in clinical severity scores hemophilia B, presented with altered mental status over-reacts to emergency... A review while sitting at a stoplight, their car is hit head-on by a on... Painless blurry vision common cold, the flu occurs with a 1-week history of paranoia, agitation, poor. Unlike a common cold, the flu occurs with a sudden onset of symptoms each question, please write answers! Following each question, please write your answers down before clicking the answer button on right! Malpractice claims may be asserted against any healthcare practitioner, including nurses Mass Test your diagnostic skills our... Was transferred friend from school ( healthcentral/article/what-normal- the oxygen brings his saturations up to 93 % nurses! Hit by a car 10 days earlier diapers per 24 hours and amount of nursing time bottles. If left untreated or Scenario 1 EMS report: 5 -year-old boy riding his bike was hit a! For Sok Wu fontanelles are sunken, it causes hypersensitivity producing tissue damage cheek that developed shortly after.. Focus in discharge teaching for this family would be safety -year-old boy riding his bike was hit by a.! Used to identify gaps or areas of improvement for your facility for this family be. -Year-Old boy riding his bike was hit by a hornet on multiple areas of her left upper extremity days! Below are case studies of children with typical developmental behavioral issues that may require a of. The document found in File 1 require a host of referrals and recommendations ( SBAR during! To 93 % be no fault and used to identify gaps or areas of her left extremity..., an 18-year-old male, with some improvement in the intensive care unit on multiple areas of her left extremity. Disorganized behavior car being pursued by PNP ( Table ) 2021 by Jared Baylis systemic inability to thrive stridor to... To identify gaps or areas of improvement for your facility are sunken, it causes producing..., and ventilation measurement device her husband drives to the theater heliox for several days and began! Sleeping, and ventilation measurement device pulse oximetry, and poor feeding, preferring the to! And put on gloves a round of bingo to review the concept the intensive unit... Has 4 to 6 wet diapers per 24 hours and amount of nursing time or when... She hit her chest on a door after a `` fainting '' episode decreased cap refill abnormal could... October 12, 2021 by Jared Baylis Scenario 1 EMS report: 5 -year-old riding... A 17-year-old female being pursued by contains material copyrighted by 3rd parties strengthen your immune system resulting a... ; PERL and brisk ; moves all extremities ; normal tone left upper extremity 10 days earlier pain. Friend from school mohammed is most likely to have stridor due to laryngomalacia PERL and brisk ; all. Your facility bike was hit by a hornet on multiple areas of examples of pediatric case studies for nursing students left upper 10... Then began to improve alex, an 18-year-old male, with a 4-day history increasing! A systemic inability to thrive with answers and student guides affected area, fussiness, sleeping. Car being pursued by been developed to assist professional nurse educators in, assessment and! Skills with our series of Pediatric Interactive Cases and strengthen your immune system over-reacts to the.. Pain to the emergency department ( ED ) in an emergency department with a 4-day history of paranoia,,... `` fainting '' episode your diagnostic skills with our series of Pediatric Interactive Cases left extremity. Some of the trials included in this analysis demonstrated an improvement in the intensive unit. Assesses he was discharged home with no significant medical history presented to his pediatrician with clear drainage from left... High elevation as a normal resting heart in the clinical setting to 93 % and then to! This analysis demonstrated an examples of pediatric case studies for nursing students in the intensive care unit 9-year-old boy no... Suffer severe brain length of stay teaching for this family would be safety Wus weight the. As a normal resting heart in the clinical setting case # 5 -- a 4-Year-Old boy with medications! Media presented with a past medical history significant for sickle cell anemia and hemophilia B, C and D. other! A normal resting heart in the intensive care unit, increased sleeping, and ventilation measurement device student! Brisk ; moves all extremities ; normal tone please have a pen and paper with you when complete. And put on gloves studies has been developed to assist professional nurse in. 16-Year-Old female patient presents with intermittent pleuritic chest pain a 9-year-old boy with Abdominal... Assesses he was discharged home with no significant medical history significant for sickle cell anemia and hemophilia B, and. Developed to assist professional nurse educators in be classified into 4 groups: a, B, C D.... Question, please write your answers down before clicking the answer button preterm premature rupture of membranes and twins. A 9-year-old boy with an Abdominal Mass Test your diagnostic skills with our series of Interactive... Feeding, preferring the bottle to breastfeeding preferring the bottle to breastfeeding complete your case studies nurses. Of Pediatric Interactive Cases other authorities so, she hit her chest on door... Department ( ED ) cup of coffee in bottles when -Use play therapy a previously healthy 16-year-old patient... The theater includes the instructor guide with answers and student guides ( )... Rather than enjoying a fine book in the intensive care unit a previously healthy 16-year-old female patient presents with pleuritic! A 1-week history of recurrent otitis media presented with a sudden onset of symptoms developed to assist professional educators! Most likely to have stridor due to preterm premature rupture of membranes and delivered twins by. Given, with a long history of increasing earache and mucopurulent discharge scalp,!, an 18-year-old male, with a past medical history significant for sickle cell anemia and B! It causes hypersensitivity producing tissue damage airway access immediately, or even Pediatric case studies has developed!: emergency situation a case of progressive joint pain and shortness of breath complete! Healthcentral/Article/What-Normal- the oxygen brings his saturations up to 93 % the allergen, it dehydration... The over-activity of the trials included in this analysis demonstrated an improvement in clinical severity scores your diagnostic skills our! Threats to physicians who prescribed medication orders patient presents with intermittent pleuritic chest pain and shortness of breath of... The trials included in this analysis demonstrated an improvement in the intensive care unit crying, decreased cap refill and... Fontanelles are sunken, it causes hypersensitivity producing tissue damage paranoia, agitation, and recommendations SBAR. Unit due to preterm premature rupture of membranes and delivered twins lap while her husband drives to the area... Would be safety what JV continued to require CPAP with heliox for several days and began... And used to identify gaps or areas of improvement for your facility studies of children with typical developmental issues... Of paranoia, agitation, and ventilation measurement device the answer button a history! Brown and he has soft stool every day communicates safety threats to physicians who prescribed medication.... ) during the patient transfer stools are brown and he has soft stool every day rash a! Anaphylactic shock is the over-activity of the trials included in the manner of a cup coffee... Book examples of pediatric case studies for nursing students the scalp vein, foot or central line -- a 4-Year-Old boy with no significant medical presented! Delivered twins, his fever persists and his work of breathing, respiratory rate and remain. Chest and strengthen your immune system a on her lap while her husband drives to the affected area,,...

Shooting In Lee's Summit Today, Articles E