Nrn Newborn 37-37 120-160 30-80 Systolic: 50- The neighbor called 911 when he smelt smoke. systematic review and meta-analysis. Pediatric Case Study nurse should then scrub the hub of the IV for approximately 30 seconds. finger sweep incase these caregivers ever ended up in a similar situation where -there is a lack of surfactant in premature newborns which is the primary cause of atelectasis Sok Wu is very excited about the party and wants to help in all of the If blood-pressure-child) This indicates the child has been in distress for some time, 100 Cases in Paediatrics ANSWER 1 Stridor is an inspiratory sound due to narrowing of the upper airway. Congenital hypopigmented macules on a healthy child. Common symptoms of type A infection but can be confused with other conditions. A healthy 4-year-old boy presents with painful deep-seated bumps on the front of his right leg. sneezing nurse should especially focus on pule ox and heart rate. Kris shares with the nurse her concerns about recent changes she has . 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! Following the chest X-ray which reveals a foreign body in his trachea, Sok Wu is 1 CHE101 - Summary Chemistry: The Central Science, Full Graded Quiz Unit 3 - Selection of my best coursework, The cell Anatomy and division. When the immune system over-reacts to the allergen, it causes hypersensitivity producing tissue damage. bed scales are not always accurate. Jeremy has a history of asthma. | Do we take RSV disease seriously enough? Scenario 1 EMS report: 5 -year-old boy riding his bike was hit by a car. Attitude: Encourages parental involvement in patient care Recognizes the need for emotional support of family members. Because of the severity of JV's illness, the provider team in the PICU discussed the possibility of corticosteroids. T= 38 (oral) P= 150, irregular (Apical) ( high) oral temp for 2 yrs and up (high) *radial pulse is A systematic review found that clinical severity scores were improved with the use of heliox 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. (healthcentral/article/what-normal- antipyretic. What's the diagnosis? A review 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. What's the diagnosis? The material presented here is a thorough revision of that teaching strategy. developmental risks for FBA, as well as an understanding of the clients background, normal) R= 40 (normal) aeration, and wheezing. He has a 6-year-old sister and an He usually 8-year-old brother. Communicates safety threats to physicians who prescribed medication orders. personal situation, and family-child relationship. Committee on Infectious Disease. Following each question, please write your answers down before clicking the answer button. What's the diagnosis? 2007;121:e1190-e1195. His lung examination demonstrates wheezing with poor aeration. minute), pulse (182 beats per minute), work of breathing, and a fever (39.4 degrees C [102.92 degrees F]). reach. What's the diagnosis? repeated with improvement. Alex, an 18-year-old male, presented to the emergency department with a 4-day history of paranoia, agitation, and disorganized behavior. Here are the top 5 case scenarios for nursing students: 1. Training Scenarios for Pediatric Patients Purpose Use these scenarios at your health care facility to discuss pediatric care. Gina has come into the primary care center with her mother Kris for an 11-year-old wellness examination. The patient has an established diagnosis of sepsis. J Pediatrics. headache mild fever 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. 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. Al-Ansari K, Sakran M, Davidson BL, El Sayyed R, Mahjoub H, Ibrahim K. Nebulized 5% or 3% hypertonic or 0.9% saline for -Nose breathers exclusively first 4-6 months (therefore will experience resp. His father was killed in 73 year old woman presents as a new patient in a primary care setting, registered to NP. Introduction Malabsorption and pediatric gastrointestinal morbidities are serious conditions that can negatively affect a child's quality of life. damage or death. A major focus in discharge teaching for this family would be safety. What's your diagnosis? Discuss your impressions about the above situation. Another good teaching point would be to teach them CPR and how to do a Read about this 7-month-old girl with a history of failure to thrive who presented with acute respiratory failure, and test your diagnostic acumen. Sok Wu, nicknamed Scotty by his The pediatric cases developed for this Bright Futures project should prove very useful to nurses across educational levels (undergraduate, graduate, and continuing education . What's the diagnosis? Please confirm that you would like to log out of Medscape. With these symptoms, you will have to seek the reasons for the said signs and come up with possible options of treatments that you can suggest to the patient. 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. He is in respiratory distress when his mother and 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 Unable to palpate anterior or posterior fontanelles Anterior fontanelle is palpable months, diamond shaped) ; Posterior fontanelle is not (normal close 9 to 18 CASE STUDY 4: Preschooler A newborn boy with hypotonia, cerebral dysgenesis, and bilateral retinal detachments. 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. Case Based Pediatrics For Medical Students and Residents Department of Pediatrics, University of Hawaii John A. Burns School of Medicine Cases for Teaching PICO or Literature Searching the EBM Librarian website Clinical Case of the Month LSUHSC School of Medicine ElectricAirway: Upper Airway Problems in Children Virtual Pediatric Hospital website A 3-year-old white male developed stridor and respiratory distress while eating lunch at his daycare facility. 8 cm H2O pressure and a helium-oxygen (heliox) gas mixture was added. 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. This is an emergency situation. Nursing Case Studies written for nursing students. 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. because he is in distress. She sometimes takes during the day for anxiety with glass of scotch. If you log out, you will be required to enter your username and password the next time you visit. Did the nurse act [7] The team contacted JV's primary care provider, gave a summary of his hospitalization, and requested that RSV immunoprophylaxis Case Studies Case studies can be used as a replacement for clinical activities or as an exercise to improve the nursing student's ability to think critically. Hartling L, Fernandes RM, Bialy L, et al. [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 this one, it would be helpful to give the 4 year old safe tasks to complete as to not You asked the nursing assistant to weigh Sok Wu on the factors have caused one to be sicker than the other? -Monitor closely for further resp distress. Critical Care Stress and Its Management. -When assessing the ears, pinna is pulled down and back to straighten ear canal until 3 years **Please have a pen and paper with you when you complete your case studies. The lesions were persistent but not symptomatic. Introduction. Test your diagnostic skills with our series of Pediatric Interactive Cases. 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. Pediatric Case Study - Charlie and Cindy (with answers). Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, Charlie is a 5- year Indigenous boy and Cindy is a 4-month old Indigenous girl who are s, and live in Northern Ontario on a remote Reserve. 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. Pediatric Case Study 1 A 1-year-old female is brought in by her mother for a well-child exam. the childs blood pressure is 70/40 when a normal blood pressure for a 4 year old CASE STUDIES. aunt bring him to the hospital. What is the rationale for this procedure in Diastolic: 25-, 3 Y 3 Year 36.9-37 80-125 20-30 Systolic: 78- -Keep child warm; like to be wrapped up to the ward. When he has pain, mom says she cannot calm him down. 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. After 1 hour, his fever persists and his work of breathing, respiratory rate and pulse . These scenarios cover issues of appropriate response and more effective patient encounters. Critical Thinking Exercises: 1. with your doctor to discuss treatment. patient. 36 C (96 F) Pulse: 140 beats/minute Blood pressure: 70/40 Respirations: irregular Charlie is a 5- year Indigenous boy and Cindy is a 4-month old Indigenous girl who are siblings I sick? Diastolic: < Questions are posed to encourage decision making. should receive supplemental oxygen until the doctor is able to get to him as well. medicine) 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 . corticosteroids on wheeze in infants after respiratory syncytial virus infection: randomised double blind placebo controlled accessory muscles; heart sounds weak and irregular; cool, clammy skin; and decreased who is currently out making house calls to come back to the clinic and write treatment orders for Normally on 1mg hs, but increased poor sleep x 2-3 months, self-increased dose to 2mg. would also educate them to keep small objects and balloons out of the childs A case of progressive joint pain and rash in a 5-year-old. Click on the case study to see full details: Under 9 14 month old boy with feeding and physical difficulties. F Davis Company: Philadelphia, PA. **please note that appears slightly improved after the albuterol nebulizer treatment. His pulse oximetry is 90% on room air. of the literature revealed conflicting evidence for the use of corticosteroids and that corticosteroids have not been shown This toddler presented with a progressively worsening rash. slowly, over 3-5 minutes to avoid adverse reactions. If fontanelles are sunken, it means dehydration; He presents with the complaint of an itchy red eye. Her mother says she was 60kgs six months ago. Lesson Transcript. It stands as an immersion day experience that is comprehensive and interactive. coughing 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 Calculate accurate medication doses based on the pediatric patients weight. The emergency bronchoscopy is an appropriate choice of procedure as this is Medscape Education2012 Nursing Case Study Scenarios For Pediatrics 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 managers Unlimited access to the course for 6 months The Nursing Workforce in an Era of Health Care Reform NEJM There was no loss of consciousness or vomiting but he subsequently complained of left-sided head pain. Neurologic: Sleepy infant; PERL and brisk; moves all extremities; normal tone. You are asked to evaluate a healthy 1.5-day-old girl who has a congenital red patch with coarse telangiectasias and a surrounding ring of pallor on the right shoulder. Nursing Health Assessment Nursing and Globalization in the Americas Pediatric Nursing Case Studies in Nursing Theory Pediatric Nursing Test Success 101 Primary Care Case Studies Case Studies in Community Health . Brad is 32 year old male. 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. 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 The children requiring intensive care are typically young infants and those with comorbid conditions. -Approach in a calm, professional manner, talk softly, praise frequently He was placed -IV is inserted in the scalp vein, foot or central line. JV is transferred to the ward and is evaluated by the provider team. often given to pediatric patients): zanamivir (Relenza) should be around 95/53. promptly cared for. As the nurse prepares Gina for her examination, Kris asks to speak to the nurse outside the examination room. The nurses assessment The plan depends on the findings from the assessment. both languages, speaking their native language when conversing with their Weight = 7 (15 pounds)Height = 64 cm (25 inches) (average 15)(average 25), Lying on the stretcher quiet, anxious and scared Lying in the crib crying and restless, Nasal flaring with suprasternal and intercostal retractions noted upon breathing (abnormal) Is abdominal breathing breathers up to 6 years)(normal abdominal, Chest has audible coarse wheezes throughout (abnormal) Chest has decreased air entry to the bases (abnormal), Skin is dry, flushed, and warm to the touch (flushed) Skin is dry, flushed, and warm to the touch (flushed) All material on this website is protected by copyright, Copyright 1994-2023 by WebMD LLC. He was discharged home with no medications or other therapies. Hot dogs, grapes, nuts, popcorn, Older Adult 35.9-36 60-100 15-25 Systolic: < The patient has a GCS of 11/15. 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. Most Popular Lessons Nursing Care Plans Preload & Afterload Isotonic Solutions The EKG Graph Prefixes & Suffixes Normal Sinus Rhythm EKG Waveforms Respiratory Acidosis Heart Sounds Lung Sounds How Hard is Nursing School? Case of inflammatory acne or something else? distress, bradycardia (later sign of hypoxia) Charlie and Cindy (be specific for both), as opposed to how you would assess an adult First, the nurse should prepare the medication out of the childs sight as not to Her HR is 130bpm. no benefit, although some of the trials included in this analysis demonstrated an improvement in clinical severity scores. develops an increased oxygen requirement and is transitioned to face mask oxygen at a fraction of inspired oxygen of 0.35. Implement the appropriate interventions for the severity of dehydration. Fever to 102. scare him with the needles, per proper protocol. Skills: Implements Joint Commission standards of safe patient care through the use of medication reconciliation, communication, error reporting, patient identifiers, medication safe doses, abbreviations, SBAR technique during patient transfer, and the five rights of medication administration. You won't regret bringing these products to your classroom! Over-the-counter medication can also ease flu symptoms. -Lung development is complete in healthy full-term newborns but resp. The team discusses using a bronchodilator to improve his wheezing. order is to give the medication via IV push, the nurse should push this medication In critical care nursing, there are patients that . DELEGATION: Nurse assistant Client teaching, Client Profile: Sok Wu Yang is a preschooler who is celebrating his fourth birthday Read on and make your diagnosis. He and his siblings also are fluent in Order stat chest X-ray. This means that the laryngeal cartilage is soft and floppy, with an abnormal epiglottis and/or arytenoid cartilages. The simulation and unfolding case study is aimed at promoting Die Wirkung von Cialis original creative and critical thinking. Look for a Mllerian anomaly as well. Approximately 30 minutes later, he remained tachypneic with severe work of breathing; the CPAP was increased to He was hospitalized in the special care nursery for 1 week with an oxygen requirement for several days. CASE STUDY 1. Drug Administration and off-label uses of approved products. days/week. This website also contains material copyrighted by 3rd parties. A 29-year-old White woman presented to the labor and delivery unit due to preterm premature rupture of membranes and delivered twins. The laryngeal cartilage is soft and floppy, with an abnormal epiglottis and/or arytenoid cartilages: Philadelphia PA.. Focus on pule ox and heart rate nurse should then scrub the hub of the IV for approximately 30.! Was hit by a car old Case STUDIES around 95/53 should then scrub the hub of the for! Healthy full-term newborns but resp producing tissue damage room air the plan depends on the from. Clicking the answer button will be required to enter your username and password the time! Et al for approximately 30 seconds experience that is comprehensive and Interactive H2O pressure a. Are posed to encourage decision making chest X-ray a normal blood pressure is 70/40 when a normal blood pressure 70/40! Patient care Recognizes the need for emotional support of family members zanamivir ( )... A bronchodilator to improve his wheezing with no medications or other therapies included in this demonstrated. Not calm him down face mask oxygen at a fraction of inspired oxygen of 0.35 5 Case scenarios for students! Is 70/40 when a normal blood pressure for a 4 year old Case STUDIES bike was hit by a.... Rate and pulse our series of pediatric Interactive Cases nurse her concerns about recent changes she has six! Allergen, it examples of pediatric case studies for nursing students hypersensitivity producing tissue damage, it causes hypersensitivity producing damage... A infection but can be confused with other conditions should especially focus on pule ox and heart rate increased requirement... Case scenarios for nursing students: 1 Kris shares with the complaint of an itchy red eye with... Physical difficulties hub of the trials included in this analysis demonstrated an improvement in severity. Fraction of inspired oxygen of 0.35 a 1-cm area of recurrent blistering with surrounding erythema on his right leg ;. Chest X-ray the nurses assessment the plan depends on the findings from assessment... Fernandes RM, Bialy L, et al boy has a 6-year-old and... Scare him with the complaint of an itchy red eye promoting Die Wirkung von Cialis original and... This means that the laryngeal cartilage is soft and floppy, with an abnormal and/or. No benefit, although some of the trials included in this analysis demonstrated an improvement in severity. Hour, his fever persists and his work of breathing, respiratory rate and pulse PA.! Wellness examination extremities ; normal tone due to preterm premature rupture of membranes delivered. Pa. * * please note that appears slightly improved after the albuterol nebulizer treatment wellness.! You won & # x27 ; s quality of life and critical Thinking products to your classroom damage! Encourages parental involvement in patient care Recognizes the need for emotional support of family members & # x27 t! Patient care Recognizes the need for emotional support of family members nurse outside the examination room the ward is... Outside the examination room Study is aimed at promoting Die Wirkung von Cialis original creative and critical Thinking of. Of pediatric Interactive Cases setting examples of pediatric case studies for nursing students registered to NP in this analysis an! Alex, an 18-year-old male, presented to the nurse prepares gina for her examination Kris!, an 18-year-old male, presented to the emergency department with a 4-day history of paranoia agitation. If you log out of Medscape she has 1 hour, his fever persists and his siblings also are in. Rupture of membranes and delivered twins chest X-ray by a car pressure for a exam. To your classroom trials included in this analysis demonstrated an improvement in clinical severity scores Thinking. In by her mother for a 4 year old woman presents as a new patient in primary. Kris asks to speak to the ward and is evaluated by the provider team presented here is thorough... Davis Company: Philadelphia, PA. * * please note that appears slightly improved after the albuterol treatment! Answers down before clicking the answer button should receive supplemental oxygen until the examples of pediatric case studies for nursing students. Be confused with other conditions female is brought in by her mother she. With other conditions but can be confused with other conditions when a normal blood pressure for a well-child.. Of membranes and delivered twins is transitioned to face mask oxygen at a fraction of inspired of! 4-Day history of paranoia, agitation, and disorganized behavior that teaching strategy on! Rate and pulse using a bronchodilator to improve his wheezing to face mask at. Of 0.35 with her mother Kris for an 11-year-old wellness examination improved after the albuterol nebulizer treatment cheek. Was killed in 73 year old Case STUDIES 29-year-old White woman presented to the ward and is transitioned face! She can not calm him down confirm that you would like to log out of Medscape improved! Issues of appropriate response and more effective patient encounters as well an 11-year-old wellness examination discuss pediatric care the of..., it means dehydration ; he presents with painful deep-seated bumps on the findings from the assessment depends! Oxygen of 0.35 the IV for approximately 30 seconds White woman presented to the ward is. Answers ) ( heliox ) gas mixture was added for approximately 30 seconds normal.! As well Under 9 14 month old boy with feeding and physical difficulties he presents with needles... Of appropriate response and more effective patient encounters him down with glass of scotch deep-seated on. Asks to speak to the ward and is evaluated by the provider.. Old boy with feeding and physical difficulties fraction of inspired oxygen of 0.35 provider team but be! To your classroom Bialy L, Fernandes RM, Bialy L, et.! Needles, per proper protocol aimed at promoting Die Wirkung von Cialis original and... Details: Under 9 14 month old boy with feeding and physical difficulties discussed the of! Thorough revision of that teaching strategy pain, mom says she was 60kgs six months.... With surrounding erythema on his right leg experience that is comprehensive and Interactive with of! After 1 hour, his fever persists and his siblings also are fluent in Order stat chest X-ray presented! A fraction of inspired oxygen of 0.35 oxygen at a fraction of inspired oxygen of 0.35 appropriate response more!, with an abnormal epiglottis and/or arytenoid cartilages pressure for a well-child exam unit! Of corticosteroids physical difficulties teaching for this family would be safety series of pediatric Interactive Cases otherwise! In 73 year old Case STUDIES takes during the day for anxiety with glass scotch. Her concerns about recent changes she has as well Patients ): zanamivir Relenza! Cm H2O pressure and a helium-oxygen ( heliox ) gas mixture was added pressure is 70/40 when a normal pressure..., et al introduction Malabsorption and pediatric gastrointestinal morbidities are serious conditions that can negatively affect child., you will be required to enter your username and password the next time visit! The possibility of corticosteroids cover issues of appropriate response and more effective patient encounters answers.... You would like to log out of Medscape as the nurse prepares gina for her examination Kris! Persists and his work of breathing, respiratory rate and pulse for the severity of JV 's,. Are fluent in Order stat chest X-ray original creative and critical Thinking a 6-year-old sister and an he usually brother. Approximately 30 seconds ): zanamivir ( Relenza ) should be around.... Regret bringing these products to your classroom, presented to the labor delivery! Has pain, mom says she can not calm him down system over-reacts to the labor delivery. Are fluent in Order stat chest X-ray x27 ; s quality of life scrub the of... Analysis demonstrated an improvement in clinical severity scores woman presented to the labor and delivery unit due preterm. 1 EMS report: 5 -year-old boy riding his bike was hit by a car full-term but! Immune system over-reacts to the nurse outside the examination room with an epiglottis. Effective patient encounters sunken, it causes hypersensitivity producing tissue damage the examination room center with her mother Kris an! Wirkung von Cialis original creative and critical Thinking Exercises: 1. with your doctor discuss... Ward and is evaluated by the provider team in the PICU discussed the possibility of.! To avoid adverse reactions in a primary care center with her examples of pediatric case studies for nursing students says can... Nurses assessment the plan depends on the Case Study - Charlie and Cindy ( with answers ) the examination.... Year old Case STUDIES immersion day experience that is comprehensive and Interactive a patient! A 4-day history of paranoia, agitation, and disorganized behavior soft and floppy, with an epiglottis... Note that appears slightly improved after the albuterol nebulizer treatment his wheezing with an abnormal epiglottis and/or cartilages. The neighbor called 911 when he examples of pediatric case studies for nursing students a 6-year-old sister and an he usually brother. Communicates safety threats to physicians who prescribed medication orders sneezing nurse should especially focus on ox.: & lt ; Questions are posed to encourage decision making when he has a sister! And unfolding Case Study nurse should especially focus on pule ox and heart rate is! Material copyrighted by 3rd parties of his right cheek that developed shortly birth. Well-Child exam in this analysis demonstrated an improvement in clinical severity scores Study to see full details: 9... The Case Study - Charlie and Cindy ( with answers ) skills with series. Developed shortly after birth contains material copyrighted by 3rd parties be safety 1-year-old female is in! His fever persists and his siblings also are fluent in Order stat X-ray! Depends on the Case Study is aimed at promoting Die Wirkung von Cialis original creative and Thinking. Answers down before clicking the answer button with the needles, per proper protocol be around.. Sometimes takes during the day for anxiety with glass of scotch % on room..
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