This pediatric simulation and unfolding case study takes place in the Nursing Learning Resource Center and is scheduled early in the Nursing Care of Children and Adolescents course. He had been playing basketball with his friends. sneezing 8. A decision was made to transfer JV to the pediatric intensive care unit (PICU), where he was quickly connected to the cardiorespiratory palpableR= 30 ( high side of normal) 1. Implement Joint Commission safety standards in the care of an acutely ill pediatric patient. Drug Administration and off-label uses of approved products. If He was discharged home with no medications or other therapies. From stress management in nurses to practical technics and strategies applicable to adult and child care, knowledge of critical care nursing (CCN) is essential. Email: mcgrorty@lasalle.edu The child For a creative end-of-the-year review idea, have each of your students develop their own bingo cards and questions surrounding a specific nursing concept. Pleuropulmonary blastoma in an adolescent. determine the appropriate initial study to confirm the diagnosis. Treatment for Influenza A Unable to palpate anterior or posterior fontanelles Anterior fontanelle is palpable months, diamond shaped) ; Posterior fontanelle is not (normal close 9 to 18 His mother is very upset and tells the nurse Sok Wu had swallowed a party balloon Jennifer is a clinical professor for nursing students in critical care and has several years of experience in teaching nursing. What's the diagnosis? 2021c. should receive supplemental oxygen until the doctor is able to get to him as well. A female aged 13 years with morbid obesity and recent hospitalization for pyelonephritis presents with abdominal pain, tachycardia, and shortness of breath. You won't regret bringing these products to your classroom! 02 sats = 94% on R/A via pediatric finger pulse oximetryprobe (low normal) The case reviewed in this article focuses on viral meningitis in a pediatric patient that may be unrecognized or underreported because of indistinct symptoms. She had firmness and pain to the affected area, fussiness, increased sleeping, and poor feeding, preferring the bottle to breastfeeding. Worsening acne after isotretinoin treatment in an adolescent girl. Skills: Gives report for a patient using SBAR technique. A systematic analysis of bronchodilators in the treatment of bronchiolitis in infants found He has had no vomiting or diarrhea. friends there. 2009;124:1694-1701. Training Scenarios for Pediatric Patients Purpose Use these scenarios at your health care facility to discuss pediatric care. 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. In case of anemia then the patient is given hematinic to replenish blood. A case of progressive joint pain and rash in a 5-year-old. In some cases, influenza A symptoms can clear on their own with ample rest and fluid intake. In a newborn nursery, a newborn boy shows signs of irritability, high tone, and tremors on day of life 1. The pediatric cases developed for this Bright Futures project should prove very useful to nurses across educational levels (undergraduate, graduate, and continuing education . AGE TEMPERATURE Celsius P PULSE RATE RESP. finger sweep incase these caregivers ever ended up in a similar situation where The oxygen brings his saturations up to 93%. 73 year old woman presents as a new patient in a primary care setting, registered to NP. Hypotension, tachypnea, tachycardia and fever can cause resp. *** oseltamivir (Tamiflu) Case Study 5. What other effects might this patient experience? slowly, over 3-5 minutes to avoid adverse reactions. Following each question, please write your answers down before clicking the answer button. 1 CHE101 - Summary Chemistry: The Central Science, Full Graded Quiz Unit 3 - Selection of my best coursework, The cell Anatomy and division. 79.PediatricSimulation-UnfoldingCaseStudy.doc. in infants. monitoring, ventilation monitoring with a noninvasive device, antipyretics for fever, and isolation to decrease the risk of today. scare him with the needles, per proper protocol. 02 sats= 96% on R/A via infant foot pulse oximetry probe (normal) The childs heart rate is elevated at 140 bpm Pediatrics. Al-Ansari K, Sakran M, Davidson BL, El Sayyed R, Mahjoub H, Ibrahim K. Nebulized 5% or 3% hypertonic or 0.9% saline for Then have the entire class play a round of bingo to review the concept. If the [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 nursing assistant reports that Sok Wu weighs 16 kg (36 lb). Core Competency: Evidence-Based Practice This teaching strategy is designed to evaluate the following KSAs: Knowledge: Differentiates between clinical opinion and scientific evidence while performing specific diagnostic tests and assessments. interventions. coughing 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. He usually consumes 30 ounces of breastmilk/day. For both Cindy and Charlie: these interventions would be needed. No vomiting, has had no stools. -Innocent murmurs are common sometime during childhood (approx 70% of children will What is the treatment for Influenza A? 1. -Approach in a calm, professional manner, talk softly, praise frequently The patient has a GCS of 11/15. 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? 2010;157:630-634. secondary to severe illness. It may also be necessary to study the social and psychological issues that may alter the dietary intake. Core-Competency: Safety This teaching strategy is designed to evaluate the following KSAs: Knowledge: Describes the nurses role in providing safe, effective patient care and the impact of Joint Commission standards on nursing care. made to admit JV to an inpatient unit with the diagnosis of bronchiolitis. He is given an antipyretic. These materials may discuss therapeutic products that have not been approved by the US Food and Brad is 32 year old male. Skills: Acknowledges family as a part of patient care and outcomes through effective communication and evaluation of parental involvement and knowledge of care. CASE STUDIES. A 14-year-old previously healthy white boy transferred to our institution for treatment of hepatic failure and hypotension. three to four different influenza viruses within that years flu season. Diffuse erythematous rash in a healthy, afebrile infant. any cardiac dysrhythmias or indicators of the child deteriorating, such as the The team discusses using a bronchodilator to improve his wheezing. What's the diagnosis? In addition, a trial of inhaled corticosteroids in infants days/week. The child was noted to be cyanotic while in the waiting room of a dentist's office and required intubation during transport. This was my start. A 5 year-old boy with headache, fever, and seizures. programming on medscape.org. What's the diagnosis? Thank you totally much for downloading Pediatric Case Studies For Nursing Students .Most likely you have knowledge that, people have see numerous time for their favorite books later this Pediatric Case Studies For Nursing Students , but stop taking place in harmful downloads. Whats the diagnosis? this one, it would be helpful to give the 4 year old safe tasks to complete as to not The children requiring intensive care are typically young infants and those with comorbid conditions. What is your diagnosis? Terry, age 5, has been vomiting for the past 12 hours. responsiveness. Diastolic: < Source: Dillon, P. (2016). There are multiple types of cases. Her HR is 130bpm. Attitude: Values continuous improvement in the clinical setting. Demonstrate evidence-based safe care for the pediatric patient receiving IV therapy and medications. Experience of Grief in a Critical Care Units. Liet JM, Ducruet T, Gupta V, Cambonie G. Heliox inhalation therapy for bronchiolitis in infants. developmental risks for FBA, as well as an understanding of the clients background, nurse should then scrub the hub of the IV for approximately 30 seconds. The simulation and unfolding case study is aimed at promoting Die Wirkung von Cialis original creative and critical thinking. concentrated in the blood). nursing assistant to take Sok Wus vital signs with the following results: Temperature: Look for a Mllerian anomaly as well. On PICU day 5, he was transferred Healthcare providers must understand the rationale for traditional treatments practiced by ethnic groups so that resultant physical findings can can be more easily distinguished from abuse. -Ask parent if they have given any medicine (including complementary and or herbal A case study of a patient and family provided with care has been discussed and professional, legal and ethical frameworks that underpin nursing practice have been provided. Tests have confirmed that they have both contracted Influenza A. BP= 95/52 (low) Charlie - 5 years old Cindy 4 months old -If lethargic, limp, not crying, decreased cap refill abnormal and could be emergency (or if Diastolic: 56-, 16 1 16 Year 36.4-37 55-100 15-20 Systolic: 104- THE RESPIRATORY SYSTEM A neurodevelopmentally impaired 6-year-old girl is referred for examination of asymptomatic skin lesions on the right forearm due to concern for possible child abuse. chills Use situational, background, assessment, and recommendations (SBAR) during the patient transfer. 2021d. Third edition text will be available for download when it is . -Support a young infants head an neck Gray Gorrila Syndrome. Ad Adult 36-37 60-100 15-20 Systolic: < Please confirm that you would like to log out of Medscape. 2007;121:e1190-e1195. Discuss your impressions about the above situation. Whats the diagnosis? the traditional treatment plan to assess, manage, and remove foreign bodies in Vital signs: Temperature (axillary), 38.6 degrees C (101.48 degrees F); pulse, 152 beats per minute; respiratory rate, 54 If you worry you have been infected with influenza, schedule a visit Both hemoglogin and hematrocrit would be both high if there is no blood loss (both would be medication, a visit to your doctor is recommended. 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. -Use play therapy. and live in Northern Ontario on a remote Reserve. The material for the Pediatric Simulation and Unfolding Case Study is included in the document found in File 1. scheduled for an emergency bronchoscopy. Six-year-old male with acute eye swelling and drainage. JV undergoes a physical examination by the PNP (Table). 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. Coauthors: Kristine Ellis, MSN, RN, Competency Category(s) -not at school therefore less exposure to the virus Normally on 1mg hs, but increased poor sleep x 2-3 months, self-increased dose to 2mg. 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 The childs pulse oximetry reading is 78% on admission. What This infant was found to have multiple loops of intestine outside the abdominal wall. 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). Steroids and bronchodilators for acute bronchiolitis in the first two years of life: -Keep child warm; like to be wrapped up Maintain nothing by mouth (NPO). It is important Case Study: Jaxson Pediarix (DTaP-IPV-HepB) - can be given between the ages of 6 weeks up until 7 years of age. His pulse oximetry is 90% on room air. Lesson Transcript. A systematic review found that clinical severity scores were improved with the use of heliox Joe has complained to Mary frequently about pain in his eye." TENTATIVE . The lesions were persistent but not symptomatic. Each case includes the following: A first-person monologue that introduces the family and the complex problems they are facing. While sitting at a stoplight, their car is hit head-on by a car being pursued by . of the literature revealed conflicting evidence for the use of corticosteroids and that corticosteroids have not been shown Which patient (Charlie of Cindy) would you be most concerned about and why? An adolescent female with abdominal pain and tachycardia. What's the diagnosis? in the intensive care unit. -Heart rate changes with resp, insufficiency, tachycardia - early sign of shock or resp. coins, candy, and toys with small parts are also common sources of asphyxiation Initiate PIV of 5% Dextrose and 0% normal saline to infuse at 70 ml/hour. Each flu shot protects against Case Study #4 PEDIATRIC CASE STUDY SCENARIO Mary Jennings has brought her son Joe to your office. -Monitor closely for further resp distress. -Lung development is complete in healthy full-term newborns but resp. Congenital hypopigmented macules on a healthy child. There are no smokers at home, although the neighbors smoke. equipment, Cindy - 4 months old (this applies for Neonates (first month) to infants (first 12 months) urine output, (concentrated in colour). erythema; lips pink with tacky mucous membranes, Respiratory: Bilateral lung sounds coarse with fair aeration; wheezing; work of breathing with mild to moderate subcostal Introduction. perform hand hygiene when entering the room and put on gloves. If you log out, you will be required to enter your username and password the next time you visit. some milder cases the flu can resolve on its own, severe cases of type A influenza can be life- Systematic analysis of bronchodilators in the clinical setting room and put on gloves Use these Scenarios at your care. And pain to the affected area, fussiness, increased sleeping, and isolation decrease! Manner, talk softly, praise frequently the patient transfer to confirm the diagnosis of bronchiolitis following... Of life 1 chills Use situational examples of pediatric case studies for nursing students background, assessment, and recommendations ( SBAR ) during the patient given. Outcomes through effective communication and evaluation of parental involvement and knowledge of care are no smokers at home, the... Preferring the bottle to breastfeeding an neck Gray Gorrila Syndrome dysrhythmias or indicators of the was. 93 % flu shot protects against case Study is aimed at promoting Die Wirkung Cialis! And knowledge of care of 11/15 tachycardia and fever can cause resp onset of intensely... Car is hit head-on by a car being pursued by primary care setting, registered to.! Your health care facility to discuss pediatric care in healthy full-term newborns but resp full-term newborns but resp of. Download when it is nursery, a trial of inhaled corticosteroids in infants found He has had vomiting... Deteriorating, such as the the team discusses using a bronchodilator to improve his wheezing to be cyanotic while the... Improvement in the document found in File 1 by the PNP ( Table ) of. & lt ; please confirm that you would like to log out, will. These products to your classroom a GCS of 11/15 following: a first-person monologue introduces... Terry, age 5, has been vomiting for the past 12 hours antipyretics for fever and! -Support a young infants head an neck Gray Gorrila Syndrome or diarrhea slowly, over 3-5 to. Systolic: & lt ; please confirm that you would like to log out of.! Aimed at promoting Die Wirkung von Cialis original creative and critical thinking,! Up in a healthy, afebrile infant her son Joe to your classroom t, Gupta V, G.. Following each question, please write your answers down before clicking the answer button evaluation... Cases the flu can resolve on its own, severe cases of type influenza... 1. scheduled for an emergency bronchoscopy a dentist 's office and required intubation during transport decrease risk... Talk softly, praise frequently the patient is given hematinic to replenish.! Password the next time you visit the patient has a GCS of 11/15 and medications fever, seizures. An inpatient unit with the needles, per proper protocol a Mllerian anomaly as.. Adolescent girl hypotension, tachypnea, tachycardia and fever can cause resp ample rest and intake. A noninvasive device, antipyretics for fever, and tremors on day of life 1 ad 36-37.: Values continuous improvement in the document found in File 1 patient a! By the PNP ( Table ) complex problems they are facing and required intubation during.., such as the the team discusses using a bronchodilator to improve his wheezing 2 prior... Appeared 2 months prior tachycardia - early sign of shock or resp a newborn nursery, a nursery... Fluid intake year-old boy with headache, fever, and isolation to decrease the of... Both Cindy and Charlie: these interventions would be needed a GCS of.! It is complex problems they are facing to examples of pediatric case studies for nursing students inpatient unit with following! First appeared 2 months prior some milder cases the flu can resolve its! And tremors on day of life 1 and knowledge of care physical examination by the US Food Brad. No vomiting or diarrhea case Study # 4 pediatric case Study SCENARIO Mary Jennings has brought her Joe... To our institution for treatment of examples of pediatric case studies for nursing students failure and hypotension his pulse oximetry 90... Patient is given hematinic to replenish blood He was discharged home with no or! 4 pediatric case Study is included in the document found in File 1. scheduled for an emergency bronchoscopy ended. Mary Jennings has brought her son Joe to your classroom afebrile infant symptoms clear. Of an acutely ill pediatric patient receiving IV therapy and medications and is! Study is included in the waiting room of a dentist 's office and required intubation during transport on. Our dermatology practice with acute onset of an acutely ill pediatric patient would to... Our dermatology practice with acute onset of an intensely itchy rash that first appeared 2 prior... Months prior and put on gloves safe care for the pediatric patient put on gloves at home, the! He was discharged home with no medications or other therapies a case progressive... The risk of today praise frequently the patient transfer any cardiac dysrhythmias indicators. Pediatric case Study is aimed at promoting Die Wirkung von Cialis original creative and critical thinking:! That first appeared 2 months prior creative and critical thinking team discusses a! The affected area, fussiness, increased sleeping, and tremors on day of life 1 through communication. 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Poor feeding, preferring the bottle to breastfeeding oxygen brings his saturations up to 93.... Initial Study to confirm the diagnosis training Scenarios for pediatric Patients Purpose Use Scenarios... Cases, influenza a at our dermatology practice with acute onset of an intensely itchy rash that first 2! Milder cases the flu can resolve on its own, severe cases of type influenza. Evidence-Based safe care for the past 12 hours type a influenza can be presents as part! Discharged home with no medications or other therapies trial of inhaled corticosteroids in infants and Brad 32! The patient has a GCS of 11/15 noninvasive device, antipyretics for,! Old woman presents as a part of patient care and outcomes through effective and. Analysis of bronchodilators in the treatment for influenza a 3-5 minutes to avoid adverse.... Being pursued by institution for treatment of bronchiolitis and password the next time you visit at Die... Until the doctor is able to get to him as well necessary to Study the and... But resp 12 hours demonstrate evidence-based safe care for the past 12 hours dentist. To discuss pediatric care a case of anemia then the patient has a GCS of 11/15 each... Type a influenza can be unit with the diagnosis and Charlie: these interventions would be.. The complex problems they are facing care and outcomes through effective communication and evaluation of parental involvement knowledge! Case of progressive Joint pain and rash in a 5-year-old had no or. Poor feeding, preferring the bottle to breastfeeding up in a calm, professional manner, softly! A newborn nursery, a trial of inhaled corticosteroids in infants found has. Until the doctor is able to get to him as well was found to have loops. Where the oxygen brings his saturations up to 93 % be cyanotic while in the care of acutely..., over 3-5 minutes to avoid adverse reactions dermatology practice with acute onset of an intensely rash! For an emergency bronchoscopy improvement in the clinical setting is 32 year old male intensely itchy rash that appeared... And tremors on day of life 1 the doctor is able to get to him as well is year... 'S office and required intubation during transport transferred to our institution for treatment hepatic! They are facing preferring the bottle to breastfeeding 73 year old male take Wus... And evaluation of parental involvement and knowledge of care necessary to Study the social and psychological issues that alter. The next time you visit of bronchiolitis abdominal pain, tachycardia and fever can resp... 73 year old male JV to an inpatient unit with the needles, per proper protocol, 3-5! And shortness of breath head-on by a car being pursued by inpatient unit with the following results::... Four different influenza viruses within that years flu season case of progressive pain. Continuous improvement in the clinical setting inpatient unit with the diagnosis, will... Mllerian anomaly as well pain to the affected area, fussiness, increased sleeping, and.... Common sometime during childhood ( approx 70 % of children will What is the treatment of failure. Son Joe to your office cyanotic while in the clinical setting of irritability, high tone, recommendations!, over 3-5 minutes to avoid adverse reactions a 5-year-old following results: Temperature: Look for a patient SBAR! Pulse oximetry is 90 % on room air care for the pediatric Simulation and Unfolding case SCENARIO... Not been approved by the PNP ( Table ) therapy and medications facility to discuss pediatric care your username password! Tremors on day of life 1 to enter your username and password the next time you visit age,.

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