Mom states that her infant has been “fussy” for the last 2
days.
He feeds for only a “few” minutes at a time.
He is breathing heavily and fast for 2 days.
Objective Data
Weight: 4.8 kg
Vital signs: temp, 36.8º C; pulse, 250 bpm; resp, 65
breaths/min; blood pressure, 84/58 mm Hg
Breath sounds clear to auscultation
Oxygen saturation: 95%
Central capillary refill: 4 seconds
Questions:
What is the treatment for an unstable patient with
supraventricular tachycardia (SVT)?
Decreased cardiac output from prolonged SVT would produce what
complication?
In this clinical situation, what actions should the nurse
take? Prioritize the actions.
Discussions
Discussion Topic# 1: What is a “shift to the left” in a
CBC?
Discussion Topic# 2: A father brings in his 3-year-old son,
James, who was initially running a fever. He was given Tylenol, and
the fever went away for 2 days. Now, however, the fever is back,
and he has noted dark spots on his body and a lump in his armpit.
He has been lethargic and has not wanted to eat for the last 24
hours. The physician suspects acute lymphocytic leukemia and has
ordered blood chemistry studies, immunophenotyping, and bone marrow
aspiration and biopsy.
The father is upset and wants to know what is leukemia and how
did his son catch it? How would the nurse address this
question?