Question

KS is a 3-year-old boy. He is healthy toddler, who like to play. He wakes with a high-pitched moaning cry. He has fever with sweating and chills. His mother recognized that he is agitated and irritable as never before. Frightened, she rushed him to the hospital emergency room.

ASSIGNMENT:

Describe under the following headings how you would assess and treat this patient

INTRODUCTION TO PATIENT AND FAMILY:

DEVELOPMENTAL/MEDICAL HISTORY:

HOW WOULD YOU OBTAIN VITAL SIGNS, HEIGHT, AND WEIGHT?

BASED OFF HIS SYMPTOMS, WHAT DIAGNOSTIC TESTING DO YOU THINK THE PHYSICIAN WILL ORDER?

THEY PHYSICIAN HAS ORDERED A SPINAL TAP-GIVEN YOUR PATIENT’S AGE; HOW WILL YOU PREPARE THE FAMILY AND THE PATIENT?

PATIENT KS IS BEING ADMITTED TO THE PEDIATRIC ICU, WHAT TYPE OF ISOLATION WILL BE REQUIRED FOR THIS PATIENT? HOW WILL YOU EDUCATE THE FAMILY ON THE ISOLATION ORDERS?

WHAT TYPE OF MEDICATION DO YOU ANTICIPATE WILL BE ORDERED FOR THIS PAITENT? HOW WILL IT BE ADMINISTERED?

PATIENT WEIGHT: 32LBS

CONVERT TO KILOGRAMS:

Answer 1

Answer:

INTRODUCTION TO PATIENT AND FAMILY:

DEVELOPMENTAL/MEDICAL HISTORY: History should include immunization status, previous infections, contact with infected person, symptoms that the child exhibited, allergy, previous neurosurgical procedures, any recent antibiotics.

HOW WOULD YOU OBTAIN VITAL SIGNS, HEIGHT, AND WEIGHT? : A nurse should approach the patient with required PPE ( personal protective equipments) for any procedure.Better to use the disposible item such as electrodes, thermometer probe and disposible BP cuff, disposible bed cover. he wont be able to stand for checking height and weight, so consider recumbant height( substract 0.8cm from recumbant height to get the actual height), ask the mother to hold the baby and take weight, then she has to weigh alone, substract the latter from former weight.

BASED OFF HIS SYMPTOMS, WHAT DIAGNOSTIC TESTING DO YOU THINK THE PHYSICIAN WILL ORDER?

Based on the given data, patient is having meningitis ( fever, sweating chills, high pitched moaning cry,agitated and irritable).So the physician will ask for blood test , lumbar puncture ( spinal tap), CT brain

THEY PHYSICIAN HAS ORDERED A SPINAL TAP-GIVEN YOUR PATIENT’S AGE; HOW WILL YOU PREPARE THE FAMILY AND THE PATIENT?

Explain the procedure and reduce the anxiety and obtain consent from the family.Prepare all the items needed in asceptic manner.Position the baby laterally at the side of the bed with knees flexedand neck flexred towards the knees to obtain C position

PATIENT KS IS BEING ADMITTED TO THE PEDIATRIC ICU, WHAT TYPE OF ISOLATION WILL BE REQUIRED FOR THIS PATIENT? HOW WILL YOU EDUCATE THE FAMILY ON THE ISOLATION ORDERS?

Patient should be placed in isolation with droplet precaution.Explain the importance of isolation and Instruct the family to avoid unnecessary visit,and limit the number of visit. Before they are enter the room, instruct to wear PPE and to do handwash before and after.

WHAT TYPE OF MEDICATION DO YOU ANTICIPATE WILL BE ORDERED FOR THIS PAITENT? HOW WILL IT BE ADMINISTER

Intravenous antibiotics such as cephalosporines( cefotaxim, ceftriaxone), penicillin type are commonly used. Along with antibiotics, dexamethasone( steroid) is also recommended

PATIENT WEIGHT: 32LBS

CONVERT TO KILOGRAMS: 14.5 kg