Pediatric V-Sim Care Plan EM
V-Sim Pediatric Nursing Care Plan
Eva Madison Gastroenteritis
Stockton University
Camryn Kaenzig
Background
... [Show More] Information and Growth and Development
The virtual simulation introduced the patient Eva Madison, a five-year-old Caucasian female diagnosed with dehydration upon admission to the emergency department. Eva’s mother, Heather Madison, brought her to the emergency department after a three-day long episode of vomiting, diarrhea, and not being able to keep fluids down nor no urination since the day before admission. According to the electronic health record on Eva’s simulation, Eva has lost 0.7 kilograms since a couple months ago at her last well-visit checkup. Eva is currently 120 centimeters tall while her head circumference was not recorded un her records. An intravenous bolus of saline of 400 mL was started in the emergency department and has just finished prior to performing an assessment of the patient. To add, there was not much information gathered within the virtual simulation and the electronic health records that suggest a thorough family structure. Specifically, EM’s family consists of her mother, HM. It is unknown what other family members are present in EM’s life. However, HM is EM’s legal guardian and care provider.
The CVC Growth Charts applicable for a child over the age of two years old to about twenty years old was used to plot the expected height and weight for a child of five years old. The expected findings for a five-year old is 100-116 cm (from 5th to 95th percentile) for height and 14-24 kg (5th to 95th percentile) for weight (Growth charts - WHO child growth standards., 2019). Below I have plotted the expected height and weight for a child of five years of age.
Plot:
For a five-year-old, in specific, there are expected vital sign findings. Heartrate in between the beats per minute of 65-: 80-120, a blood pressure between the intervals of 89-112 systolic and 46-72 for diastolic, a respiratory rate of about 20-25 breaths per minute, and temperatures of (tympanic: 35.8-38 degrees Celsius,) (oral: 35.5-37.5,) (axillary: 36.5-37.5), and an oxygen saturation of SpO2: >93% (same as adults).
(Pediatric Vital Signs Reference Chart, n.d.).
There are multiple nutritional needs for a child of the same age as Eva Madison. Nutritional needs of a child at 5 years old is about 500-800 mg of calcium and 10 milligrams of iron daily (Ricci et al., 2009). This is uniform for children of three to five years old. From a child between the ages of four and eight years old require about 25 milligrams of fiber a day. A child of pre-school age, including a child of five years old, should have a diet that has less than 20% of dietary total fat a day. Less than 30% of total daily calories should maintain healthy cholesterol levels (Ricci et al., 2009). A typical preschooler should maintain the equation of 85 kcal per however many kilograms they weigh (Ricci et al., 2009). [Show Less]