Exam (elaborations) Swift River Peds Multiple Scenarios by B. Wender(Prof Kytoon) (NURS307)
Hayden Clark Room 305
Hayden Clark, 6-year-old male,
... [Show More] weighing 44 lbs., comes to school looking disheveled, and not wearing a coat with the outside temperature in the low 40’s.
Hannah Johnson Room 304
Hannah Johnson, 10-year-old female presented to the ED 45 minutes ago with dehydration, dysuria, and significant weight loss of 18 pounds over the last 2 months. Both parents are with the child, the father is insisting that he be notified of all interventions before they are initiated. Initial assessment reveals: Skin dry and warm to touch, B/P 90/58, T 99.2 F, 37.3 C, HR 110, RR
Amanda Blaire Room 301
Amanda Blaire, 14-year-old female, who was in an ATV accident and now has a fractured tibia and fibula. Her vital signs are Temperature 98.6 F, 37.0 C, HR 87, BP 111/72, RR 18, PaO2 97%. She is post-op day 1 with continuous traction and skeletal pins to immobilize leg.
Baby Harris Room 302
Baby Harris, 4-hour-old newborn male, weight 6.6 lbs. with a length of 18” and approximate gestational age of 36 weeks. Late prenatal care. Mom has history of methamphetamine and heroin addiction. In addition, the mom admits to smoking 1 pack per day through pregnancy. Urine drug test on baby positive for heroin and methampPaul Windsor Room 303
Paul Windsor, 4-year-old male admitted yesterday from the clinic with a diagnosis of Nephrotic Syndrome. Vital signs: Temperature 99.0 F, 37.2 C, HR 88, BP 104/76, RR 22, PaO2 95%. He presented yesterday with his parents reporting a gradual increase in pain and “swelling” around his eyes and ankles, and now his stomach is getting “bigger". Paul has little to no appetite. Current weight is 56 pounds compared to a usual weight of 43 pounds. Urinalysis: Thick, frothy appearance. Specific gravity: 1.025. Protein 3+. Blood 2+. Other labs: Triglycerides 180 mg/dl. Cholesterol 190 mg/dl.
Group B strep culture negative in office.
hetamine. VS: T 98.1 F, 36.7 C, HR 178, R 70, PaO2 96%.
Paula Smith Room 304
Paula Smith, 16-year-old female. She is a dancer who presents to the clinic for a yearly physical, and is found to have significant weight loss, loss of menstrual cycles, and depression. She is 5’7” and weighs 94 pounds. [Show Less]