WELCOME TO PEDIATRIC SIMULATION: Perfusion Student Simulation…
QuestionAnswered step-by-stepWELCOME TO PEDIATRIC SIMULATION: Perfusion Student Simulation…WELCOME TO PEDIATRIC SIMULATION:PerfusionStudent Simulation Preparation: Pain/DehydrationPatient information: Carlos Suarez is a 3-year-old male Weight: 32lbs Convert weight into kg (rounding to nearest 10th)Allergies: NKDADOB: 5/5/20XXMR#: 39782 Student Worksheet:History of Present Complaint to ER: Carlos is a 3-year-old child who presents to the local emergency room with his Spanish & Portuguese-speaking mother for a reported history of vomiting and diarrhea x 24hours. Mother also notes that he’s been tired and without his “usual energy”. You must use an interpreter when interviewing the mother. PMH: Ventricular Septal Defect (diagnosed via cardiac catheter procedure). Daily Medications include Digoxin and Furosemide.Social History: Lives at home with both parents and 2 older siblings. Mom stays at home and Dad works at a law firm. Mother is originally from Brazil and Portuguese is her primary language. Carlos attends pre-school 3 days/week. Lives in a single-family home with grandparents close by. No pets. Carlos enjoys swim classes and going to the playground.Data Collection: Remember SAMPLE (what questions are important to ask the parent).Emergency Room: The nurse prepares the child and instructs the mother regarding the plan of care. Vital signs are taken, the child is weighed, an IV placed, and labs are drawn. The nurse prepares a fluid bolus.T: 100.9 oF (ax)P: 152 Apical R: 36 BP: 84/56 Left LegO2 sat: 98% RAQuestions for the student to answerCarlos’ weight in kg?What priority assessment findings will you look for?What data from the history above is important & RELEVANT; therefore, it has clinical significance to the nurse? List at LEAST 3 relevant nursing diagnosis.RELEVANT Data from Present Problem:Nursing Diagnosis (at least 3)1.2.3.4.RELEVANT Data from Social History: (list 3)Clinical Significance 1.2.3.List nursing interventions applicable to caring for this child. (should reflect your listed nursing diagnoses)Nursing Interventions:Rationale:Expected Outcome:Example: 1. Strict I&OTo assess for dehydrationMinimum urine output 1ml/kg/hr.Patient is tolerating minimum of maintenance per hourDPatient name: Carlos SuarezDOB: 05/05/20XX MR#: 39782Age: 3 years Gender: MaleWeight: 32 poundsDiagnosis: DehydrationAllergies & Sensitivities: NKDA DateTimePHYSICIAN ORDER AND SIGNATURE5/14/XX1345Admit to Pediatric Diet: advance diet slowly as toleratedActivity: as toleratedIV fluids D5NS at 2/3 MaintenanceOndansetron 1mg IV every 4 hrs prn vomitingDigoxin 73 micrograms po BIDTylenol 200 mg po/pr every 4-6 hours PRN for pain or fever > 101.5 Hold daily furosemideLabs; CBC/Electrolytes/Digoxin levelStrict I+ODaily weightCall physician for any changes in mental status or signs and symptoms of decreased perfusionPHYSICIAN SIGNATUREDr.Jane Laboure, MDMedical Management: Rationale for Treatment & Expected Outcomes:Care Provider Orders:Rationale:Expected Outcome:Labs/ Electrolytes results WBC 4.5 HgB 16HcT 35.5Plts 175,000Na+ 135K+ 3.5Glucose 95Chloride 102Digoxin level—-PendingDiet: Clear fluids and advance as toleratedList normal valuesTherapeutic value for digoxin?Any specific dietary restrictions should be considered?Symptoms of dig toxicity?Medication Dosage Calculation:Medication/Dose:Mechanism of Action: What does this drug treatVolume/time frame to Safely Administer:Distributed from pharmacy as:Nursing Assessment/Considerations/safe dose rangeWhat is the safe dose range for this child with all meds listed?What are the adverse side effects of this drug? What are some nursing considerations for this drug?Acetaminophen: 200 mg every 4-6 hours po/pr PRN for fever > 38.5 or 101FDigoxin: 73 mCg po daily BIDOndansetron 1mg IV every 4hrs prn for vomitingFurosemide15mg.po dailyD5NS to run at 3/4 half maintenance160mg/5ml elixir50 mCg/ml2mg/1ml elixir10mg/ml elixirEQUALS? Health ScienceScienceNursingNURSING 1025EShare Question
