The nursing apprentice should be able to analyze access activity, how to brainwash the ancestors and or caregiver of the pediatric accommodating on what to do if a access occurs and what medications to administer, apparatus assurance to anticipate abrasion and analysis of fracture. Develop apprenticeship to abutment acquittal based on appraisal of data.
Prioritize nursing interventions back caring for pediatric audience with bloom disorders.
A 5-year-old Gabriel is a multiracial macho belief 48 lbs with an abhorrence to penicillin arrives in the emergency room, no cultural considerations identified. You are handed the afterward addendum on the accommodating that read:
He accustomed in ER with his mother afterwards falling out of bed afterwards jerking movement action as witnessed by his earlier brother while sleeping. Right-upper acme appears with deformity. Mother and adolescent allege English. Adolescent has no cogent medical history. Mother letters amoral of urine during episode.
Vital Signs: T 102.9, P 135, R 24, BP 118/60, O2 sat 100% RA
General Appearance: appears drowsy; face flushed, quiet
Neuro: aggressive X3
Respiratory: lungs clear
Integumentary: actual warm, dry
GI/GU: belly normal
Complete Blood Count (CBC)
Complete Metabolic Panel (CMP)
Urinalysis with ability and acuteness (U/A C&S)
Blood Cultures x 2
Acetaminophen 15 mg/kg PO now
Ibuprofen 10 mg/kg PO now
Pad ancillary rails
Suction at bedside with access precautions
Radiographs of appropriate arm
Cast to appropriate arm
Start PO fluids and access as tolerated
The physician discharges Gabriel from ER to home with a analysis of; Appropriate ear infection, Acute Febrile Access and breach of the appropriate ulna.
Discharge orders include:
Follow up with pediatrician in 7 days
Follow up with pediatric orthopedics in 7-10 days
Cefuroxime 30mg/kg PO BID for 10 canicule not to beat 1,000mg daily. What is the recommended dosage if cefuroxime is supplied as an articulate abeyance 125mg/5ml or 250/5ml?
Acetaminophen 15 mg/kg PO Q4 hours PRN agitation or affliction and ibuprofen 10 mg/kg PO Q6 hours PRN agitation and affliction for up to 3 days
Acetaminophen is accessible as 160 mg/5 mL. Ibuprofen is accessible as 100 mg/ 5 mL.
What is the bulk of acetaminophen in mg and ml per dose? What is the bulk of ibuprofen in mg and ml per dose?
Develop a acquittal plan with three goals listed in adjustment of priority, above-mentioned to acquittal from accepted orders. Provide account for why you listed the goals in a accurate order. Also, account three nursing interventions to accommodated anniversary of the goals (you should accept nine interventions in total). Last, accord the mother the exact dosage she will charge to accord the adolescent for acetaminophen, ibuprofen, and the cefuroxime back she gets home and explain why the exact dosage is important.
Standard American English (correct grammar, punctuation, etc.)
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