This document provides information about three pediatric patients assigned to a nursing student for care during a clinical rotation. Patient A is a 2 year old female admitted for vomiting and diarrhea. Patient B is a 1 year and 7 month old male also admitted for vomiting and diarrhea. Patient C is a 3 year old male admitted for vomiting and diarrhea. Each patient has different medical histories, vital signs, medications, living situations, and nutritional needs that will require customized nursing care and interventions from the student.
This document provides information about three pediatric patients assigned to a nursing student for care during a clinical rotation. Patient A is a 2 year old female admitted for vomiting and diarrhea. Patient B is a 1 year and 7 month old male also admitted for vomiting and diarrhea. Patient C is a 3 year old male admitted for vomiting and diarrhea. Each patient has different medical histories, vital signs, medications, living situations, and nutritional needs that will require customized nursing care and interventions from the student.
This document provides information about three pediatric patients assigned to a nursing student for care during a clinical rotation. Patient A is a 2 year old female admitted for vomiting and diarrhea. Patient B is a 1 year and 7 month old male also admitted for vomiting and diarrhea. Patient C is a 3 year old male admitted for vomiting and diarrhea. Each patient has different medical histories, vital signs, medications, living situations, and nutritional needs that will require customized nursing care and interventions from the student.
This document provides information about three pediatric patients assigned to a nursing student for care during a clinical rotation. Patient A is a 2 year old female admitted for vomiting and diarrhea. Patient B is a 1 year and 7 month old male also admitted for vomiting and diarrhea. Patient C is a 3 year old male admitted for vomiting and diarrhea. Each patient has different medical histories, vital signs, medications, living situations, and nutritional needs that will require customized nursing care and interventions from the student.
✓ Read study guide prior to class attendance ✓ Read required learning resources; refer to course unit terminologies for jargons ✓ Participate in weekly discussion board (Canvas) ✓ Answer and submit course unit tasks
You are currently in your pediatric rotation. At the end of your first clinical day, you already have all information about your patients whom you need to provide the necessary nursing care. You were assigned to three children who were diagnosed with Acute Gastroenteritis. Use the following data for planning appropriate nursing interventions for each patients.
PATIENT A
Name: J.P. Age: 2 years old Gender: Female Birthday: November 26, 2017 Address: San Juan Accfa, Cabanatuan City Citizenship: Filipino Religion: Catholic Date of Admission: March 4, 2020
Vital Signs upon Admission: BP: 100/70mmHg Respiratory Rate: 35cpm
Pulse Rate: 120 bpm Temperature: 37.2 C
Chief Complaint: LBM and Vomiting
Admitting Diagnosis: AGE with some dehydration
History of Present Illness : 2 days PTA, the patient had vomiting for 3 times and passage of watery stool.
Past Medical History: Patient gets seasonal cough and colds at times but never serious. Family Medical History : (+) Hypertension- Paternal side
Personal and Social History : Pedia Patient A. Chuchay, a 4 year old, lives with her Lola . Her grandmother is present only during afternoon visiting hours because she must take care also herhusband who suffers also from numerous health problems.
Name: L.D Age: 1 year & 7mos. Gender: Male Birthday: August 24,2018 Address: Aliaga, Nueva Ecija Citizenship: Filipino Religion: Roman Catholic OUR LADY OF FATIMA UNIVERSITY Km. 311, Maharlika Highway, 3100 Cabanatuan, Nueva Ecija
History of Present Illness : Three days prior to admission, according to his mother the patient experienced 3 days watery stool and 2 episodes of vomiting. The patient immediately rushed to the hospital.
Past Medical History : According to the mother of the patient, the patient was first hospitalized due to Acute Gastroenteritis when he was 8mos old while on formula milk.
Family Health History :(+) Hypertension- Father side.
Personal and Social History : Pedia Patient B. Boknoy, a 3 year old, lives with his mother. Since his admission yesterday, Boknoy’s mother has stayed at his bedside and provided most of her son’s care.
PATIENT C
Name: R.J.M Age: 3 !/2 yrs old Gender: MALE Birthday: April-26-2017 Address: Talavera, Nueva ecija Citizenship: Filipino Religion: Roman Catholic
Admitting Diagnosis: AGE with moderate dehydration
History of Present Illness: Prior to admission, the client was vomiting 8x and lbm x10. His stool was watery at first they go to the barangay health center and gave them a medication for lbm but after taking the medication the client was still vomiting and still experiencing lbm. Tthe family decided to rush the client to this hospital. Pedia Patient C. , a 3 and 1/2 year old, lives with her parents. Both parents are able to visit only during afternoon visiting hours when they leave work.
On your first clinical day exposure, you were assigned to care for these patients with Acute Gastroenteritis. Each of these patients is unique. Although they have same medical diagnosis, their needs and and your nursing care will differ dramatically. These differences stem from a variety of factors, one of which is each patient’s stage of growth and development.
GUIDE QUESTIONS :
1. Identify the factors affecting the nutritional needs of each patients. At specific age of each patients, how are their nutrional needs and eating patterns vary? How will you attain rehydration with the advised diet given to them?
2. What are the risk factors you can identify with the above given scenario?
3. Formulate at least 3 NCP for each patient according to its most priority. Give rationale for each nursing intervention.
4. How will you measure the INTAKE and OUPUT of each patient accurately?
5. Make discharge plans for each patient including health teachings to the mother or guardian or any relatives of patient.
