CASE STUDIES

I- Case Study: Care of the Child in Inpatient and Outpatient Settings

Jordan is 9-year-old male who is a direct admit for observation. He has a history of vomiting and diarrhea for 48 hours.

Subjective Data

  • Nausea and vomiting for 24 hours
  • Has not voided today
  • Unable to tolerate oral fluids

Objective Data

  • Vital signs: T 37.8° C, P 120, R24, BP 110/60
  • Weight: 34 kg
  • Hyperactive bowel sounds to auscultation

1. Question 1

When should the discharge teaching begin for Jordan and his family?

2. Question 2

What is the best way to approach Jordan regarding the IV that has been ordered.

3. Question 3

What would be good distractions for a child of Jordan’s age?

II- Case Study: Pediatric Cancer

Mario is a 7-year-old male who presents with a 1-week history of body aches and pallor. He has a 2-day history of fever to 103° F and a 1-day history of bruising and lethargy.

Subjective Data

  • Complains of hurting all over
  • States he feels very tired
  • States he feels dizzy when he stands up

Objective Data

  • Weight 26.1 kg
  • Vital signs: T 38.9° C, P 140, R 40, BP 108/54, O2 sat 100%
  • Purpural rash on extremities
  • WBC 0.7
  • HGB 3.1
  • Hct 8.5
  • Plt .08
  • ANC 0.1

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