Pediatric Clinical Reasoning Case Study: Poison IngestionCreated by Kathleen Mixson, RN, MS, JDI. Data CollectionChief complaint/History of Present Illness: Brandy is a 22 month .old female presenti

Pediatric Clinical Reasoning Case Study: Poison IngestionCreated by Kathleen Mixson, RN, MS, JDI. Data CollectionChief complaint/History of Present Illness:   Brandy is a 22 month .old female presenting with ingestion at 10:30 pm yesterday of estimated 1/2 tsp of solder flux and immediately had vomiting of about 12 times, taken immediately to the emergency room.  No vomiting since around 3 am but continues to have gagging and retching.  No diarrhea. Has raspy voice, fussiness.   Had chemistries, LFTs, CBC, IV started in ER.   Acute ingestion of zinc chloride-containing solder flux (contains 30-36% zinc chloride), which is caustic to GI tract, skin, and eyes.  Also if significant systemic absorption occurs, systemic toxicity may include altered mental status, renal insufficiency.  Patient to be admitted for observation and monitoring for systemic effects.  If no respiratory distress or abnormal labs the plan is to discharge this afternoon.       What data is relevant  to this patient that must be recognized as clinically significant to the nurse?

Rationale:

Personal/Social History:  Mom and dad at bedside.  Lives with parents. English speaking

PMH:  Allergic rhinitis, night-time cough, thought to have seasonal allergies as a cause of chronic vomiting. Born at 36 weeks gestation, no complications, SVD. 

Current Medications: None

Patient Care Begins:Your Initial VS:T: 97.9º FP:  118R:  38BP:  100/76O2 sats:  98%  on 2L per NC Weight:  15,2 kgPain:  3/10 FLACC 

What VS data is relevant  to this patient that must be recognized as clinically significant to the nurse?

Rationale:  

Your Initial Nursing Assessment:GENERAL APPEARANCE: Fussy, irritable and requiring frequent comforting from parents.RESPIRATORY:  Breath sounds equal and with good aeration bilaterally.  No stridor or nasal flaring. Mom states continued raspy voice.CARDIAC: Heart rate regular-S1S2. Pulses palpable and equal bilaterally. Capillary refill less than 3 seconds.NEUROLOGIC:   Alert with normal muscle tone and movement of extremities.ABDOMEN/GI: Currently NPO.  Mouth and throat red and raw looking.  Abdomen soft, non-tender with active bowel sounds all four quads. GENITOURINARY: Voiding per diaper. EXTREMITIES/SKIN:  Skin is warm and dry-normal for color of skin. IV in place to right hand, infusing D5 ½NS  at 42 per hour.  Site without redness or edema.  Hands equal bilaterally.

What assessment data is relevant that must be recognized as clinically significant to the nurse?

Rationale:

II. Clinical Reasoning BeginsWhat is the most likely medical problem that your patient is presenting with?

What is the underlying cause /pathophysiology of this concern?

What is your primary nursing priority right now?







Calculate Your Essay Price
(550 words)

Approximate price: $22

Calculate the price of your order

550 words
We'll send you the first draft for approval by September 11, 2018 at 10:52 AM
Total price:
$26
The price is based on these factors:
Academic level
Number of pages
Urgency
Basic features
  • Free title page and bibliography
  • Unlimited revisions
  • Plagiarism-free guarantee
  • Money-back guarantee
  • 24/7 support
On-demand options
  • Writer’s samples
  • Part-by-part delivery
  • Overnight delivery
  • Copies of used sources
  • Expert Proofreading
Paper format
  • 275 words per page
  • 12 pt Arial/Times New Roman
  • Double line spacing
  • Any citation style (APA, MLA, Chicago/Turabian, Harvard)

Our guarantees

Delivering a high-quality product at a reasonable price is not enough anymore.
That’s why we have developed 5 beneficial guarantees that will make your experience with our service enjoyable, easy, and safe.

Money-back guarantee

You have to be 100% sure of the quality of your product to give a money-back guarantee. This describes us perfectly. Make sure that this guarantee is totally transparent.

Read more

Zero-plagiarism guarantee

Each paper is composed from scratch, according to your instructions. It is then checked by our plagiarism-detection software. There is no gap where plagiarism could squeeze in.

Read more

Free-revision policy

Thanks to our free revisions, there is no way for you to be unsatisfied. We will work on your paper until you are completely happy with the result.

Read more

Privacy policy

Your email is safe, as we store it according to international data protection rules. Your bank details are secure, as we use only reliable payment systems.

Read more

Fair-cooperation guarantee

By sending us your money, you buy the service we provide. Check out our terms and conditions if you prefer business talks to be laid out in official language.

Read more

Order your essay today and save 10% with the coupon code: best10