TOPIC: Module 07 Task – Pediatric Assessment: PDA with RSV
Objective of Task
The purpose of making a nursing idea map and create a plan of care for a kid with bronchiolitis. The nursing interventions would replicate the underlying respiratory syncytial virus with patent ductus arteriosus (PDA) historical past.
Competency
Apply the foundations of pediatric nursing when caring for shoppers with well being alterations.
State of affairs
You might be working in a big city pediatric clinic after-hours.
A mom brings her 6-month-old daughter, Vivi Mitchell, to the clinic for rhinorrhea, congestion, fever, and cough. Upon Assessment, you establish the kid has wheezing upon auscultation and on inspection, you establish retractions.
• The kid is in lower than 10th percentile of weight and has a cardiac historical past of Patent Ductus Arteriosus (PDA).
• Born at 36 weeks gestation.
• Mom states this little one doesn’t go to day care however her two different kids ages 2 and three do attend daycare.
• T- 102.1 HR 140 RR 40 BP 83/58 Pulse ox 96%
• A swab for respiratory syncytial virus (RSV) is constructive.
Physician orders – Nasal bulb suction and saline drops PRN, Tylenol 15mg/kg This fall PRN for fever, Albuterol nebulizer in workplace and push po fluids as tolerated.
After the albuterol neb therapy, respirations are 36 and oxygen saturation is 100%. Wheezing has diminished. Mother is an ER nurse and the physician feels snug that she has a nebulizer at house and might return to pediatric afterhours or ER if wanted.
Consumer is discharged with these orders:
• methylprednisolone zero.four mg/kg oral BID for three
• Albuterol This fall hours for 24 hours, then Q 6 hours for 24 hours, and Q6 as wanted.
• Name if wanted previous to the This fall dose.
• Handle fever with Tylenol and proceed hydration and nasal bulb suction Q6 whereas awake.
• Return for re-Assessment in three days
Directions
In a two to three-page APA formatted paper, present reponses for these questions and requests for info:
Standards:
1. Describe the pathophysiology of bronchiolitis and establish the commonest organism inflicting this an infection. What laboratory testing can affirm your suspicion?
2. Describe the pathophysiology of PDA and why the historical past of PDA is important on this state of affairs.
three. What threat elements place Vivi Mitchell at a higher threat for the event of bronchiolitis?
four. What are the attribute indicators/signs of bronchiolitis?
5. Vivi Mitchell been prescribed the next medicines; acetaminophen, albuterol nebulizer, corticosteroids. Present the rationale for why every remedy has been included as a part of her medical administration and clarify any potential contraindications associated to those medicines.
6. You might be designing Vivi Mitchell’s plan of care. Establish two precedence nursing diagnoses to incorporate in your plan. For every nursing prognosis, establish two SMART targets, and two interventions for every purpose.
7. What brief and long-term potential issues ought to the nurse anticipate?
eight. What consumer schooling is suitable for Vivi Mitchell as she is discharged from the after-care clinic?
* Embody a minimal of 4 scholarly sources
Format
• Commonplace American English (appropriate grammar, punctuation, and so forth.)
• Logical, authentic and insightful
• Skilled group, fashion, and mechanics in APA format
NO CONSIDERATION FOR PLAGIARISM
APA FORMAT AND INDEX CITATION
PLEASE WRITE FROM NURSING PROSPECTIVE
DUE 2/10/22
• FOLLOW ALL Rubric Particulars CORRECTLY TO AGAIN FULL POINTS
•
• Standards 1, 2, three
23% of whole grade
Mastery: Superior or exceeds achievement
Addresses standards appropriately with thorough growth of the subject. Offers medical examples. Contains analysis within the reply.
14.72
Proficiency: Clear/efficient achievement
Addresses standards appropriately. Demonstrates strong understanding of the subject. Offers examples with out analysis.
13.69
Competence: Ample/primary achievement
Addresses standards appropriately. Demonstrates primary understanding of the subject.
12.36
Rising: Restricted or rising achievement
Addresses standards incorrectly.
9.57
• Standards four, 5, 6
15% of whole grade
Mastery: Superior or exceeds achievement
Addresses standards appropriately with thorough growth of the subject. Offers medical examples. Contains analysis within the reply.
9.6
Proficiency: Clear/efficient achievement
Addresses standards appropriately. Demonstrates strong understanding of the subject. Offers examples with out analysis.
eight.93
Competence: Ample/primary achievement
Addresses standards appropriately. Demonstrates primary understanding of the subject.
eight.06
Rising: Restricted or rising achievement
Addresses standards incorrectly.
6.24
• Standards 7, eight, 9
31% of whole grade
Mastery: Superior or exceeds achievement
Addresses standards appropriately with thorough growth of the subject. Offers medical examples. Contains analysis within the reply.
19.84
Proficiency: Clear/efficient achievement
Addresses standards appropriately. Demonstrates strong understanding of the subject. Offers examples with out analysis.
18.45
Competence: Ample/primary achievement
Addresses standards appropriately. Demonstrates primary understanding of the subject.
16.67
Rising: Restricted or rising achievement
Addresses standards incorrectly.
12.9
• Tone
15% of whole grade
Mastery: Superior or exceeds achievement
Makes use of constant skilled tone with glorious use of medical terminology.
9.6
Proficiency: Clear/efficient achievement
Tone is skilled. Good use of medical terminology.
eight.93
Competence: Ample/primary achievement
Tone is skilled. Inconsistent use of medical terminology.
eight.06
Rising: Restricted or rising achievement
Tone is constantly unprofessional with poor use of medical terminology.
6.24
• Spelling and Grammar
9% of whole grade
Mastery: Superior or exceeds achievement
Demonstrates an exemplary utility of spelling and grammar.
5.76
Proficiency: Clear/efficient achievement
Shows correct grammar utility and writing incorporates minimal to no spelling errors. Could include uncommon improper makes use of of phrases (ex., their vs. there), a misplaced modifier, or a run-on sentence, however doesn’t detract from the general understanding of the sentence and/or paragraph.
5.36
Competence: Ample/primary achievement
Spelling and grammar errors happen however are inconsistent. Paragraphs and sentences are coherent however could exhibit spelling errors, run-on’s or fragments, and/or improper verb tense utilization.
four.84
Rising: Restricted or rising achievement
Spelling and grammar include substantial errors that makes sentences and/or paragraphs incoherent.
three.74
• APA Fashion
7% of whole grade
Mastery: Superior or exceeds achievement
APA citations are free of fashion and formatting errors.
four.48
Proficiency: Clear/efficient achievement
Errors in APA citations are much less noticeable and don’t detract from the flexibility to find the unique supply (for instance, a lacking or misused comma or interval, lacking parentheses, creator identify not correctly abbreviated, indentation is misaligned).
four.17
Competence: Ample/primary achievement
Errors in APA citations are noticeable and will detract from the flexibility to find the unique supply (for instance, no title supplied, 12 months of publication is lacking, no punctuation).
three.76
Rising: Restricted or rising achievement
Citations don’t comply with APA Fashion. Quotations, paraphrases, and summaries should not cited, or there is no such thing as a try and cite them utilizing APA fashion.
2.91
