Ppt on case studyNursing Management of Paediatric Patient withNephrotic Synd...WimalanathaHarischan
Nephrotic Syndrome (NS) is a glomerular disorder that is commonly characterized by gross proteinuria, hypoalbuminemia, hyperlipidemia, and peripheral edema.it is common among the under 12 years children
this is the comparative case study on Choledocholithiasis with the patient admitted in TUTH Mahargunj. this presentation provide comprehensive knowledge on choledocholithiasis including its causes, pathophyisiology, clinical presentations as well as treatment modalities and nursing management.
It is a case study report of mucopolysaccharidosis, I did when I was posted in Kanti Children's hospital
Prepared by:
Rashmi Regmi
B. Sc Nursing
Manmohan Memorial Institute of Health Sciences
The document summarizes a case study of a 25-year-old male patient who experienced an adverse drug reaction to anti-TB medication. He developed jaundice, fever, and hemoptysis after taking Isoniazid for 23 days. On admission, he was jaundiced with a temperature of 36.6°C. Laboratory tests and examinations were performed. The case provides details on the patient's history, symptoms, physical assessments, and initial lab results.
The document outlines the objectives and introduction for a case study on a 6-year-old male patient admitted with facial puffiness. The patient's history notes a recent illness with fever, difficulty breathing, vomiting, and tea-colored urine. Laboratory results showed a urinary tract infection and abnormalities. The patient's family, medical, developmental, and social histories are provided. The document establishes the background for analyzing the patient's condition and developing a nursing care plan.
This document provides information about a case study on a 30-year-old female patient who was admitted to the hospital for postpartum hypertension. It includes her medical history, physical assessment findings, laboratory results, nursing diagnoses of postpartum hypertension and urinary tract infection. Her hemoglobin, hematocrit and urine tests showed abnormalities consistent with her conditions. The case study aims to improve nursing students' skills and knowledge in caring for patients with pregnancy-induced complications.
Gastroboy, a 27-month old male, was admitted to the hospital with complaints of loose bowel movements and vomiting. His physical examination revealed a temperature of 36.5°C, heart rate of 107 bpm, and respiratory rate of 23 bpm. Laboratory tests showed decreased white blood cells and increased lymphocytes, indicating a viral infection as the cause of his acute gastroenteritis. The nurses' responsibilities included explaining diagnostic tests to the family, obtaining blood samples while following safety protocols, and providing care and health education to support Gastroboy's recovery.
The document discusses a case study of a 24-year-old female patient named Kalpana Pandit who was admitted to the hospital for cholelithiasis (gallstones). It provides details of her medical history, symptoms, physical examination findings, diagnosis, and treatment plan. The causes and risk factors for cholelithiasis are also briefly explained.
Ppt on case studyNursing Management of Paediatric Patient withNephrotic Synd...WimalanathaHarischan
Nephrotic Syndrome (NS) is a glomerular disorder that is commonly characterized by gross proteinuria, hypoalbuminemia, hyperlipidemia, and peripheral edema.it is common among the under 12 years children
this is the comparative case study on Choledocholithiasis with the patient admitted in TUTH Mahargunj. this presentation provide comprehensive knowledge on choledocholithiasis including its causes, pathophyisiology, clinical presentations as well as treatment modalities and nursing management.
It is a case study report of mucopolysaccharidosis, I did when I was posted in Kanti Children's hospital
Prepared by:
Rashmi Regmi
B. Sc Nursing
Manmohan Memorial Institute of Health Sciences
The document summarizes a case study of a 25-year-old male patient who experienced an adverse drug reaction to anti-TB medication. He developed jaundice, fever, and hemoptysis after taking Isoniazid for 23 days. On admission, he was jaundiced with a temperature of 36.6°C. Laboratory tests and examinations were performed. The case provides details on the patient's history, symptoms, physical assessments, and initial lab results.
The document outlines the objectives and introduction for a case study on a 6-year-old male patient admitted with facial puffiness. The patient's history notes a recent illness with fever, difficulty breathing, vomiting, and tea-colored urine. Laboratory results showed a urinary tract infection and abnormalities. The patient's family, medical, developmental, and social histories are provided. The document establishes the background for analyzing the patient's condition and developing a nursing care plan.
This document provides information about a case study on a 30-year-old female patient who was admitted to the hospital for postpartum hypertension. It includes her medical history, physical assessment findings, laboratory results, nursing diagnoses of postpartum hypertension and urinary tract infection. Her hemoglobin, hematocrit and urine tests showed abnormalities consistent with her conditions. The case study aims to improve nursing students' skills and knowledge in caring for patients with pregnancy-induced complications.
Gastroboy, a 27-month old male, was admitted to the hospital with complaints of loose bowel movements and vomiting. His physical examination revealed a temperature of 36.5°C, heart rate of 107 bpm, and respiratory rate of 23 bpm. Laboratory tests showed decreased white blood cells and increased lymphocytes, indicating a viral infection as the cause of his acute gastroenteritis. The nurses' responsibilities included explaining diagnostic tests to the family, obtaining blood samples while following safety protocols, and providing care and health education to support Gastroboy's recovery.
The document discusses a case study of a 24-year-old female patient named Kalpana Pandit who was admitted to the hospital for cholelithiasis (gallstones). It provides details of her medical history, symptoms, physical examination findings, diagnosis, and treatment plan. The causes and risk factors for cholelithiasis are also briefly explained.
This clinical meeting summarizes the case of 1 year and 6 month old Nusrat who presented with multiple reddish and blackish spots over her body for 1 month. Her history revealed low grade fever and cough 2 weeks prior. On examination, she had multiple echymoses of varying sizes over her chest and abdomen with mild pallor. Laboratory tests found thrombocytopenia. The provisional diagnosis was immune thrombocytopenic purpura (ITP), which was confirmed as the final diagnosis. She was started on prednisolone therapy.
The document describes the case of a 31⁄2 year old boy who was admitted with a 1 year history of painless rectal bleeding after bowel movements. On examination, he appeared well with no abnormalities found. A colonoscopy revealed a pedunculated polyp 20cm from the anal verge, which was removed via colonoscopic polypectomy.
This document presents a case study of a 3-year-old female child named Ritu Das who presented with acute diarrhea and some dehydration. She had a history of 8-10 watery stools per day for the past 2 days along with 2 vomiting episodes the previous night. The child lives in a joint, lower middle class family in a kuchha-pucca house with unhygienic practices. On examination, she was restless with a pulse of 110/min and dry tongue. She was diagnosed with acute diarrhea with some dehydration and prescribed ORS, zinc, and advice on feeding and hygiene.
The document provides demographic and clinical information about a 9-year-old female patient named Harshitha who presented with difficulty speaking due to a secondary cleft palate. It includes her medical history, family history, physical exam findings, assessment, treatment plan, and nursing responsibilities. The patient underwent secondary cleft palate repair surgery and received follow-up care including antibiotics and antipyretics. Her development was assessed as appropriate for her age based on standard parameters.
This document summarizes the medical examination and diagnosis of a 2-year-old female patient named Meem. Meem presented with gradual pallor over the past year and abdominal distension. On examination, she had dysmorphic facial features, pallor, jaundice, hepatosplenomegaly, and moderate anemia. Laboratory tests found hemoglobin E-beta thalassemia. The patient was diagnosed with hemoglobin E-beta thalassemia and received a blood transfusion, folic acid, and dietary counseling. She will require regular blood transfusions and chelation therapy going forward.
This document summarizes a case presentation of a 4-year-old boy named MSR who was admitted to the hospital due to severe diarrhea, fever, and vomiting. He developed diarrhea 2 days prior along with a fever and vomiting on the day of admission. Upon examination at the hospital, his vital signs and physical examination were normal except for gastrointestinal findings. His condition and symptoms are presented in detail.
Here is a prioritized list of the patient's problems:
1. Constipation r/t obstruction
2. Acute Pain r/t obstruction
3. Acute pain r/t surgical incision
4. Altered comfort secondary to pain
5. Fatigue r/t post-operative experience
6. Impaired Skin Integrity r/t surgery
7. Altered Health Maintenance r/t choice of health practices
8. Health-Seeking Behavior r/t concern for health status
9. High Risk for Injury r/t developmental age
10. Readiness for enhanced ability to eliminate waste products r/t post-operative experience
acute gastroenteritis, case presentation < sabrina >Sabrina AD
This document provides information about a 6 year and 4 month old male Chinese patient named Jackson Tea Jia Sheng who was admitted to the hospital due to vomiting and diarrhea for the past 2 days. The patient's medical history including past illness, family history, birth details, development, and immunization status are documented. The physical examination findings show the patient is alert and interacting well without signs of dehydration, and vital signs are normal. The system examinations including respiratory, cardiovascular, and gastrointestinal systems are unremarkable.
Pediatric tuberculosis case presentationAhumuza Denis
This document presents a case report of an 8-month-old male child brought to the hospital with a 3-month history of persistent cough, fever, and weight loss. On examination, the child was found to be wasted and underweight. Investigations showed anemia, lymphocytosis, and a positive urine TB-LAM test. The child was diagnosed with pulmonary TB, severe acute malnutrition, and suspected HIV infection. He was admitted and started on anti-TB treatment and therapeutic feeding for malnutrition. However, the mother discharged the child against medical advice after only a few days of treatment.
This document discusses bronchiolitis and asthma in children. It describes bronchiolitis as a serious viral infection affecting the small airways (bronchioles) in infants, causing inflammation and difficulty breathing. Asthma is defined as a chronic inflammatory airway disease characterized by wheezing, coughing, and shortness of breath. Both conditions are more common in young children due to the immaturity of their respiratory systems. The document outlines signs, symptoms, diagnostic testing, and treatment approaches for managing bronchiolitis and asthma exacerbations in children.
A case presentation and discussion of ALL presented in a Tertiary Care Hospital ER. Includes presenting complaints, work-up, diagnosis and relevant case discussion.
Tabindah is a 3 1/2 year old girl from a rural area in Kashmir who presents with diarrhea. She has been experiencing 5-6 loose stools per day along with abdominal pain and nausea. Her diet is deficient in calories, protein, fat, iron and calcium compared to her requirements. On examination, she has no signs of dehydration. She was diagnosed with non-dehydrating diarrhea and prescribed ORS, zinc and a probiotic.
This document provides information on a case study of an 11-year-old male patient diagnosed with Scarlet Fever. It includes sections on introduction/background of Scarlet Fever, the patient's personal information and history, objectives of the study, nursing assessment using the PEARSON method, and daily updates on the patient's condition. The patient presented with a fever and rash and was initially diagnosed with atypical Kawasaki disease before the diagnosis was changed to Scarlet Fever. Nursing assessments focused on the patient's psychosocial, elimination, activity/rest, and other factors. The patient's condition was improving with treatment but he continued experiencing dizziness.
Jaundice in children- for undergraduate MBBS paediatricsANJANA B.S.
Jaundice is common in newborns and can be physiological or pathological. Physiological jaundice is due to the immaturity of the newborn's liver and usually appears between 24-72 hours of age, peaks by day 3, and resolves on its own. Pathological jaundice requires treatment as bilirubin levels are higher and could be toxic. Treatment depends on the baby's age and bilirubin levels, and may involve phototherapy or exchange transfusion. Breastfeeding jaundice is also common and usually resolves by 3 weeks without stopping breastfeeding. The document provides guidelines for evaluating and managing jaundiced newborns based on their bilirubin levels, age,
- A 3-year-old boy with Down syndrome presented with a 1-week history of cough with expectoration, runny nose for 1 week, and fever for 5 days. On examination, he had a pansystolic murmur and signs of hypotonia. He was assessed as having an acute respiratory tract infection with adenotonsillitis. Routine blood investigations and a throat swab culture were advised to guide antibiotic treatment while addressing his fever and cough. Regular follow-up was recommended for his heart condition as well as annual checkups for related screening.
The document discusses several main health problems faced by children, including low birth weight, malnutrition, infections and parasites, accidents and poisoning, and behavioral issues. Low birth weight babies are those under 2.5 kg and can be either premature or small-for-date due to stunted growth. They are at higher risk of mortality, infections, and malnutrition. Malnutrition in children can be protein-energy based or micronutrient based and leaves them more susceptible to infection and slower growth. Common infections faced by children include diarrhea, respiratory illnesses, measles, polio, and tuberculosis. Accidents such as burns, trauma, traffic incidents, falls and drowning are also a health issue. Behavioral problems can be difficult to identify
Fahi, a 2-year old girl, presented with weakness in her lower and upper limbs over the past 3-4 days. Her examination found decreased muscle tone and strength in all limbs along with absent reflexes. A provisional diagnosis of Guillain-Barré syndrome was made based on her symmetrical motor weakness and lack of sensory involvement. Investigations including a normal CSF study supported this diagnosis. She was started on supportive care and immunoglobulin treatment and instructed to monitor for progression of symptoms or complications. Further testing was planned to confirm the diagnosis.
The document describes a case study presentation of an 8-month-old male child diagnosed with pediatric AIDS (PAID) and severe malnutrition. The child was referred from another hospital with a chief complaint of weight faltering for 3 months and cough for 2 weeks. After admission, the child was started on IV antibiotics and a milk therapy regimen to address his severe malnutrition and dehydration. Through nutritional management and medical treatment, the child's weight and condition gradually improved and he was discharged after 2 weeks.
Atendendo a uma demanda do Fórum Juventude Sul Fluminense em Ação, por desconhecer a situação da violência em sua cidade, adolescentes e terapeuta social com a contribuição de uma professora universitária, elaboraram esta pesquisa quali-quanti.
This clinical meeting summarizes the case of 1 year and 6 month old Nusrat who presented with multiple reddish and blackish spots over her body for 1 month. Her history revealed low grade fever and cough 2 weeks prior. On examination, she had multiple echymoses of varying sizes over her chest and abdomen with mild pallor. Laboratory tests found thrombocytopenia. The provisional diagnosis was immune thrombocytopenic purpura (ITP), which was confirmed as the final diagnosis. She was started on prednisolone therapy.
The document describes the case of a 31⁄2 year old boy who was admitted with a 1 year history of painless rectal bleeding after bowel movements. On examination, he appeared well with no abnormalities found. A colonoscopy revealed a pedunculated polyp 20cm from the anal verge, which was removed via colonoscopic polypectomy.
This document presents a case study of a 3-year-old female child named Ritu Das who presented with acute diarrhea and some dehydration. She had a history of 8-10 watery stools per day for the past 2 days along with 2 vomiting episodes the previous night. The child lives in a joint, lower middle class family in a kuchha-pucca house with unhygienic practices. On examination, she was restless with a pulse of 110/min and dry tongue. She was diagnosed with acute diarrhea with some dehydration and prescribed ORS, zinc, and advice on feeding and hygiene.
The document provides demographic and clinical information about a 9-year-old female patient named Harshitha who presented with difficulty speaking due to a secondary cleft palate. It includes her medical history, family history, physical exam findings, assessment, treatment plan, and nursing responsibilities. The patient underwent secondary cleft palate repair surgery and received follow-up care including antibiotics and antipyretics. Her development was assessed as appropriate for her age based on standard parameters.
This document summarizes the medical examination and diagnosis of a 2-year-old female patient named Meem. Meem presented with gradual pallor over the past year and abdominal distension. On examination, she had dysmorphic facial features, pallor, jaundice, hepatosplenomegaly, and moderate anemia. Laboratory tests found hemoglobin E-beta thalassemia. The patient was diagnosed with hemoglobin E-beta thalassemia and received a blood transfusion, folic acid, and dietary counseling. She will require regular blood transfusions and chelation therapy going forward.
This document summarizes a case presentation of a 4-year-old boy named MSR who was admitted to the hospital due to severe diarrhea, fever, and vomiting. He developed diarrhea 2 days prior along with a fever and vomiting on the day of admission. Upon examination at the hospital, his vital signs and physical examination were normal except for gastrointestinal findings. His condition and symptoms are presented in detail.
Here is a prioritized list of the patient's problems:
1. Constipation r/t obstruction
2. Acute Pain r/t obstruction
3. Acute pain r/t surgical incision
4. Altered comfort secondary to pain
5. Fatigue r/t post-operative experience
6. Impaired Skin Integrity r/t surgery
7. Altered Health Maintenance r/t choice of health practices
8. Health-Seeking Behavior r/t concern for health status
9. High Risk for Injury r/t developmental age
10. Readiness for enhanced ability to eliminate waste products r/t post-operative experience
acute gastroenteritis, case presentation < sabrina >Sabrina AD
This document provides information about a 6 year and 4 month old male Chinese patient named Jackson Tea Jia Sheng who was admitted to the hospital due to vomiting and diarrhea for the past 2 days. The patient's medical history including past illness, family history, birth details, development, and immunization status are documented. The physical examination findings show the patient is alert and interacting well without signs of dehydration, and vital signs are normal. The system examinations including respiratory, cardiovascular, and gastrointestinal systems are unremarkable.
Pediatric tuberculosis case presentationAhumuza Denis
This document presents a case report of an 8-month-old male child brought to the hospital with a 3-month history of persistent cough, fever, and weight loss. On examination, the child was found to be wasted and underweight. Investigations showed anemia, lymphocytosis, and a positive urine TB-LAM test. The child was diagnosed with pulmonary TB, severe acute malnutrition, and suspected HIV infection. He was admitted and started on anti-TB treatment and therapeutic feeding for malnutrition. However, the mother discharged the child against medical advice after only a few days of treatment.
This document discusses bronchiolitis and asthma in children. It describes bronchiolitis as a serious viral infection affecting the small airways (bronchioles) in infants, causing inflammation and difficulty breathing. Asthma is defined as a chronic inflammatory airway disease characterized by wheezing, coughing, and shortness of breath. Both conditions are more common in young children due to the immaturity of their respiratory systems. The document outlines signs, symptoms, diagnostic testing, and treatment approaches for managing bronchiolitis and asthma exacerbations in children.
A case presentation and discussion of ALL presented in a Tertiary Care Hospital ER. Includes presenting complaints, work-up, diagnosis and relevant case discussion.
Tabindah is a 3 1/2 year old girl from a rural area in Kashmir who presents with diarrhea. She has been experiencing 5-6 loose stools per day along with abdominal pain and nausea. Her diet is deficient in calories, protein, fat, iron and calcium compared to her requirements. On examination, she has no signs of dehydration. She was diagnosed with non-dehydrating diarrhea and prescribed ORS, zinc and a probiotic.
This document provides information on a case study of an 11-year-old male patient diagnosed with Scarlet Fever. It includes sections on introduction/background of Scarlet Fever, the patient's personal information and history, objectives of the study, nursing assessment using the PEARSON method, and daily updates on the patient's condition. The patient presented with a fever and rash and was initially diagnosed with atypical Kawasaki disease before the diagnosis was changed to Scarlet Fever. Nursing assessments focused on the patient's psychosocial, elimination, activity/rest, and other factors. The patient's condition was improving with treatment but he continued experiencing dizziness.
Jaundice in children- for undergraduate MBBS paediatricsANJANA B.S.
Jaundice is common in newborns and can be physiological or pathological. Physiological jaundice is due to the immaturity of the newborn's liver and usually appears between 24-72 hours of age, peaks by day 3, and resolves on its own. Pathological jaundice requires treatment as bilirubin levels are higher and could be toxic. Treatment depends on the baby's age and bilirubin levels, and may involve phototherapy or exchange transfusion. Breastfeeding jaundice is also common and usually resolves by 3 weeks without stopping breastfeeding. The document provides guidelines for evaluating and managing jaundiced newborns based on their bilirubin levels, age,
- A 3-year-old boy with Down syndrome presented with a 1-week history of cough with expectoration, runny nose for 1 week, and fever for 5 days. On examination, he had a pansystolic murmur and signs of hypotonia. He was assessed as having an acute respiratory tract infection with adenotonsillitis. Routine blood investigations and a throat swab culture were advised to guide antibiotic treatment while addressing his fever and cough. Regular follow-up was recommended for his heart condition as well as annual checkups for related screening.
The document discusses several main health problems faced by children, including low birth weight, malnutrition, infections and parasites, accidents and poisoning, and behavioral issues. Low birth weight babies are those under 2.5 kg and can be either premature or small-for-date due to stunted growth. They are at higher risk of mortality, infections, and malnutrition. Malnutrition in children can be protein-energy based or micronutrient based and leaves them more susceptible to infection and slower growth. Common infections faced by children include diarrhea, respiratory illnesses, measles, polio, and tuberculosis. Accidents such as burns, trauma, traffic incidents, falls and drowning are also a health issue. Behavioral problems can be difficult to identify
Fahi, a 2-year old girl, presented with weakness in her lower and upper limbs over the past 3-4 days. Her examination found decreased muscle tone and strength in all limbs along with absent reflexes. A provisional diagnosis of Guillain-Barré syndrome was made based on her symmetrical motor weakness and lack of sensory involvement. Investigations including a normal CSF study supported this diagnosis. She was started on supportive care and immunoglobulin treatment and instructed to monitor for progression of symptoms or complications. Further testing was planned to confirm the diagnosis.
The document describes a case study presentation of an 8-month-old male child diagnosed with pediatric AIDS (PAID) and severe malnutrition. The child was referred from another hospital with a chief complaint of weight faltering for 3 months and cough for 2 weeks. After admission, the child was started on IV antibiotics and a milk therapy regimen to address his severe malnutrition and dehydration. Through nutritional management and medical treatment, the child's weight and condition gradually improved and he was discharged after 2 weeks.
Atendendo a uma demanda do Fórum Juventude Sul Fluminense em Ação, por desconhecer a situação da violência em sua cidade, adolescentes e terapeuta social com a contribuição de uma professora universitária, elaboraram esta pesquisa quali-quanti.
Paul Johnson proposes a new process for handling inbound deliveries at the distribution center where he works. The current process involves drivers parking and walking paperwork between the gatehouse and goods receiving office. The new process would have the gatehouse direct drivers to their bay and have paperwork handled at the bay, reducing walking. Johnson implemented the new process in three steps - gathering feedback, writing standard operating procedures, and training involved staff. Time studies showed the new process reduced average driver handling time from over 9 minutes to under 4 minutes, saving over 2 hours of time per day.
JoakimInterFest se održava svake godine od 7-15. oktobra u Kragujevcu, Knjaževsko–srpskom teatru.
Festival je dobio ime po Joakimu Vujiću (1772-1847), direktoru prvog srpskog teatra osnovanog u Kragujevcu 1835. godine.
Domaćin Festivala je Knjaževsko–srpski teatar, a glavni pokrovitelj Grad Kragujevac.
This document discusses strategies for teaching social studies using the Common Core standards. It emphasizes teaching students to apply evidence to support claims, understand historical context, examine source information, and evaluate multiple accounts and perspectives. It provides examples of how to model document analysis for students and suggestions for online resources and lesson plans to help teach critical thinking skills outlined in the Common Core.
El documento clasifica y describe brevemente las características de varios animales, incluyendo cómo se alimentan, dónde viven y cómo se transportan. Los animales discutidos son murciélagos, pájaros, águilas, hormigas, vacas, peces, ranas y serpientes.
The document discusses several iterative methods for solving systems of equations, including Jacobi iteration, Gauss-Seidel method, and relaxation methods. The Gauss-Seidel method is commonly used and improves guesses for unknowns using values from the current iteration. Convergence is determined by calculating the relative percent change between iterations. Relaxation methods can enhance convergence by taking a weighted average of old and new values at each iteration.
Este documento describe las diferentes técnicas de inyección parenteral y venopunción. Explica las vías parenterales como intradérmica, subcutánea, intramuscular e intravenosa, detallando el material necesario, lugares de inyección y técnicas para cada una. También cubre aspectos como preparación del medicamento, cálculo de velocidad de infusión y canalización central desde vena periférica.
IBA Admission - Mystery Revealed (Infographics)Ayman Sadiq
No more asking for help or searching for information. Everything you need to know about IBA is projected in the infographic in a nutshell. Give it a shot!
This document provides information about acute bronchitis and acute gastroenteritis in children. It defines acute bronchitis as a viral infection causing inflammation of the bronchi, with cough as the main symptom. Acute gastroenteritis is defined as an inflammation of the stomach and intestines causing diarrhea. The document discusses the etiology, signs and symptoms, diagnosis, and treatment of both conditions. It aims to analyze the contributing factors and nursing interventions for a pediatric patient diagnosed with acute bronchitis and acute gastroenteritis using the nursing process.
1Case Study Cystic FibrosisCystic Fibrosis Case StudyEttaBenton28
1
Case Study Cystic Fibrosis
Cystic Fibrosis: Case Study
The patient is a 7-year-old female. Due to the fact that the patient is a minor, her mother walked into the ER with her. The mother explained that her symptoms consist of persistent coughing throughout the day and it becomes worse at night, the coughing often results in spitting out phlegm. Along with wheezing, stuffy nose, loss of appetite, pain in the abdomen, and the taste of salty skin. The patient has been up coughing and complaining about the pain for 5 hours. Since the patient’s mother had thought it was a regular cold, she had been giving her children’s Tylenol for the past 3 days, 5 mL every 4 hours. Once the patient was taken in, a physical assessment was performed. The questions that were asked to the patients mother were about family history of CF, history of bowel obstruction as an infant, stool, and eating habits (nurses labs 2018). Because of the fact that the patient’s mom mentioned her skin having a salty taste, a sweat test has been recommended to check for cystic fibrosis. The sweat test measures the amount of chloride in sweat while the genetic test detects chromosomal mutations (Very Well Health 2019). Patient has now been diagnosed with cystic fibrous and will be admitted to the hospital for further instructions.
Pathophysiology
The pathophysiology of cystic fibrosis is based on the defects in the cystic fibrosis gene, which codes for protein transmembrane conductance regulator (CFTR) that functions as a chloride channel and is regulated by cyclic adenosine monophosphate (cAMP) (Nurselabs 2018). Cystic fibrosis is often caught at birth but there are cases where people begin to develop it later in life. If it is detected as birth, many persons with cystic fibrosis acquire a lung infection which incites an inflammatory response, the infection becomes established with a distinctive bacterial flora (Nurselabs 2018). If there is a case of a person developing cystic fibrosis as they get older, there are many symptoms that come along with it and it does affect many parts of your body. It can affect your GI tract, pancreas and your sweat glands which causes the skin to taste salt like. Symptoms may include pain in the abdomen, having a chronic cough that may include blood or phlegm, any gastrointestinal problems such as diarrhea, fat in the stool, heartburn, severe constipation, or bulky stools. When it affects your respiratory system, it can cause pulmonary hypertension, shortness of breath, sinusitis, wheezing, acute bronchitis, and/or pneumonia. There might also be a delay in puberty, growth, and in development. Other commons side effects include deformity of nails, different infections, male infertility, nasal polyps or weight loss (Mayo Clinic 2020).
History
The symptoms presented by the patient include coughing up phlegm, wheezing, stuffy nose, pain in the abdomen, salty skin and loss of appetite. In the past the patient has h ...
The document discusses nursing management of a child with cystic fibrosis. It begins with an introduction to cystic fibrosis, describing it as an autosomal recessive disorder affecting exocrine glands. It then covers clinical features such as recurrent respiratory infections and diarrhea. Diagnosis involves tests of sweat chloride levels and genetic testing. Treatment focuses on pancreatic enzyme replacement, airway clearance techniques like chest physiotherapy, and medication. Nursing management includes assisting with airway clearance, administering enzymes properly, monitoring nutrition, and educating families on chronic disease management.
1. The document outlines the components of antenatal, natal, and postnatal care including registration, periodic visits and examinations, health education, nutrition education, tetanus immunization, risk detection and management, and referral services.
2. Antenatal care involves a minimum of four visits where clinical examinations, lab tests, and health education are provided. Risk factors are assessed and high-risk mothers are monitored more closely or referred.
3. Natal care aims to ensure safe and clean delivery by trained birth attendants either in well-equipped facilities or prepared homes, and early detection and management of complications.
Mark Menor Manalo, a 30-year-old male construction worker, was admitted to the hospital with a chief complaint of abdominal pain and was diagnosed with massive ascites decompensated liver cirrhosis caused by Hepatitis B and Hepatitis C infection. His medical history revealed no major illnesses aside from occasional coughs and colds, and his family history noted diabetes on his father's side. Physical examination found him to be pale, weak in appearance with an enlarged abdomen, bipedal edema, and signs of liver damage.
This case study summarizes the medical details of 75-year-old male patient Sergio Abbago who was admitted to the hospital due to difficulty breathing and leg swelling. He was diagnosed with atrial septal defect, hospital-acquired pneumonia, and acute urinary retention. The case study provides background on the patient's medical history, presents results from diagnostic testing, discusses the conditions diagnosed and their pathophysiology, outlines the medical and nursing management of the patient, and establishes goals for his care and discharge plan. The objectives are to comprehensively present the case and develop knowledge and skills for delivering quality healthcare to patients.
This document provides information about pleural effusion including its definition, causes, frequency, and outcomes. It begins with an introduction to the case study and defines pleural effusion as a collection of fluid in the pleural space caused by excessive filtration or defective absorption. Pleural effusions can be transudates or exudates depending on the underlying cause. Common causes discussed include infections, tuberculosis, and cancers. International frequencies are reported to be similar, with some developed countries seeing increasing rates possibly due to improved healthcare access. Complications and outcomes depend on specific causes, with viral infections often resolving spontaneously but empyema having higher mortality if not treated early.
presentation.presentation slides by ptxyakemichael
This document discusses diarrhea and vomiting in pediatric patients. It begins by defining diarrhea and vomiting and listing learning objectives. It then covers etiology, risk factors, clinical manifestations, complications, medical management including rehydration therapy, nursing management, and preventative measures for diarrhea. For vomiting, it defines vomiting, discusses physiology and causes. It also covers differential diagnosis and clinical manifestations of vomiting and red flag symptoms. Diagnostic evaluation for acute vomiting is also mentioned.
- Functional constipation, which accounts for 95% of cases in children and adolescents, is diagnosed based on the Rome IV criteria through a history and physical exam without additional testing.
- Common treatments for functional constipation include polyethylene glycol (Miralax), lactulose, and enemas. Increasing fiber/fluid intake and probiotics are not effective treatments.
- Referrals to a psychologist can help with some treatment goals, like improving a child's quality of life negatively impacted by chronic constipation. Managing constipation requires addressing relapses and potentially long-term therapy.
Mrs. L.M. is a 24-year-old African American woman who was admitted for a fall and delivered her baby via cesarean section due to being HIV positive. She has a medical history of bipolar disorder, anxiety, and HIV. A nursing assessment found the patient to have acute pain from her c-section incision and anxiety. Lab results showed she was immune to rubella and negative for syphilis, GBS, hepatitis, chlamydia, and gonorrhea. The newborn is doing well and received medication to prevent HIV.
Diarrhea and vomiting in children
Vomiting (throwing up) and diarrhea (frequent, watery bowel movements) can be caused by viruses, bacteria, parasites, foods that are hard to digest (such as too many sweets) and other things.
Pyloric stenosis is a condition in infants where the pyloric sphincter becomes narrowed due to thickening of the muscle, obstructing food passage from the stomach. It typically occurs in males under 6 months, presenting with projectile vomiting. Diagnosis involves abdominal imaging and treatment is pyloromyotomy surgery to divide the thickened muscle. Post-op care focuses on resuming feeding and monitoring for dehydration or wound issues.
Chapter 44 The child with a neuromuscular disorderCase 1 Pamel.docxrobertad6
Pamela Souza, 6 years old, was admitted to evaluate intrathecal spasticity control for her cerebral palsy. Medications like baclofen can help control her spasticity. The nurse will include gestational/perinatal history, head trauma history, feeding/weight, seizures, respiratory status, and motor function in Pamela's health history. Important nursing interventions include assisting with medications, assessing spasticity, and supporting Pamela and her family. The nurse should teach Pamela's family about her care, medications, and rehabilitation after discharge. Kyle Stephens, 15, was in a diving accident and may have spinal injuries. Important assessments include injuries, especially to the head and spinal cord,
This document presents a case study of bronchopneumonia in an infant. It includes an introduction describing pneumonia, objectives of the case study, the patient's profile, history of present illness, physical assessment findings, relevant anatomy and physiology, pathophysiology, diagnostic laboratory results including urinalysis, hematology, and blood chemistry. A chest x-ray report notes findings consistent with bilateral pneumonia. The case study aims to evaluate nursing care for the infant patient diagnosed with bronchopneumonia.
1. Hemorrhagic disorders in pregnancy can occur early or late term and include conditions like spontaneous or induced abortion, ectopic pregnancy, molar pregnancy, and placental abnormalities.
2. Spontaneous abortion, also called miscarriage, is the unintentional termination of pregnancy before 20 weeks gestation. Risk factors include chromosomal abnormalities, infections, or lifestyle factors. Ectopic pregnancy occurs when the fertilized egg implants outside the uterus, usually in the fallopian tubes.
3. Molar pregnancy results from abnormal placenta formation causing a cluster of cysts instead of a normal placenta and baby. It carries risks for hemorrhage and later development of gestational troph
Meeting the need of children with special needsangelasiulingma
Kaitlyn and Kianne are 5-year old identical twins who have been diagnosed with cystic fibrosis. Their mother recently quit her job to care for them full-time due to concerns about their chronic disease, financial situation with loss of income, and feeling overwhelmed by medical appointments. The twins will be starting kindergarten in the fall. Cystic fibrosis is a genetic disease that affects the lungs and digestive system. There is no cure and treatment focuses on managing symptoms. The family may benefit from support from early childhood educators, healthcare professionals, and community resources.
Meeting the need of children with special needsangelasiulingma
Kaitlyn and Kianne are 5-year old identical twins who have been diagnosed with cystic fibrosis. Their mother recently quit her job to care for them full-time due to concerns about their chronic disease, financial situation with loss of income, and feeling overwhelmed by medical appointments. The twins will be entering kindergarten in the fall. Cystic fibrosis is a genetic disease that affects the lungs and digestive system. There is no cure and treatment focuses on managing symptoms. The family may benefit from support from early childhood educators, healthcare professionals, and community resources.
This document provides a summary of GAIL (India) Limited, including its vision, mission, objectives, and key business areas. It discusses GAIL's natural gas marketing and transmission activities through its extensive pipeline network. It also summarizes GAIL's involvement in other businesses like petrochemicals, liquefied natural gas, city gas distribution, power generation, and exploration and production. The document reviews GAIL's approach and methodology for analyzing its existing marketing practices and strategies. It provides an overview of GAIL's customers, contracts, and competition in the Indian natural gas market.
JDR, a 22-year-old male college student, was referred for psychological evaluation due to obsessive behaviors around cleanliness and orderliness. Testing confirmed he has above average intelligence and obsessive compulsive disorder. Specifically, he experiences severe distress when things are not clean, organized or properly aligned. His rituals interfere with daily activities and social relationships. It is believed his OCD developed from trauma experienced from his strict father. Treatment involving exposure response prevention therapy is recommended to help reduce his compulsions and anxiety.
This document provides an overview and analysis of how emergencies impact federal systems of government based on a study of various constitutions. It begins with an introduction to federalism and discusses how war powers expand during times of emergency. It then analyzes the impact of external emergencies on federal structures in the US, India, and other countries. In India, the constitution allows for a proclamation of emergency that temporarily centralizes power in the union government and erodes state powers. The document aims to compare how different constitutions balance federalism during emergencies.
This document is the summary of a court case regarding a petition filed by Jose A. Angara seeking a writ of prohibition to prevent the Electoral Commission from considering a protest filed against his election as a member of the National Assembly. The key details are:
1) Jose A. Angara and Pedro Ynsua were candidates for the position and Angara was proclaimed the winner.
2) On December 3rd, the National Assembly passed a resolution confirming the elections of representatives where no protests were filed.
3) On December 8th, Pedro Ynsua filed a protest against Angara's election, which was the only protest filed after the resolution.
4) Angara argued the protest was
This document is a summary of a court case regarding a land registration dispute between Flordeliza and Honorio Valisno (petitioners) and Vicencio Cayaba (private respondent). The petitioners opposed Cayaba's application to register title to the land in question. The lower court dismissed the opposition based on res judicata, citing a previous court decision in favor of Cayaba. The petitioners appealed, arguing the lower court erred in several ways. The key issues discussed are whether res judicata can be invoked in a land registration case, and whether the elements of res judicata are met based on the previous court decision.
1) In the case of PT&T vs. Grace de Guzman, the Supreme Court ruled that PT&T's policy of not hiring married women was invalid and discriminatory, and that Grace's dismissal based on this policy was illegal.
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Exploiting Artificial Intelligence for Empowering Researchers and Faculty, In...Dr. Vinod Kumar Kanvaria
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at Integral University, Lucknow, 06.06.2024
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How to Manage Your Lost Opportunities in Odoo 17 CRMCeline George
Odoo 17 CRM allows us to track why we lose sales opportunities with "Lost Reasons." This helps analyze our sales process and identify areas for improvement. Here's how to configure lost reasons in Odoo 17 CRM
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How to Fix the Import Error in the Odoo 17Celine George
An import error occurs when a program fails to import a module or library, disrupting its execution. In languages like Python, this issue arises when the specified module cannot be found or accessed, hindering the program's functionality. Resolving import errors is crucial for maintaining smooth software operation and uninterrupted development processes.
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In Odoo, the chatter is like a chat tool that helps you work together on records. You can leave notes and track things, making it easier to talk with your team and partners. Inside chatter, all communication history, activity, and changes will be displayed.
A workshop hosted by the South African Journal of Science aimed at postgraduate students and early career researchers with little or no experience in writing and publishing journal articles.
Chapter wise All Notes of First year Basic Civil Engineering.pptxDenish Jangid
Chapter wise All Notes of First year Basic Civil Engineering
Syllabus
Chapter-1
Introduction to objective, scope and outcome the subject
Chapter 2
Introduction: Scope and Specialization of Civil Engineering, Role of civil Engineer in Society, Impact of infrastructural development on economy of country.
Chapter 3
Surveying: Object Principles & Types of Surveying; Site Plans, Plans & Maps; Scales & Unit of different Measurements.
Linear Measurements: Instruments used. Linear Measurement by Tape, Ranging out Survey Lines and overcoming Obstructions; Measurements on sloping ground; Tape corrections, conventional symbols. Angular Measurements: Instruments used; Introduction to Compass Surveying, Bearings and Longitude & Latitude of a Line, Introduction to total station.
Levelling: Instrument used Object of levelling, Methods of levelling in brief, and Contour maps.
Chapter 4
Buildings: Selection of site for Buildings, Layout of Building Plan, Types of buildings, Plinth area, carpet area, floor space index, Introduction to building byelaws, concept of sun light & ventilation. Components of Buildings & their functions, Basic concept of R.C.C., Introduction to types of foundation
Chapter 5
Transportation: Introduction to Transportation Engineering; Traffic and Road Safety: Types and Characteristics of Various Modes of Transportation; Various Road Traffic Signs, Causes of Accidents and Road Safety Measures.
Chapter 6
Environmental Engineering: Environmental Pollution, Environmental Acts and Regulations, Functional Concepts of Ecology, Basics of Species, Biodiversity, Ecosystem, Hydrological Cycle; Chemical Cycles: Carbon, Nitrogen & Phosphorus; Energy Flow in Ecosystems.
Water Pollution: Water Quality standards, Introduction to Treatment & Disposal of Waste Water. Reuse and Saving of Water, Rain Water Harvesting. Solid Waste Management: Classification of Solid Waste, Collection, Transportation and Disposal of Solid. Recycling of Solid Waste: Energy Recovery, Sanitary Landfill, On-Site Sanitation. Air & Noise Pollution: Primary and Secondary air pollutants, Harmful effects of Air Pollution, Control of Air Pollution. . Noise Pollution Harmful Effects of noise pollution, control of noise pollution, Global warming & Climate Change, Ozone depletion, Greenhouse effect
Text Books:
1. Palancharmy, Basic Civil Engineering, McGraw Hill publishers.
2. Satheesh Gopi, Basic Civil Engineering, Pearson Publishers.
3. Ketki Rangwala Dalal, Essentials of Civil Engineering, Charotar Publishing House.
4. BCP, Surveying volume 1
This slide is special for master students (MIBS & MIFB) in UUM. Also useful for readers who are interested in the topic of contemporary Islamic banking.
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Personal Data
Name: Amistad, Limuel Tamayo
Age: 1 year 10 months old
Birthdate: 03-22-10
Sex: Male
Religion: Roman Catholic
Chief Complaints:
Vomiting
Final Diagnosis:
Acute Gastroenteritis with moderate dehydration, Acute Bronchopneumonia
I. Family Background
This is a case of a 1 year 10 months old male patient, Limuel Tamayo Amistad, admitted at
Pines City Doctors Hospital on February 11, 2012at 3:05 PM with an admitting diagnosis of
acute gastroenteritis with moderate dehydration and congenital heart disease. He’s the first
child of Mr. and Mrs. Slim Amistad. They are currently residing at 27 A Bayan Park, Aurora
Hill, and Baguio City.
II. Development Data (based on Havighurst and Erikson’s life and developmental
task/psycho)
2. According to Erik Erikson’s stage of development, Limuel Tamayo Amistad belongs to
early childhood and has a central task of autonomy versus shame and doubt. He indicate
positive resolution of self-control without loss of self-esteem, ability to cooperate and to
express oneself most specially to his mother, grandmother and primary care takers.
III.Health History
A) History of Past Illness and Present Illness
Past Illness History:
Limuel was diagnosed with congenital heart disease.
Present Illness History:
Patient has congenital heart disease, has episode of vomiting not accompanied by
fever and abdominal pain, stool is watery, patient had occasional cough few days.
B) Pathophysiology of Present Illness/Surgeries
Gastroenteritis
Predisposing
Factors
Etiology Factors
Age
Lifestyle-improper
prepared foods
-contaminated
water
Poor sanitation
Unknown
Diarrheal
Osmotic Motile Microorganisms Cytotoxin Enterocyte
3. Etiologic factors are usually unknown, but there are certain predisposing factors which includes
the age, lifestyle and poor sanitation. There may lead then to diarrheal which may possibly leads
to osmotic, motile, cytotoxin and affected enterocyte. These results from the presence of bacteria
especially in the GI tract. Signs and symptoms includes nausea and vomiting, diarrhea (watery
stool), loss of appetite, fever, abdominal pain and weakness.
C) Inclusive Period of Hospitalization
Admission Date: February 11, 2012 at 3:05 Pm
D) Health Agency
Patient was admitted in Pines City Doctors Hospital located at Magsaysay
Avenue, Baguio City.
IV. Medical treatment and management inclusive procedures and its implication to nursing
A. Medical Treatment
Chloramphenicol 150 mg Iv q 6 hours
B. Management including procedures and its implication to nursing
Vital signs assessment
Affects the
predominant
cells in the
small
intestine
Caused by
intestinal
motility
disorders
May produce
toxins that
facilitates
infection
Production
by
bacteria
Excessive
intake or
diminished
absorption Results in
mucosal cells
destruction
that leads to
bloody stools
with
inflammatory
cells
Signs and Symptoms
Nausea and vomiting
Diarrhea
Loss of appetite
Fever
Abdominal pain
Weakness
4. -Every 2 hours to check or monitor the function of the body, general and note
progress on the patient’s condition.
Positioning the patient to more comfortable position
-To facilitate comfort and relaxation of the patient and to facilitate easy breathing of
the child.
Physical examination
-To establish nursing diagnosis and interventions and to determine the general health
status of the patient. It is also done to detect some abnormalities or deficiencies.
Urinalysis
Macroscopic examination:
Color: Yellow
Transparency: Slight turbid
Reaction: Acidic
Specific gravity: 1.015
Albumin:Negative
Sugar: Negative
Microscopic Examination:
Epithelial cells: Moderate
Prater/ PO4: Occasional
Mucous Thread: Occasional
WBC/ Pus Cells: 1-3
RBC: 0-1
Bacteria: Occasional
-The result is normal. Urinalysis provides baseline data about the patient’s health. It is performed
to assess the abnormal substances which- has accumulated in the urine.
Hematology Test
Results Normal Values
Hematocrit 0.68 0.42-0.53
Hemoglobin 226 g/L 155+/- 20g/L
WBC count 21.6 x 109
/L 5-10 x 109
/L
Platelet count Adequate 150-450 x 109
/L
-The result of the hematology test of the patient indicates elevated hematocrit and hemoglobin
which signifies dehydration and polycythemia, also may signifies that there is an increased
volume of cell in 100 ml of blood. It also increases white blood cell count which indicates
infection.
Radiologic Result
-Perililar haziness is noted in both lungs
-Heart is not enlarged however appears globular shape
-bones are intact
Schillings Differential Count
Result Normal Values
Neutrophilic Segmenters 0.91 0.43-0.76
Lymphocytes 0.06 0.17-0.41
Monocytes 0.03 0.04-0.10
RBC Morphology: Mostly normocytic, normochromic
-The schillings differential count of the patient indicates an elevated neutrophilic segmenters
which may signifies acute bacterial infection, tumor inflammation, stress or drug reaction. Also
indicates decreased lymphocytes and monocytes which may signifies aplastic anemia, leukemia,
systemic lupus erythematosus and immunodeficiency and usage of corticosteroidsmof
medications. This test is used to measure the 24 hour urinary excretion of labeled vitamin B12
and to document decrease absorption of vitamin B12.
Fecalysis
Microscopic Examination:
Macroscopic Examination:
Color: Yellow
Consistency: Semi- formed
5. Ova or Parasites: None found
Cyst or trophozoites: None FOund
-Fecalysis provides baseline data about the patient’s health. It is perform to detect presence of
abnormal substance like bacteria in the stool. The result is not normal. Normally the stools
consistency should be formed.
VII. Evaluation and Implication of the Study to:
A) Nursing Practice:
The hope and intent of the study was to boolster or repute current interventions
currently done by the nursing profession and it seeks to validate, what is currently done to
intercede and may be an avenue providing and finding various types of intervention of care
which may be provided to same type patients and how they respond to those various types of
intervention:
My patient is Limuel Amistad, male, 1 year and 10 months old and was admitted last
February 11, 2012at 3:05 PM due to vomiting. He was diagnosed to have acute
gastroenteritis with moderate dehydration and acute bronchopneumonia and has a congenital
heart disease; transposition of great vessels, pulmonary HPN, and patent foramen oral.
I managed my nursing interventions by means of vital signs taking and recording,
rendering bedside care, monitoring IV replacement therapy, do bronchial tapping, promoted
rest and comfort, attended to needs, seen at interval’s and ensured safety. I also encouraged
the care provider to give warm fluid to the child and also for the mother to give child foods
rich in vitamin C. I also give health teaching regarding the proper care of a child suffering
from acute gastroenteritis and acute bronchopneumonia.
B) Nursing Education:
Through this study, some of my questions regarding the disease especially acute
bronchopneumonia and acute gastroenteritis was answered. It broadens and appends my
knowledge about the condition, most especially the causes and factors associated to the
development and occurrence of the said disease. It also enhances my communication and
interaction skills, same as through with provision of comfort, care and therapeutic
interventions.
6. C) Nursing Research
Researchers done on the past regarding the treatment of acute gastroenteritis and
acute bronchopneumonia are still being utilize at the hospital at present. The nurse should
study research finding and utilize it in practice. It will also serves as a baseline for
promoting treatment and recovery of the patient.
In relation to this case, I want to dig deeper on the ff:
Possible complications of the condition if left untreated
Incidence and occurrence of the condition among pedia.
Nature of the problem
VIII. Referral and Follow-up
Patient Limuel Tamayo Amistad is still confined at Pines City Doctor Hospital for further
care and management. The patient is under the care of Dotora Loria, M.