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Paediatric Gastroenteristis Nursing - Case Study Example

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PAEDIATRIC GASTROENTERITIS (name) (subject) (school) (date) Paediatric gastroenteritis Introduction The care of any patient is based on adequate assessment, diagnostic, planning, and intervention measures. Across the life-span, various guidelines are applicable for the care of patients…
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Paediatric Gastroenteristis Nursing

Download file to see previous pages... The purpose of this study is to provide students with the opportunity to plan and organize care of a sick child and their family using clinical practice guidelines and other supporting literature, before participating in a simulation for recognition of the sick child. It shall consider the case of Kane, who is a young boy presenting to the emergency department with his parents. Upon admission, the records establish that Kane is a four year old male child who has been suffering for 24 hours (prior to consultation) from diarrhoea and vomiting. He is also: pale with peripheral warmth; with RR of 30/min (without wheezing on auscultation); HR of 140/min at rest; temperature of 39.4 degrees Celsius; with dry tongue; tearfulness; lethargy; and with weight at 15.4 kg. He has mild intermittent asthma managed with salbutamol prn. Parents express that the child has been vomiting sporadically, is not able to keep fluids down, and refuses to drink. He also has had four episodes of watery offensive stool in the last 12 hours PTC. The physician diagnosed the child with possible gastroenteritis, and the plan of care was to try fluids orally if tolerated and if not, to consider IV cannula. The child was admitted to the children’s ward and scheduled for reassessment after 12 hours. This study shall now consider two clinical guidelines related to paediatric gastroenteritis. ...
Australian sources were excluded in the search. Literature which matched the current case was reviewed and the specific journal was chosen based on relevance, reliability, and validity. Immediate Priorities for Kane’s care: To assess and manage the patient’s level of dehydration To reduce or totally end his diarrhoea and vomiting Plan and intervention for patient’s care Assessment and management of patient’s level of dehydration Based on the NSW Clinical Guidelines, the assessment of patient’s level of dehydration is based on three levels: mild, moderate, and severe. The care of the dehydrated patient subsequently follows based on the level of dehydration. Based on the patient’s symptoms, Kane is moderately dehydrated based on his following symptoms: elevated heart rate, elevated breath rate, pallor, dry mucous membrane, and lethargy (NSW Health, 2010, p. 7). These are all symptoms which signal moderate dehydration. The replacement fluid rate shall therefore be nasogastric therapy: one Oral Rehydration Solution (Gastrolyte); or it may be intravenous through (rapid or standard speed). The IV shall be 0.9% NaCl + 2.5% Glucose or 0.9% NaCl + 2.5% Glucose or 0.45% NaCl + 2.5% Glucose (NSW Health, 2010, p. 7). The Canadian Clinical Guidelines presented with slightly different details. Firstly, the child is also moderately dehydrated under these guidelines as assessed from the child’s exhibited symptoms, including dry mucous membrane, elevated heart rate, and lethargy (Gysler, 2011, p. 3). For moderate dehydration, the oral rehydration therapy is recommended where the patient can be rehydrated with ORS (100ml/kg for 4 hours); as well as replacement of losses with ORS; and ...Download file to see next pagesRead More
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