Case Study: Pediatric URI
Present this Assignment as a narrative document, with a minimum of 4, and maximum of 5 pages not counting the cover page or reference page. It is not necessary to repeat the facts of the case in your narrative.
Mr. Smith brings his 4-year-old son to your primary care office. He states the boy has been ill for three days. Mr. Smith indicates that he would like antibiotics so he can send his son back to pre-school the next day.
History – Child began with sneezing, mild cough, and low grade fever of 100 degrees three days ago. All immunizations UTD. Father reports that the child has had only two incidents of URI and no other illnesses.
Social – non-smoking household. Child attends preschool four mornings a week and is insured through his father’s employment. No other siblings in the household.
PE/ROS -T 99, R 20, P 100. Alert, cooperative, in good spirits, well-hydrated. Mildly erythemic throat, no exudate, tonsils +2. Both ears mild pink tympanic membrane with good movement. Lungs clear bilaterally. All other systems WNL.
Do not consider COVID-19 for this patient diagnosis.
For the assignment, do the following:
Diagnose the child and describe how you arrived at the diagnosis (i.e. how you ruled out other diagnoses). An accurate diagnosis is provided
● Rationale for arrival at the diagnosis with support from literature
Provide a specific treatment plan for this patient, pharmacologic and/or nonpharmacologic. A correct and specific pharmacologic and non-pharmacologic treatment plan for the case study patient is provided
Provide a communication plan for how the family will be involved in the treatment plan. A communication plan which includes principles of therapeutic communication is included.
Provide resources that Mr. Smith could access which would provide information concerning your treatment decisions. Three or more patient resources to assist with
Utilize national standards, your pharm and/or patho book and medical or advanced practice professional sources. Do not use patient-facing sources or general nursing texts to support your diagnosis and treatment.
Use references to support your concepts. Utilize correct APA formatting and mechanics of professional communication. Professional, peer-reviewed, advanced practice references are used that are no more than 5 years old
● Grammar and mechanics of writing demonstrate graduate level work
● Adheres to page number requirements
● Includes a strong attempt to cite all sources using APA style.
● Minor paper formatting errors may occur.
● Minor in-text citation errors may occur.
● All authorship is clear and retrievable.
Case Study: Pediatric URI
Case Study: Pediatric URI
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Case Study: Pediatric URI
While assessing the ongoing scenario, one of the essential things or items that we recognise is that the pediatric kid is steady and there is no deteriorating of side effects. The side effects and signs that the kid is showing would be that of an Upper Respiratory Contamination (Devonshire & Kumar, 2019). How would we resolve this? We should begin with the child having a gentle hack and sniffling. The fact that the hack is useful makes there no sign. Lung sounds are evident in all fields. He has had a poor-quality fever for a couple of days; however, steady and nothing that doctors can’t do with an antipyretic prescription. The child goes to preschool, so I’m confident he has been presented to various kinds of microorganisms from different kids that have been sick (Devonshire & Kumar, 2019). The child is additionally feeling great and answering fittingly. He is taking in a lot of liquids, which is helpful in the recuperation cycle. The kid is positive feelings. A disturbed state could signify agony or, overall, doesn’t feel quite a bit better.
The treatment plan for the pediatric patient will incorporate side effects the executives. Beginning with the child’s fever. Tylenol or Ibuprofen can be given for throat agony and solace with the fever that he has triumphed when it’s all said and done the most recent couple of days. Clear up for the guardians that because the child might have a diminished hunger, that is significant for the kid to drink however much as expected (Nafiu et al., 2020). Suggestions would be water or Pedialyte. Juice is likewise a most loved one that is not difficult to inspire them to drink. I would ensure that it’s low in sugar content.
The next step would be a potential saline nasal splash. This step will assist with any thickening of nasal seepage that could happen, and it suggests the utilisation of decongestants because of the child’s age. A warm fog humidifier could likewise help around evening time to keep the nasal entries open and wet so that the child can rest better (Nafiu et al., 2020). Both of these strategies will provide likewise help in the kid’s dietary patterns. Having a stodgy nose can diminish their hunger and prevent the recuperation cycle on the off chance they decline to take anything in. Infants run into the issue of not having the option to breathe and medical caretaker and hence will eat. Rest is likewise a vital part of the recuperation cycle. The body needs time to recover and ward off the disease. The invulnerable interaction is staying at work longer than required and needs as much energy as possible.
Finally, the step would be the child needs to remain at home for a couple of days from preschool. There would be a couple of various purposes behind this. One of them is that the kid has a second-rate temperature and ought not to be around different children. With viral contamination, the spread of microbes is extremely plentiful in this sort of climate (Kassif Lerner & Pollak, 2022). Young children will wipe their noses and contact toys or the table in this way, keeping the kid home dispensed with the spread of the contamination and decreasing the possibility of contracting it once more.
Ensuring that the guardians are installed with the treatment plan is fundamental. They should have the option to comprehend the essential advances that should be taken for their kid to have ideal outcomes, perhaps if the main thing that the family can do to forestall the spread of the disease is excellent hand washing. This likewise can incorporate hand sanitiser. As a mother, I find something significant in going through and cleaning everything in the house. In particular, the child’s room. This incorporates all their toys.
Ensuring that the guardians are keeping a sign on the thing the child is eating and drinking enough. The assessed objective is for a kid to consume 6-8 cups of liquid at a standard 150ml per cup, as indicated by the CDC (Mamaril, 2020). This liquid can come in many structures as long as the child polishes off liquids. Pee yield should be observed to ensure what’s going in is emerging.
A couple of assets that could be used would be the utilisation of the CDC. There is a ton of good data about a URI and treatment suggested for it. Likewise, a part discusses suitable anti-microbial utilisation (Pollak, 2018). There is additionally the upside of the CDC on youtube. Specific individuals find it simpler to watch recordings about the subject than to peruse the data. Different sources could be flyers or freebies inside the clinical setting that can be given to make sense of the sickness interaction.
The above scenario is an exemplary illustration of what happens regularly at numerous facilities. The guardians are worried about their child and naturally expect that they need an anti-microbial since they have a fever. This is where instruction becomes possibly the most critical factor, not simply telling the family no. Plunking down and making sense of the kid is experiencing viral contamination and that a course of anti-infection agents has no impact on the result, a straightforward clarification of the distinction between viral and bacterial diseases is required for legitimate understanding. It is likewise vital to tell the families that if side effects don’t improve or deteriorate throughout the next couple of days, a reconsideration is required.
Keeping open correspondence between the guardians, patients, and staff is the ideal way to boost results. There is an assumption expected on the two sides of the range, voicing these assumptions and results from the key. As suppliers, we manage hard with circumstances and guardians, presumably one of the more significant difficulties. However long you can extend regard, pay attention to their interests, and make sense of things in a way they comprehend. The consideration for the kid will help in numerous ways.
Nafiu, O. O., Tobias, J. D., & DiNardo, J. A. (2020). Definition of clinical outcomes in pediatric anaesthesia research: it is like the tower of Babel!. Anesthesia & Analgesia, 130(2), 550-554. https://journals.lww.com/anesthesia-analgesia/Fulltext/2020/02000/Definition_of_Clinical_Outcomes_in_Pediatric.40.aspx
Mamaril, M. E. (2020). Preoperative risk factors associated with PACU pediatric respiratory complications: an integrative review. Journal of PeriAnesthesia Nursing, 35(2), 125-134. https://www.sciencedirect.com/science/article/pii/S1089947219303594
Pollak, U. (2018). Heparin-induced thrombocytopenia complicating extracorporeal membrane oxygenation support in pediatric patients: review of the literature and alternative anticoagulants. Perfusion, 33(1_suppl), 7-17. https://journals.sagepub.com/doi/abs/10.1177/0267659118766723
Kassif Lerner, R., & Pollak, U. (2022). The use of therapeutic plasma exchange for pediatric patients supported on extracorporeal membranous oxygenator therapy: A narrative review. Perfusion, 37(2), 113-122. https://journals.sagepub.com/doi/abs/10.1177/0267659120974324
Devonshire, A. L., & Kumar, R. (2019, November). Pediatric asthma: Principles and treatment. In Allergy & Asthma Proceedings (Vol. 40, No. 6). https://search.ebscohost.com/login.aspx?direct=true&profile=ehost&scope=site&authtype=crawler&jrnl=10885412&AN=139621438&h=SrlQnNlp9NCDk4CuiC5uFuc67cDDt1rqJQH4tGRRVhISjyf5xnIlhT%2Fuc9toUYooDkp65hngwUAWwzKOVgpLgA%3D%3D&crl=c