Fever Case Study (Pediatric) (30 min)
Included In This Lesson
Study Tools For Fever Case Study (Pediatric) (30 min)
Outline
A 3-month-old child presents to the emergency room with her mother. The mother reports that the baby is not acting like herself and she is having a hard time arousing the baby. Upon inspection the baby is wrapped in blankets in her car seat sleeping. The nurse unwraps the baby and feels heat radiating off the child.
The vital signs are as follows:
Temp 104°F Rectally
HR 150 bpm
RR 32 bpm
SpO2 99%
BP 66/32 mmHg (54 MAP)
The child is not opening their eyes or crying. The nurse notices the fontanelle is sunken in and the baby’s skin is hot but dry.
What questions should the nurse ask the mother?
What are priority nursing actions at this time?
Baby is 5.9 kg and the nurse initiates a peripheral IV for the baby. The provider orders rectal Tylenol at the appropriate weight-based dose.
How much fluids should the baby receive and which vital signs is the most concerning at this time?
The baby has received the fluid bolus and rectal Tylenol. The nurse checks another set of vitals and gets the following:
Temp 101 F Rectally
HR 141
RR 30
SpO2 99%
BP 68/42 mmHg (59 MAP)
What should the nurse do next?
Pediatric
Concepts Covered:
- EENT Disorders
- Immunological Disorders
- Intraoperative Nursing
- Shock
- Gastrointestinal Disorders
- Lower GI Disorders
- Postpartum Care
- Basic
- Respiratory Disorders
- Endocrine and Metabolic Disorders
- Developmental Considerations
- Childhood Growth and Development
- Prenatal and Neonatal Growth and Development
- Cardiac Disorders
- Emergency Care of the Cardiac Patient
- Musculoskeletal Disorders
- Fundamentals of Emergency Nursing
- Adult
- Concepts of Population Health
- Factors Influencing Community Health
- Renal and Urinary Disorders
- Renal Disorders
- Noninfectious Respiratory Disorder
- Integumentary Disorders
- Urinary Disorders
- Central Nervous System Disorders – Brain
- Neurologic and Cognitive Disorders
- Newborn Complications
- Musculoskeletal Trauma
- Infectious Disease Disorders
- Newborn Care
- Disorders of Pancreas
- Pregnancy Risks
- Communication
- Neurological Emergencies
- Pediatric
- Oncologic Disorders
- Preoperative Nursing
- Acute & Chronic Renal Disorders
- Developmental Theories
- Emergency Care of the Neurological Patient
- Medication Administration
- Perioperative Nursing Roles