Fever Case Study (Pediatric) (30 min)

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Study Tools For Fever Case Study (Pediatric) (30 min)

Pediatric Fever (Cheatsheet)
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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.

Critical Thinking Check
Bloom's Taxonomy: Application

What questions should the nurse ask the mother?

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Critical Thinking Check
Bloom's Taxonomy: Analysis

What are priority nursing actions at this time?

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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.

Critical Thinking Check
Bloom's Taxonomy: Analysis

How much fluids should the baby receive and which vital signs is the most concerning at this time?

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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)

Critical Thinking Check
Bloom's Taxonomy: Application

What should the nurse do next?

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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

Study Plan Lessons

Acute Otitis Media (AOM)
Anaphylaxis Nursing Interventions for Certified Perioperative Nurse (CNOR)
Anti-Infective – Carbapenems
Appendicitis
Bismuth Subsalicylate (Pepto-Bismol) Nursing Considerations
Breastfeeding
Brief CPR (Cardiopulmonary Resuscitation) Overview
Care of the Pediatric Patient
Celiac Disease
Cleft Lip and Palate
Conjunctivitis
Constipation and Encopresis (Incontinence)
Day in the Life of a Peds (Pediatric) Nurse
Dehydration
Developmental Considerations for the Hospitalized Individual
Developmental Stages and Milestones
Dysrhythmias for Certified Emergency Nursing (CEN)
Fever Case Study (Pediatric) (30 min)
Flight Nurse
Forensic Nurse
Growth & Development – Infants
Hypoxia – Signs and Symptoms (in Pediatrics) Nursing Mnemonic (FINES)
Immunizations (Vaccinations)
Imperforate Anus
Intussusception
Intussusception for Certified Emergency Nursing (CEN)
Life Support Review Course Introduction
Malnutrition (Failure to Thrive, Malabsorption Disorders) for Progressive Care Certified Nurse (PCCN)
Nephrotic Syndrome Case Study (Peds) (45 min)
Nursing Care Plan (NCP) for Asthma
Nursing Care Plan (NCP) for Asthma / Childhood Asthma
Nursing Care Plan (NCP) for Cleft Lip / Cleft Palate
Nursing Care Plan (NCP) for Clubfoot
Nursing Care Plan (NCP) for Cystic Fibrosis
Nursing Care Plan (NCP) for Dehydration & Fever
Nursing Care Plan (NCP) for Eczema (Infantile or Childhood) / Atopic Dermatitis
Nursing Care Plan (NCP) for Enuresis / Bedwetting
Nursing Care Plan (NCP) for Epiglottitis
Nursing Care Plan (NCP) for Hydrocephalus
Nursing Care Plan (NCP) for Imperforate Anus
Nursing Care Plan (NCP) for Infective Conjunctivitis / Pink Eye
Nursing Care Plan (NCP) for Intussusception
Nursing Care Plan (NCP) for Marfan Syndrome
Nursing Care Plan (NCP) for Neonatal Jaundice | Hyperbilirubinemia
Nursing Care Plan (NCP) for Neural Tube Defect, Spina Bifida
Nursing Care Plan (NCP) for Otitis Media / Acute Otitis Media (AOM)
Nursing Care Plan (NCP) for Phenylketonuria (PKU)
Nursing Care Plan (NCP) for Scoliosis
Nursing Care Plan (NCP) for Skull Fractures
Nursing Care Plan (NCP) for Transient Tachypnea of Newborn
Nursing Care Plan (NCP) for Varicella / Chickenpox
Nursing Care Plan (NCP) for Vomiting / Diarrhea
Nursing Care Plan for Newborn Reflexes
Nursing Case Study for Pediatric Asthma
Nursing Case Study for Type 1 Diabetes
Nutrition Assessments
Nutritional Requirements
Omphalocele
Oncology nurse
Pain Management and Procedural Sedation for Certified Emergency Nursing (CEN)
Patients with Communication Difficulties
Pediatric Advanced Life Support (PALS)
Pediatric Bronchiolitis Labs
Pediatric Dosage Calculations
Pediatric Gastrointestinal Dysfunction – Diarrhea
Pediatric Oncology Basics
Pediatric Vital Signs (VS)
Pediatrics Course Introduction
Perioperative Education Documentation for Certified Perioperative Nurse (CNOR)
Peritoneal Dialysis (PD)
Piaget’s Theory of Cognitive Development
Product Evaluation and Selection for Certified Perioperative Nurse (CNOR)
RN to MSN
Seizure Disorders for Certified Emergency Nursing (CEN)
Seizure Management in the ER
Tips & Advice for Pediatric IV
Tonsillitis
Umbilical Hernia
Visitor Supervision for Certified Perioperative Nurse (CNOR)
Vitals (VS) and Assessment
Vomiting