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?
Ground Zero
Concepts Covered:
- Communication
- Fundamentals of Emergency Nursing
- Intraoperative Nursing
- Documentation and Communication
- Legal and Ethical Issues
- Emergency Care of the Cardiac Patient
- Delegation
- Perioperative Nursing Roles
- Preoperative Nursing
- Community Health Overview
- Prioritization
- Studying
- Factors Influencing Community Health
- Concepts of Population Health
- Understanding Society
- Test Taking Strategies
- Medication Administration
- Adult
- Microbiology
- Cardiac Disorders
- Anxiety Disorders
- Depressive Disorders
- Vascular Disorders
- Nervous System
- Upper GI Disorders
- Central Nervous System Disorders – Brain
- Gastrointestinal Disorders
- Immunological Disorders
- Dosage Calculations
- Circulatory System
- Concepts of Pharmacology
- Hematologic Disorders
- Newborn Care
- Adulthood Growth and Development
- Disorders of Pancreas
- Respiratory Disorders
- Postoperative Nursing
- Pregnancy Risks
- Neurological
- Postpartum Complications
- Substance Abuse Disorders
- Noninfectious Respiratory Disorder
- Bipolar Disorders
- Peripheral Nervous System Disorders
- Learning Pharmacology
- Psychotic Disorders
- Prenatal Concepts
- Tissues and Glands
- Basics of Chemistry
- Gastrointestinal
- Newborn Complications
- Labor Complications
- Fetal Development
- Terminology
- Labor and Delivery
- Postpartum Care
- EENT Disorders
- Infectious Disease Disorders
- Lower GI Disorders
- Integumentary Disorders
- Neurologic and Cognitive Disorders
- Hematologic Disorders
- Integumentary Disorders
- Cardiovascular Disorders
- Musculoskeletal Disorders
- Endocrine and Metabolic Disorders
- Renal and Urinary Disorders
- Urinary System
- Oncologic Disorders
- Renal Disorders
- Infectious Respiratory Disorder
- Urinary Disorders
- Sexually Transmitted Infections
- EENT Disorders
- Behavior
- Emotions and Motivation
- Growth & Development
- Psychological Disorders
- State of Consciousness
- Health & Stress