Mr. and Mrs. Gavin bring their 10-day old daughter, Sherri to the hospital because she is lethargic. They explain that Sherri was fine until early this morning when she "didn't look right" and began breathing very rapidly. Her pulse rate is 200 beats/minute. A tentative diagnosis of sepsis is made. The physician tells Mr. and Mrs. Gavin that Sherri must be admitted to the hospital. Hence, Ampicillin was ordered and blood studies are done. Pre-Assessment: 1. Before beginning the assessment for Sherri, what should you do and ask as a nurse? 2. Where would baby Sherri be placed upon admission? Assessment: (Information gathering through history, physical examination and testing) 1. What would be the initial assessment to be done for baby Sherri? 2. What are the early manifestations of sepsis in neonates?
Mr. and Mrs. Gavin bring their 10-day old daughter, Sherri to the hospital because she is lethargic. They explain that Sherri was fine until early this morning when she "didn't look right" and began breathing very rapidly. Her pulse rate is 200 beats/minute. A tentative diagnosis of sepsis is made. The physician tells Mr. and Mrs. Gavin that Sherri must be admitted to the hospital. Hence, Ampicillin was ordered and blood studies are done. Pre-Assessment: 1. Before beginning the assessment for Sherri, what should you do and ask as a nurse? 2. Where would baby Sherri be placed upon admission? Assessment: (Information gathering through history, physical examination and testing) 1. What would be the initial assessment to be done for baby Sherri? 2. What are the early manifestations of sepsis in neonates?
Chapter7: Drug Sources, Schedules, And Dosages
Section: Chapter Questions
Problem 18RQ
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Question
NURSERY WARD SCENARIO
Transcribed Image Text:CLIENT PROFILE
Mr. and Mrs. Gavin bring their 10-day old daughter, Sherri to the hospital because she is
lethargic. They explain that Sherri was fine until early this morning when she "didn't look right"
and began breathing very rapidly. Her pulse rate is 200 beats/minute. A tentative diagnosis of
sepsis is made. The physician tells Mr. and Mrs. Gavin that Sherri must be admitted to the hospital.
Hence, Ampicillin was ordered and blood studies are done.
Pre-Assessment:
1. Before beginning the assessment for Sherri, what should you do and ask as a nurse?
2. Where would baby Sherri be placed upon admission?
Assessment: (Information gathering through history, physical examination and testing)
1. What would be the initial assessment to be done for baby Sherri?
2. What are the early manifestations of sepsis in neonates?
3. Vital signs and blood pressure monitoring is done. What would be a complication of severe
sepsis?
4. What are your nursing objectives for baby Sherri?
Diagnosis: (interpreting information to identify problems/needs)
Main findings include the following:
History
• Baby Sherri is 10-day-old, female, daughter of Mr. and Mrs. Gavin.
Ampicillin was ordered
Physical Examination
• Baby Sherri is lethargic.
• Breathing is rapid.
Pulse rate of 200 beats/min.
Laboratory findings:
• Blood studies are done.
1. Which should concern most of the laboratory findings result?
Care Provision (implementing plan of care and information)
1. What parental teachings can you give to baby Sherri's parents?
2. Based on the admitting diagnosis, what are your plan of care for Sherri? Why?
Evaluation:
1. What is your continuing plan of care for baby Sherri involving her parents in the hospital
and in preparing for the infant's discharge?
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