Pediatric Nurse At The Local Emergency Department

I have personally seen how fast the symptoms progressed in a 10-month old child whose symptoms started as a regular cough. Next day his body temperature went up to 104 for and kept coming back constantly for couple of days. Cough became painful and started sounding more like wheezing and child could not eat or drink anything. Two separate trips to emergency room resulted in bringing toddler’s fever down, but even with chest x-rays and physical examinations, they were unsuccessful in detecting pneumonia until 911 was called and paramedics detected low oxygen and severe dehydration. I was informed by the admitting hospital physician that without prompt fluids, oxygen and antibiotic treatments, this cold complication may result in child’s

It was also noted that the patient had an influenza vaccine for this season, however a rapid influenza and RSV test were completed which resulted negative (Fahey, 2011). Fahey (2011) also discussed how difficult it is to identify organisms that cause pneumonia, and how cultures are not done a lot in the primary care setting (Fahey, 2011). A chest radiograph was ordered for suspected pneumonia and a confirmed diagnosis of left lobar pneumonia was received (Fahey, 2011). The most common organisms that cause pneumonia in children were discussed by age group (birth-3 weeks=group B streptococcus; 3 weeks-4 months= streptococcus or chlamydia pneumonia; 4 months-5 years=viruses and RSV in the younger than 2 year age group) (Fahey, 2011). It was discussed that pneumonia patients typically present with respiratory symptoms and fever (Fahey, 2011). This article also discussed the diagnosis of children older than 1 year is usually made through clinical/physical assessment, and it is not always possible to determine the pathogen causing the problem because cultures and lab work are not routinely done as an outpatient (Fahey, 2011). The requirements for the hospitalization of children were discussed, and the importance of practitioners using algorithms for CAP management

In the early morning hours on a Sunday, a worried mother brought in a 22-month old child to the emergency room. The young girl was exhibiting signs of a common cold, including a low-grade fever and runny nose that had been persisting for the last 48 hours. The child also had a hoarse cough and forced, noisy breathing. Her larynx was raw and swollen and she had mucus coating her red throat. Upon examination, the pediatrician also noticed mild inflammation of the ears and cloudy eyes. A rapid Strep test performed on the child came back negative, and a warm vaporizer helped to alleviate her difficulty breathing.

A two month old African American child was admitted to a local clinic in Bakersfield, California with a cough, fever, and occasional night sweats. The physician diagnosed him with influenza B virus and sent him home with some acetaminophen(brand name Tylenol) to help with the symptoms. At home, the boy progressively got worse so after three days, the child was readmitted to the clinic. The physician had a blood test and a sputum test sent to a microbiologist for examination as the doctor believed that the child was infected by another microbial pathogen. After examining the blood and sputum, it became clear that the child had an infection that was much more dangerous than influenza B.

A 68-year-old female presents to her local physician’s office with a 4-day history of productive cough, chills, and fever. She has had no recent hospitalizations or recent use of antibiotics. Her temperature is 38.4·°C (101 °F), blood pressure is 144/84 mmHg, respiratory rate is 25 breaths/minute, heart rate is 100 beats/minute. Crackles are heard in the right middle lung field. She is oriented to person, place, and time.

In order to allow for the identification of a primary care pediatrician, patients identify the doctor’s lifetime value. With that, patients will place an emphasis on their relationship with the pediatrician. A strong relationship involves trust and communication, when a pediatrician and patient are able to work together, the overall quality of care can improve dramatically. To begin with, we must understand how a pediatrician can create a relationship. Patients feel the need to bring awareness to their needs and wants, including a conversation with a doctor they can empathize with. This allows the patient to realize the amount of care the pediatrician will practice. In order to sustain brand loyalty, it is necessary to acknowledge the situation

A complete history and physical was performed and disclosed a past medical history of acute otitis media (AOM) diagnosis at 12 and 18 months of age; this patient was treated with antibiotics and her symptoms resolved (Fahey, 2011). It was determined that this patient attends a group daycare, and her older sibling has recently been diagnosed and is being treated for influenza type A (Fahey, 2011). Suggested differential diagnoses were identified and viruses were quickly ruled out because the patient’s symptoms had already passed the time frame (3 days) for viral syndromes (Fahey, 2011). The patient had already received an influenza vaccine for this season, however a rapid influenza and RSV test were completed and resulted negative (Fahey,

Over the next several days his condition worsened and the child was seen by a family friend and nurse who told the mother he might have meningitis. According to the family , they searched meningitis online and they did not think that he had a symptom consistent with meningitis . So the mother purchased an Echinacea tincture called “Blast” from a naturopathic clinic. By then the boy was so sick and stiff he couldn’t

A woman brings her seven7-month- old daughter back to the emergency department because of persistent fever since her previous visit five 5 days ago. The patient has continued spiking fevers despite receiving acetaminophen. She has become increasingly irritable and constantly tugs at her left ear. The infant is up- to- date with her vaccines. Her past medical history is significant for a urinary tract infection two 2 months ago. Prenatal history is unremarkable. The patient is above her age growth curves for height and weight. She can babble and respond to her own name. She sits without support and cries when the doctor approaches her. On physical examination, the patient screams during manipulation of her left ear. Pneumatic otoscopy reveals

Pediatric Nurse is a nurse that takes care of infants. You will need a Bachelors and a Associates in Nursing. You also have to take a test to become a certified nurse. Pediatric Nurses know a lot about the body of an infant or adolescents. I enjoy being around kids. I’ve always loved taking care of babies. I think I could better the Texas Children’s Hospital, with my sweetness and kids will love me. Little kids love when they have nurses that are friendly and sweet. They love when they get treats, and I will do that every patient I get. I will treat patients like they are my own kids. I have a passion for nursing, and little kids. I will do my job to help others not for money, I love working with babies.

A sedated 72-year old male was admitted to the emergency department of a county hospital. The patient was complaining of chest pain and shortness of breath. This patient has a history of COPD, type-two diabetes and has quit smoking for nearly seven years.

When it comes to babies, children, young adults, adults and the elderly, Environmental and nutritional considerations are always important when it comes to the treatment of fever across the life span in an acute care setting. From babies to adults fevers affect all for a variety of reasons both due to infectious and noninfectious processes. Some infectious processes that could cause fevers in infants, young adults and the elderly alike are: bacterial infections, viral or fungi infections. Infections and conditions that could cause fevers could range from flu, UTI, pneumonia, and disorders such as malignant hyperthermia, and status epilepticus or seizures (McCance & Huether, 2014).

Respiratory syncytial virus is one of the most common causes of infection in adults, children, and infants. It comes with cold-like symptoms such as low-grade fever, sneezing (b1) and usually associated with increase wheezing (s1). In premature infants, RSV considered as a major cause of hospitalization, morbidity and mortality. The associated factors of having

The child is seen by a primary doctor and if the child is normal and has no symptoms they will be referred to a community clinic where additional tests will be performed. If the child is ill, they will be immediately taken to the hospital where they will be given antibiotics. Then the child will be seen by a Hematologist, who will control the condition and order many labs to be taken. Whether the child is referred to a community clinic or a hospital a detailed history will be taken. The history is the key making the proper diagnosis.The history’s main components are timing, severity, and quality of

Colds: respiratory illnesses in infants and young children are very common and caused by Human parainfluenza viruses (HPIVs). Symptoms usually include fever, runny nose, and cough. There is no specific treatment for this infection. “Most HPIV illnesses are mild and typically require only treatment of symptoms” (CDC, 2012).