Shigelma Case Studies

If you were prescribed an antibiotic medicine, use it as told by your health care provider. Do not stop using the antibiotic even if your condition improves.

2. The patient is receiving an IV vesicant chemotherapy drug. The nurse notices swelling and redness at the site. What should the nurse do first?

While these are two distinct conditions, clinically they are often overlapping. Symptoms include fever, hoarseness, a seal-like barking cough, and acute stridor. Stridor occurs from narrowing of the larynx and the trachea and is audible on inspiration, signifying an upper respiratory obstruction versus expiratory stridor which indicates a lower airway obstruction. More severe cases will have both inspiratory and expiratory stridor, signifying respiratory distress. Other signs include retractions, lethargy, agitation, tachypnea, tachycardia, hypotonia, hypoxia, and cyanosis. If these signs are present, the patient may need to be intubated. It is also important to assess the severity of the croup utilizing the Westley croup score which helps evaluate level of consciousness, cyanosis, stridor, air entry, and retractions. Mild croup with a score ≤ 2 indicates a barking cough and hoarse cry with no stridor at rest. Moderate is a score of 3-7 signifying stridor, mild retractions, other respiratory distress signs, but little or no agitation. Severe croup is a score ≥ 8, signifying significant stridor, retractions, decreased air entry, agitation, and fatigue. Impending respiratory failure is a score ≥ 12 with signs of fatigue, retractions, decreased breath sounds and consciousness, tachycardia, and

G.M. was then immediately transferred to Rady Children’s hospital Emergency Room by her parents. Upon nursing assessment she presented with vital signs within the same range from her clinic visit. These were repeated every fifteen minutes until stable. Her skin was flushed and diaphoretic. Mucous membranes appeared dry with significant skin cracking around the mouth. Patient was alert and oriented times three and pupils were equal, round, and reactive to light and accommodation. Her breath sounds were clear and equal bilaterally, with no adventitious sounds noted. However, patient G.M. appeared to have

The patient in this scenario C was suffering with food poisoning caused by Salmonella sp.

If your child was prescribed an antibiotic, give it as told by your child's health care provider. Do not stop giving the antibiotic even if your child's condition improves.

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

Case :- A 17-year-old female presents to her local hospital 's E.R. at 7:45 in the morning on a school day. She appears apprehensive and uncomfortable. She winces and splints her chest to the right side when she coughs. She is examined by the attending resident.

Croup is a viral condition that causes swelling around the vocal cords. It is represented by breathing and a terrible hack which looks like a seal barking breathing. Countless diseases in control of the rump likewise cause the final freezing. The most dynamic in the autumn and winter months, croup usually caters adolescents under five years old.

There is no reason to wait for the lab result because the more delayed the treatment it will increase the baby outcome of survival. The baby will get antibiotic treatment for up to three weeks if the bacteria are found in the blood or spinal fluid. But if the baby does not have any bacterial infection on the lab blood culture result then then the treatment time be shorter to resolve the other symptoms. Many babies with bacterial infections will recover completely and have no other problems. However, neonatal sepsis is leading cause of death in infant papulation. The more quickly an infant get treatment the better

- Check the patient temperature when the patient stated that she feels “warm” in addition to every 4 hours as indicated by the treatment plan set to evaluate the progression of worsening infection and the effectiveness of the management.

Yes I agree with you that the question is asking what response related to infection control. That is why I also choose a, c, and e as well. I also thought the same thing about b and c being good nursing inventions. While I was answering question I thought about what method will be good to help for the cough, until I saw the main issue infection control. That when I noticed which answer would be helpful or apart on infection control and which ones were not.

A 7-month-old infant presents with a cough. The parent of the infant Mrs. Tomran is concerned about respiratory syncytial virus (RSV). A detailed history was conducted for the infant. It indicated the coughing mainly happens during the night and increases when crying occurs. The infant is noted to have a history of eczema with an extensive episode a few months ago. She is also noted to have an ear infection 3 months ago with an allergic reaction to the amoxicillin used for treatment. There are individuals that suffer and are being treated for a variety of different respiratory disorders. The type of cough that this 7 month old infant girl is experiencing a respiratory disorder, more specifically the underlying alteration that can be associated with it is asthma.

1.Shigella germs are present in the stools of infected people. It can occur for up to a week or two even after the diarrhea has stopped. Shigella is very contagious; exposure to even a tiniest amount of contaminated fecal matter can cause an infection. Transmission of Shigella occurs when the infected bacteria is contacted with someone´s mouth or the bacteria from stool is swallowed. This can happen when contaminated hands touch your food and your mouth. Hands get contaminated when we touch surfaces, for example toys and bathrooms that have been contaminated by a person with this infection. Hands can also become contaminated with Shigella while even shaking hands with someone who didn´t wash their hands after going to the bathroom.

The proper yet least invasive route to perform the measurement of a core temperature in children has been an ongoing debate. Common methods or routes include axillary or in the armpit area, oral, rectal, tympanic, and temporal. Proper temperature measurement with an accurate result is important for diagnosis and treatment, especially in febrile children. False positive measurements can lead to extensive and unnecessary diagnostic testing while false negatives can lead to under treatment in a fragile population, which is why the