Kofi Gyamfi: Make-up Assignment
Cooper Madison, a 6-year-old Caucasian male, arrived at the emergency department at 1045 Tuesday with a closed head injury and concussion, related to a fall from a tree house. A CT scan indicated possible skull fracture and subdural hematoma. A C-spine ruled out spinal fracture. While still in the emergency department, Cooper experienced an unwitnessed seizure. At 1300 Tuesday, Cooper was admitted to the pediatric unit. He has showed signs of decreasing consciousness overnight. The scenario takes place on Wednesday at 0645. During this scenario, students will have the opportunity to manage and implement nursing interventions for a pediatric patient experiencing a seizure.
Phase 1: T = 98.6 F (37 C)
BP = 90/50
P = 120
RR = rate irregular, …show more content…
Please help him, he is shaking all over!"
As the student enters the room, Cooper is lying supine in bed. He immediately begins having a seizure. Frothy emesis is oozing from his mouth and nose. The head of bed is flat and both side rails are in the down position.
What do you do??? What are your nursing actions?? The top priority for a patient experiencing seizure is airway. Therefore the head of the bed should be raised to 30-40 degrees, then patient turned to the side to prevent aspiration. Safety is also important, therefore both side rails should be up and padded to prevent falls and injuries. The time of onset of seizure, date and duration should be noted and documented.
•
Phase 2:WT = 98.8 F (37.1 C)
BP = 110/61
P = 99
RR = 40 (coughing, gasping)
O2 Sat = 89% (room air) • Lung sounds: Crackles bilaterally
• Substernal and intercostal retractions
• Speech: Moaning
• Pupils: 4 - brisk, bilaterally equal
Cooper Madison, a 6-year-old Caucasian male, arrived at the emergency department at 1045 Tuesday with a closed head injury and concussion, related to a fall from a tree house. A CT scan indicated possible skull fracture and subdural hematoma. A C-spine ruled out spinal fracture. While still in the emergency department, Cooper experienced an unwitnessed seizure. At 1300 Tuesday, Cooper was admitted to the pediatric unit. He has showed signs of decreasing consciousness overnight. The scenario takes place on Wednesday at 0645. During this scenario, students will have the opportunity to manage and implement nursing interventions for a pediatric patient experiencing a seizure.
Phase 1: T = 98.6 F (37 C)
BP = 90/50
P = 120
RR = rate irregular, …show more content…
Please help him, he is shaking all over!"
As the student enters the room, Cooper is lying supine in bed. He immediately begins having a seizure. Frothy emesis is oozing from his mouth and nose. The head of bed is flat and both side rails are in the down position.
What do you do??? What are your nursing actions?? The top priority for a patient experiencing seizure is airway. Therefore the head of the bed should be raised to 30-40 degrees, then patient turned to the side to prevent aspiration. Safety is also important, therefore both side rails should be up and padded to prevent falls and injuries. The time of onset of seizure, date and duration should be noted and documented.
•
Phase 2:WT = 98.8 F (37.1 C)
BP = 110/61
P = 99
RR = 40 (coughing, gasping)
O2 Sat = 89% (room air) • Lung sounds: Crackles bilaterally
• Substernal and intercostal retractions
• Speech: Moaning
• Pupils: 4 - brisk, bilaterally equal