Student Name: Elvira Castaneda
Patient initials: MY
Age: 15 years old
PEDIATRIC PREP SHEET
1. Give a brief history of this child’s illness (after reading chart).
A 15 year old female patient was admitted to the hospital on 04/07/2016 with a pulmonary exacerbation. About two weeks ago she started with nasal congestion, rhinorrhea and a worsening cough. Her cough was described as wet and productive. Also, the patient presented some episodes of blood in the green sputum. At the time of admission, the patient was afebrile and had a good appetite. This cystic fibrotic patient was diagnosed with a lung infection related to Pseudomonas aeruginosa. As a result, patient was placed in droplet and contact precautions. Her vital signs at the time of assessment …show more content…
This accumulation may lead to bacterial growth, reduced oxygen and retention of carbon dioxide which can lead to hypoxia and acidosis.
The gastrointestinal system is affected when the pancreatic ducts are blocked by thick secretions. Consequently, the pancreatic enzymes do not reach the duodenum. If this enzymes are not present in the digestive tract there is an impairment of the absorptions of nutrients and proteins but essentially fats.
Pseudomonas aeruginosa is one of the most common pathogens that affect children with CF and can cause pulmonary exacerbation. The complications develop when the thick mucus accumulates in the airways and bacteria starts to colonize the lung tissue. Children with CF cannot get rid of these bacteria easily since alveolar macrophages are not able to destroy the pseudomonas and antibiotics often become resistant to the bacterium. A sputum culture is taken in order to find out if the lung exacerbation is being caused by pseudomonas aeruginosa
Major and minor signs and symptoms of cystic fibrosis
Respiratory GI Pancreas Sweat Glands …show more content…
This patient with a medical history of cystic fibrosis was diagnosed with a pulmonary exacerbation due to an infection caused by pseudomonas aeruginosa. This condition is characterized by augmenting the respiratory symptoms such as cough, sinus and chest congestion; and production of thick green sputum with streaking of blood. These symptoms are often accompanied by fever an increase in respiratory rate. The patient may also experience lack of sleep and decrease appetite and weight. Patients have to be carefully monitored because they can retain carbon dioxide and this can lead to pulmonary acidosis.
Patients can present these common complications:
• Lung tissue scars
• Prolapse of rectum, fecal impaction and intussusception
• Pancreatic enzyme deficiency due to occlusion of the pancreatic ducts by thick secretions
• Barrel shaped chest
• Clubbing of fingers, toes, related to lack of oxygen
• Infertility
3. What are normal vital signs for this age patient?
Respiratory Rate: 12-16
Heart Rate: 60-90
Blood Pressure: 94 to 140 (systolic mmHg) 62 to 66 (Diastolic
Patient initials: MY
Age: 15 years old
PEDIATRIC PREP SHEET
1. Give a brief history of this child’s illness (after reading chart).
A 15 year old female patient was admitted to the hospital on 04/07/2016 with a pulmonary exacerbation. About two weeks ago she started with nasal congestion, rhinorrhea and a worsening cough. Her cough was described as wet and productive. Also, the patient presented some episodes of blood in the green sputum. At the time of admission, the patient was afebrile and had a good appetite. This cystic fibrotic patient was diagnosed with a lung infection related to Pseudomonas aeruginosa. As a result, patient was placed in droplet and contact precautions. Her vital signs at the time of assessment …show more content…
This accumulation may lead to bacterial growth, reduced oxygen and retention of carbon dioxide which can lead to hypoxia and acidosis.
The gastrointestinal system is affected when the pancreatic ducts are blocked by thick secretions. Consequently, the pancreatic enzymes do not reach the duodenum. If this enzymes are not present in the digestive tract there is an impairment of the absorptions of nutrients and proteins but essentially fats.
Pseudomonas aeruginosa is one of the most common pathogens that affect children with CF and can cause pulmonary exacerbation. The complications develop when the thick mucus accumulates in the airways and bacteria starts to colonize the lung tissue. Children with CF cannot get rid of these bacteria easily since alveolar macrophages are not able to destroy the pseudomonas and antibiotics often become resistant to the bacterium. A sputum culture is taken in order to find out if the lung exacerbation is being caused by pseudomonas aeruginosa
Major and minor signs and symptoms of cystic fibrosis
Respiratory GI Pancreas Sweat Glands …show more content…
This patient with a medical history of cystic fibrosis was diagnosed with a pulmonary exacerbation due to an infection caused by pseudomonas aeruginosa. This condition is characterized by augmenting the respiratory symptoms such as cough, sinus and chest congestion; and production of thick green sputum with streaking of blood. These symptoms are often accompanied by fever an increase in respiratory rate. The patient may also experience lack of sleep and decrease appetite and weight. Patients have to be carefully monitored because they can retain carbon dioxide and this can lead to pulmonary acidosis.
Patients can present these common complications:
• Lung tissue scars
• Prolapse of rectum, fecal impaction and intussusception
• Pancreatic enzyme deficiency due to occlusion of the pancreatic ducts by thick secretions
• Barrel shaped chest
• Clubbing of fingers, toes, related to lack of oxygen
• Infertility
3. What are normal vital signs for this age patient?
Respiratory Rate: 12-16
Heart Rate: 60-90
Blood Pressure: 94 to 140 (systolic mmHg) 62 to 66 (Diastolic