Concept Map: Sickle Cell Disease
Oct 8, 2010
Duke University School of Nursing
My client, referred to as 20SE03, is actually a four year old preschooler that lives in a two-parent home along with his youthful one year outdated sister. His family has recently moved to New york where he was recently presented with new onset of seizures and status content cerebral vascular accident (CVA). He has a history of sickle cell disease, ulcerative colitis, acute torso syndrome, and asthma. Symptoms began about 18 months before when his mother noticed that this individual complained of intense discomfort in his reduce extremities. While the soreness worsened, using the having breathing problems; resulting in a group of subsequent hospitalization starting 13 months in the past for pulmonary embolus. After admission to UNC Hospital PICU, having been given a unit of blood and 4 rehydration remedy in order to treat his anemia and dehydration. Multiple testing were performed to determine the charge of his presenting symptoms. It was established that he had mini seizures that resulted in a vasoocclusive attack with the brain, elizabeth. g., heart stroke, complicated simply by sickle cell disease. Extended assessment and examination of his case says he might had been having seizures up to many hours before his initial entry to Awaken Med. He spent four weeks in extensive care before being utilized in the step down device where he was on seizure precautions and fall risk during my nursing care. The foci of care for 20SE03 included discomfort management, hypertension management, detection of risk for infection (temp > 38. 5 degrees celsius), mouth rehydration remedy, and compliance to nursing jobs interventions with the aid of the parents.
N221 Pediatric Nursing jobs --- Scientific Database
|De-identified Patient Details |Reason intended for Admission: Seizures r/t complications from sickle cell disease | |Patient's Age: 4 LOS: twenty six days | | |Gender: Male |Past Medical History: Sickle cell disease, ulcerative colitis, CVA, serious chest problem, PNA, anemia, | | |pancreatitis, breathing difficulties, liver problems, hyperbilirubinemia, hypokalemia, hypocalcemia, hypomagnesemia, | | |hypophosphatemia, weakness, mucositis, s/p exchange transfusion | | | | | |Surgical Procedure: Bronchoscopy | |Unique Code | | |Student Initials: JAA |Treatments: Oral Rehydration Therapy | |Week: 3 | | |Name of Firm: UNCH |Assistive Devices: N/A | |Advance Directives: |Pertinent Diagnostic Tests---Radiology, Laboratory, EKG, etc . (for results: show low, usual, or | |DNR Position: FULL CODE |high values) | |Source of Information: Medical chart |See next web page | | | | |Family Composition: Father, mom,...