Clin Prep akita - sim ticket PDF

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CLINICAL PREPARATION WORKSHEET Patient’s Name: Akita-Byrd

Student’s Name: Victoria Daglio

Child’s Age:

Gender: Female

20 kgs: 1 ml/kg/hr Hourly fluid intake: Daily (24 hr) intake:

Output – normal urine output Calculation: Urine output should be 1 to 2 ml/kg/hr

10 mL/hr 240 mL

Hourly output: 2.5-5 mL/hr Daily (24 hr) output: 60-120 mL

Labs and Diagnostics: Which labs and diagnostic tests would you expect to see ordered to confirm this diagnosis? Choose the top 3.If there is a “gold standard”, place that test or lab at the top of your list. Name of test or lab WBC

Normal value 9,000-30,000

Urinalysis

Clear-yellow, no odor Clear, no WBC

Spinal fluid

Expected findings The WBC count will be elevated in the infant if the infection is present The lab will be able to find trace number of bacteria, specifically group B strep in the urine The lab will be able to find trace number of bacteria, specifically group B strep in the spinal fluid to confirm the diagnosis

Developmental Norms for Age: Expected for normal healthy child this age

Gross Motor:  Turns head to both sides while on back.  Kicking both legs and moving both arms equally while on back.

How does this impact your care for this patient? I would want to make sure the infant is kept in a neutral position

Fine Motor: o Might be able to grasp what you put in their hands

I would want to make sure that there isn’t anything dangerous that they baby can reach for

Language/cognitive: o Will start to recognize pitch and tone o Will cry as a way of communication

I would want to talk and a calm tone and make sure the baby’s needs are being met via frequent reassessments

Personal/social: o o

Needs warmth and comfort Spend time with mom/dad

I would make sure that the room was kept at a warmer temperature and allow plenty of bonding time for mom and dad....