NUR 2460C Week 3 Clinical Swift River Amanda Blaire Room 301. 14-year-old female, who was in an ATV accident and now has a fractured tibia and fibula.

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NUR 2460C Week 3 Clinical Swift River/NUR 2460C Week 3 Clinical Swift River/NUR 2460C Week 3 Clinical Swift River/NUR 2460C Week 3 Clinical Swift River/NUR 2460C Week 3 Clinical Swift River NUR 2460C ... Week Three Clinical Swift River Amanda Blaire Room 301 Amanda Blaire, 14-year-old female, who was in an ATV accident and now has a fractured tibia and fibula. Her vital signs are Temperature 98.6, HR 87, BP 111/72, RR 18, PaO2 97%. She is post-op day 1 with continuous traction and skeletal pins to immobilize leg Baby Harris Room 302 Baby Harris, 4-hour-old newborn male, weight 6.6 lbs. with a length of 18” and approximate gestational age of 36 weeks. Late prenatal care. Mom has history of methamphetamine and heroin addiction. In addition, the mom admits to smoking 1 pack per day through pregnancy. Urine drug test on baby positive for heroin and methamphetamine. VS: T 98.1, HR 178, R 70, PaO2 96%. Hannah Johnson Room 303 Hannah Johnson, 10-year-old female presented to the ED 45 minutes ago with dehydration, dysuria, and significant weight loss of 18 pounds over the last 2 months. Both parents are with the child, the father is insisting that he be notified of all interventions before they are initiated. Initial assessment reveals: Skin dry and warm to touch, B/P 90/58, T 99.2, HR 110, RR 30. Child appears thin. Breathing is fast and deep. Noted fruity odor to breath. Initial labs: CBC WNL, K 2.89, BG 459, Urinalysis: Positive for ketones, glucose, and bacteria. Orders: IV 0.9% normal Saline at 150 ml/hour, Add 20 mEq K after first liter, Ampicillin 250 mg PO q 6 hours, finger stick blood glucose (FSBG) q 1 hour. . . . . . . . . . document continue [Show More]

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