Vivian johnson 05/23/22
- The packet
- Brains/SBAR
S: 5-year-2-month-old male client with a parent admitted due to dehydration, vomiting, and diarrhea.
B: came to the clinic this morning due to diarrhea three days ago within the last 6 hours. She has a poor appetite and only had sips of fluid for milkshakes, and she will vomit it right out. she is crying with pain. She attends preschool kindergarten class the was not ill at home. She contacted it from school because several children had bugs.
A: BP 190/50, T 99.1, R=28 HR 92. She has clear lung sounds, no murmur, and hyperactive bowel sounds. She is crying and has a pain level of 3 on the FACES scale.
R: admitting prescriptions are Normal saline 400ml, D51/2 NS IV at maintenance strict, weigh daily stool 0+P+Culture and repeat Chem 7 tomorrow am for the hospital is in the computer.
- ATI: Real Life SIM: Gastroenteritis
- Virtual Health Care SIM: PostOp
- Discharge Instructions for Eva
The best way to prevent spreading the infection is to:
Wash your hands frequently. Hands washing should be done after using the bathroom
changing diapers, and handling food
wash your hands with soap and water or an alcohol-based hand sanitizer if soap and water aren’t available
Dehydration, poor oral intake, or increased gastrointestinal pain may prompt parents to seek medical assistance if their kid develops a temperature of more than 101 degrees Fahrenheit or if their child’s diarrhea lasts for 14 days or more.
dehydration, poor oral intake, or worsening stomach pain should prompt parents to seek medical attention
- Drinking
Avoid dehydration. They must consume enough fluids to meet their daily needs and replenish those lost due to vomiting or diarrhea. - If your child has diarrhea but not vomiting, they can drink as much as they want, but they should drink modest amounts of water often if they are vomiting. Every few minutes, give your youngster 5 mL of fluid. Give them up to 30 mL of fluids every 5 minutes if they can keep it down.
- Eating
Clear liquids, such as apple juice and water popsicles, broth ginger ale, no sugary electrolyte beverages, and sports electrolyte drinks are preferable.
Pedialyte or other electrolyte maintenance solutions should be given.
Let your child eat healthy foods that aren’t too heavy in fat or sugar if they have diarrhea but aren’t vomiting or have stopped vomiting.
They’ll heal faster if they eat. A few hours after they haven’t vomited, cautiously start feeding them little amounts of food.
If your child has diarrhea or has been vomiting, it is advisable to avoid giving them fatty or oily meals. Do not administer over-the-counter drugs such as dimenhydrinate (Gravol) or loperamide to your child if they suffer vomiting or diarrhea (Imodium).
Even while your child is getting better, it’s essential to watch what they eat.
The optimal diet consists primarily of moderate and readily digestible foods. Some of these might be.
non-acidic fruits like bananas, melons, and figs
lean meats without added seasonings
rice or mashed potatoes
toast, crackers, or plain cereal
breast milk or formula for babies and toddlers
- 25 questions of ATI adaptive quizzing in Care of the Child
25 questions of ATI adaptive quizzing in Care of the Child