Download MEDICAL SURGICAL ROTATION * Weekly Written Report

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Chronic Gastrointestinal Problems in Children
*Diagnosis Patho & Drug table (Complete both before class)
Hirshprung & Gastroesophageal reflux
Requirements:
Referring to your textbook, complete the following table with bullet points of pathophysiology. Complete the drug table as well before
class.
Hirshprung
Diagnosis/definition—
Cause & Symptoms
Diagnostics & Lab Tests performed
Plan of care/Treatment
.
Gastroesophageal reflux
Diagnosis/definition—
Cause & Symptoms
Diagnostics & Lab Tests performed
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Plan of care/Treatment
.
Drug/Drug Class
Be sure to include HOW/WHY the
drug works
**Dose, route,
frequency
Include safe
dose range
and show your
calculations
Why would
this be
ordered for
this client
**Or why
should you
question
this order
Nursing assessments and
interventions r/t medication
Evaluation of Rx effect, including
possible side effects, adverse
reactions, etc.
Ranitidine
Loperamide
Oral rehydration solution
Family:
Anthony 3 months 5.5kg, NKDA new foster child, Hx of intrauterine drug exposure, Hirshprung disease with
resection at 2 months of age. Medications include Ranitadine and multivitamin
Lucy 22 months, 8kg NKDA, adopted from China 5 months ago. Diagnosis of Trisomy 21, S/P VSD repair 1 month ago
Ruth 6 year old 35 kg NKDA, Nocturnal enuresis, occasional encopresis
Mark Jr. nickname Junior 10 year old, 25kg NKDA, Diagnosis of Cystic Fibrosis
Stephan 15 year old, 120kg Allergy: Amoxicillin (Rash) Diagnosis of Asthma & Attention Deficit Disorder, Obesity and
Hypertension
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Mark 46 & Elijah 38 Parents, Elijah has history of cystic fibrosis
Clinical situation:
You are assigned to the Medical Unit today. Mark and Elijah are here to meet Anthony and learn how to care for him.
1. Mark asks you what Hirsprung disease is. How do you respond?
2. When you examine Anthony you point out his abdominal scars and teach the fathers what Anthony’s normal
physical findings are. What should Mark and Elijah watch for that would necessitate an Emergency Department
visit?
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3. Elijah asks you if the Hirsprung disease causes Anthony’s gastroesophageal reflux. How would you respond?
4. Mark asks you if Anthony will require more surgery. How do you respond?
5. What is Anthony’s prognosis?
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6. Write 2 nursing diagnosis for this family.
NURSING DIAGNOSIS
Include problem, etiology and
s/s-(defining characteristics or
‘as evidenced by’) from your
assessment data – major
characteristic(s) should be
present in your client to
qualify.
NURSING DIAGNOSIS
#1 Nursing Dx:
#2 Nursing Dx:
EXPECTED OUTCOME(S)
Outcomes are measurable, realistic and
time-limited to your patient in the acute
care. If teaching, what outcome(s) would
be necessary?
INTERVENTIONS with RATIONALE(S)
Interventions should be appropriate to the stated nursing
diagnosis and related to factor. They should be specific and
include frequency of implementation. Be sure to include
reference the source of rationale from NANDA book or other
nursing text.
EXPECTED OUTCOME(S)
INTERVENTIONS with RATIONALE(S)
EVALUATION
Were your expected outcomes
met? If not, would you revise
your EO or your interventions
Why or why not, and what
would you do differently?
Please use a second ink color if
adding or revising.
EVALUATION