Case Study 2.doc - Pediatric Unfolding Case Study#2...

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Pediatric Unfolding Case Study #2 Background Information:Alison is a 12-month-old who has been vomiting for the past 12 hours. Since waking at 6AM she has “not held anything down.” It is now 5:30 PM and Alison’s mother is becoming concerned. She calls the primary care office and the nurse recommends that Alison be brought into the office for evaluation. On initial assessment, Alison is lethargic and very quiet. Her lips and skin are dry. She is crying at times, but does not produce tears. Her diaper is dry; her mother says that she has not needed to change her diaper since 7 AM. 1. What are the nurse’s primary concerns based on these findings? Please list at least 3 concerns:1. risk of dehydration due to vomiting- patient has been vomiting for last 12 hours, lips and skin are dry, cannot produce tears, and her diaper is dry2. risk of nutritional imbalance due to alternate intake related to vomiting - patient has been vomiting for 12 hours and has “not held anything down”3. disturbed sleep pattern due to vomiting

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