Meningitis 5-week-old - Student-4.docx - Case Study 119...

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Case Study 119 Meningitis April 9, 2020 A mother brings her 5-week-old infant (J.H.) to the Emergency Department. Mrs. H. speaks little English; her husband is at work. She appears young, frightened, and anxious. Through the hospital translation line, you find out the mother is from Guatemala. The infant has refused eating, sleeps all the time, and is “not normal.” 1) What are come of the obstacles you need to consider – recognizing that she doesn’t speak or understand English well? 2) You perform a primary assessment and question the mother via a translator. Which of the findings are abnormal and need to be reported? Select all that apply and state a rationale. a) Anterior fontanel palpable and tense b) Pupils equal and +3 c) Temperature 96.8 degrees F (36 degrees C) rectally d) Heart rate: 135 bpm e) Positive Babinski reflex f) High-pitched cry g) Refusal of PO intake per mother
3) Place an X where you would assess the Babinski reflex on an infant. Case Study Progress :
J.H. is admitted to the Pediatric Medical Unit with the diagnosis of meningitis and rule out sepsis. The ED physician gives the orders shown in the chart. Chart View: Emergency Department Orders CBC with differential Blood Culture CMP UA Cerebrospinal fluid (CSF) for culture, glucose, protein, cell count (following lumbar puncture) Ceftriaxone (Rocephin) 260 mg IV now (loading dose)

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