Case Study W4.docx - Meningitis Case Study Marcela Arias...

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Meningitis Case Study Marcela Arias 6/20/20 Jason Hinojosa is a 5-week-old infant brought to the emergency department by his mother, who speaks little English. Her husband is at work. Mrs. Hinojosa is young, anxious, and appears frightened. Through a translator, Mrs. H. reports that her son has not been eating, sleeps all the time, and “is not normal.” 1. What are some of the obstacles you will need to consider, recognizing that Mrs. H. does not speak or understand English well?
2. You perform your primary assessment and question Mrs. H. with a translator. Which of these finding are abnormal and need to be reported? Select all that apply and state rationale.
g. Refusal of PO intake per mother – Poor feeding along with lethargy and irritability are common clinical manifestations of meningitis. Jason is admitted to the medical unit with the diagnoses of meningitis and rule out sepsis. The ED physician gives the orders shown in the chart. Emergency Department Orders: CBC with differential Blood culture CMP UA Cerebrospinal fluid (CSF) for culture, glucose, protein, cell count (following lumbar puncture) Ceftriaxone (Rocephin) 260mg IV now (loading dose) Acetaminophen (Tylenol) 50 mg suppository per rectum for irritability
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