Meningitis 5-week-old - Faculty-1.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.
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) Acetaminophen (Tylenol) 50 mg suppository per rectum for irritability 4) Prioritize the order of your interventions, with 1 being the first action and 7 being the last action. _______ Administer ceftriaxone (Rocephin) _______ Place IV _______ Straight catheterization for urine specimen _______ Place on contact isolation and droplet precautions _______ Assist with Lumbar puncture _______ Administer Tylenol _______ Obtain blood culture, CMP, and CBC with differential Initial intervention would be to place the infant with suspected meningitis on contact and droplet precautions.

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