Pediatric Early Warning Score Training Manual PREPARED BY: Joel Taller Basabe CN/ICU EWS PROJECT MANAGER Learning Objectives: • Be able to recognise that children deteriorate more rapidly than adults. • Be able to calculate a Paediatric Early Warning Score • To be aware of responsibilities when a trigger score is met • Be able to complete the age appropriate observation chart. Introduction The Paediatric Early Warning Score (PEWS)
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Care Plan Worksheet Student: Date of Care: Age/Gender: Rm Number: Code Status: full Allergy: NKA Admitting Diagnosis : embolic cerebral vascular accident (CVA)‚ right side Current Medical/Surgical Diagnosis: chronic left ventricle thrombus on anticoagulant‚ hypertension‚ chronic kidney disease stage 3 Past Medical/Surgical History: metastasis of prostate cancer‚ primary; bone cancer‚ secondary; cardiomyopathy‚ a central hypertension‚ left bundle branch lock‚ past substance abuse
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cardiac enzymes are needed to determine is an MI is occurring (Hofmann et al.‚ 2016). ABGs will reveal the level of respiratory compromise (Hofmann et al.‚ 2016). Blood and sputum cultures will help determine the presence of infection and pneumonia‚ respectively. Serum chemistry will indicate renal failure. Difficulty breathing may be due to compensatory mechanisms for metabolic acidosis (Hofmann et al.‚ 2016). Chest X-Ray image may show pulmonary edema‚ pneumothorax‚ effusion‚ pneumonia. EKG will indicate
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The name and other identifying information about the patient included within this piece of work have been changed to protect confidentiality‚ as required by The Code of Professional Conduct (Nursing and Midwifery Council‚ 2008). For this reason‚ the patient included in this case study will be given the pseudonym of Sam Jones. The purpose of this assignment is to identify one client problem and provide an evidence-based plan of care for the individual. The purpose of care planning
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present. * Low birth weight * Tachypnea * Tachycardia. * Respiratory distress syndrome. Learning Objectives: 1. Define the preterm delivery. 2. Identify the causes of preterm delivery. 3. List the signs and symptoms. 4. Mention the Investigations and Diagnostic test. 5. Explain the Medical and Nursing Management. 6. Elaborate Emergency management of the preterm baby. 7. Define Respiratory Distress Syndrome(RDS). 8. Identify the Causes of RDS. 9. Discuss
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agitation‚ and in some cases‚ coma may eventually ensue. The mechanism by which mental function is altered is not known‚ but altered amino acid metabolism has been proposed as a cause of metabolic encephalopathy. Hyperventilation with respiratory alkalosis is a common feature of sepsis. Stimulation of the medullary ventilatory center by endotoxins and other inflammatory mediators has been proposed as the cause of
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Dennervation hypersensitivity damage to the ANS increases the effector response to stimulation Ganglia a cluster of nerve cell bodies that lie outside the CNS Mass activation Divergence-Preganglionic fibers branch to synapse with numerous postganglionic fibers (up‚ down‚ level) Convergence-Postganglionic fibers receive input from numerous preganglionic fibers Sympathetic system is activated as a unit Sympathoadrenal System the closely related functioning adrenal medulla and sympathetic nervous
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Eating disorders: Bulimia nervosa and anorexia nervosa Eating disorders are the new diseases that emerge in the last 20 years. People who have eating disorders often have an abnormal eating habit that affects their physical and mental health. Eating disorders attacks female more frequently. And most of the sufferers are between 12 to 25 years old. In general‚ people who are clever‚ charming‚ conscientious‚ and hardworking are more likely to develop eating disorders. Many factors can lead to eating
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Foundation of Professional Nursing Practice 1. The nurse In-charge in labor and delivery unit administered a dose of terbutaline to a client without checking the client’s pulse. The standard that would be used to determine if the nurse was negligent is: a. The physician’s orders. b. The action of a clinical nurse specialist who is recognized expert in the field. c. The statement in the drug literature about administration of terbutaline. d. The actions of a reasonably prudent nurse with similar
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remains two thirds full during inspiration and keep reservoir bag free of twists or kinks. * Minimum flow rate 10 L/min. * Aspiration of vomitus is more likely when a mask is in place. * Interdependent nursing collaboration with respiratory therapist. Flow Rate L/min | 6–15 | O2 Concentration % | 60–100 | * Non-Rebreathing Mask * Used when high concentrations of O2 are needed. * High concentrations are used with the critically ill and unstable patients.
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