Nursing 207-Pediatric Gastroenteritis SKINNY Reasoning : Harper Anderson, 5 months old-2022-2023

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SKINNY Reasoning Part 1: Recognizing RELEVANT Clinical Data Patient Care Begins: History of Present Problem: Harper Anderson is a 5-month-old female who was brought into the physician's office for... diarrhea and vomiting over the past two days. She had two loose large loose stools the first day and now her mother reports that she has been less active, is not interested in playing, and has been more sleepy today. She is unable to keep any feedings down today. She has had four loose, watery stools and emesis x3 this morning. She has not had a wet diaper since yesterday evening. She is 25 inches (63.5 cm) in length and weighs 14 pounds, 2 ounces (6.4 kg). She weighed 15 pounds, 2 ounces (6.86 kg) at her Last office visit two weeks ago. Harper is a direct admit to the pediatric unit where you are the nurse responsible for her. Personal/Social History: Harper's mother Nicole is 21 years old. She is a single mother and this is her first child. Nicole is not currently working und lives with her parents. Though she has strong social support from her parents, she feels constantly overwhelmed as a new mother. Past Medical History (PMH): ● Healthy full-term infant that weighed 6 pounds 10 ounces (3.0 kg) at birth. No current health problems. Mom is no longer breast feeding and Harper is on formula. ● Mother had no complications with pregnancy. ● Has not had any immunizations from birth, including rotavirus RELEVANT Data from Present Problem: Clinical Significance: CONTINUED....... [Show More]

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