*NURSING > CASE STUDY > Summary Charlie Snow Age: 6 years Diagnosis: Anaphylaxis| Feedback Log & Score 96% — Charlie Snow (All)

Summary Charlie Snow Age: 6 years Diagnosis: Anaphylaxis| Feedback Log & Score 96% — Charlie Snow

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Charlie Snow Age: 6 years Diagnosis: Anaphylaxis Score 3 0 0 87%          Feedback Log 0:00 You arrived at the child. 0:00 You introduced yourself. 0:07 You wa... shed your hands. To maintain patient safety it is important to wash your hands as soon as you enter the room. 0:10 Child status - ECG: Sinus tachycardia. Heart rate: 156. Pulse: Present. Blood pressure: 110/73 mmHg. Respiration: 30. Conscious state: Appropriate. SpO2: 91%. Temp: 37.2 C  This study source was downloaded by 100000860583932 from CourseHero.com on 01-27-2023 03:26:47 GMT -06:00 https://www.coursehero.com/file/73088989/Feedback-Log-Score-Charlie-Snow-pdf/ 11/12/2020 Feedback Log & Score — Charlie Snow Sept 30, 2020 10:02 AM https://simserver.wkhpe.com/debriefing/debrief.aspx?dss=https%3A%2F%2Fsso.wkhpe.com%2FDebriefingLog%2FSingle%2Faa0efceb-3c1b-4d86-b… 2/4 0:22 You identified the child. To maintain patient safety it is important that you quickly identify the child. You should have identified the relatives as one of your first actions to assure patient safety. 0:31 You looked for normal breathing. He is breathing at 28 breaths per minute. He has retractions, a prolonged expiration phase, and a lot of audible wheezing. There is increased respiratory effort. 1:03 You attached the automatic noninvasive blood pressure (NIBP) measurement cuff. This will allow you to reassess the child continuously. 1:04 Child status - ECG: Sinus tachycardia. Heart rate: 156. Pulse: Present. Blood pressure: 109/73 mmHg. Respiration: 25. Conscious state: Appropriate. SpO2: 90%. Temp: 37.1 C 1:16 You measured the <Temperature>temperature<> in the ear. The temperature was 37.1 C. 1:24 You asked the child if he had any pain. (Out of breath) He replied: 'No, I don't have any pain.' 1:38 You assessed the pain level using the FACES scale. The child answered 0 on the FACES pain scale with a range of 0 to 5. 1:49 You sat the child up. It is correct to do so. 2:04 Child status - ECG: Sinus tachycardia. Heart rate: 156. Pulse: Present. Blood pressure: 102/68 mmHg. Respiration: 25. Conscious state: Appropriate. SpO2: 89%. Temp: 37.1 C 2:07 You obtained legal consent from the child's relative. This was reasonable. 3:04 Child status - ECG: Sinus tachycardia. Heart rate: 156. Pulse: Present. Blood pressure: 99/66 mmHg. Respiration: 28. Conscious state: Appropriate. SpO2: 88%. Temp: 37.1 C 3:12 You asked the parent: Does he have any known allergies? The parent replied: 'Yes - he is allergic to peanuts, perfumes and dyes.' 3:20 You asked the parent: Has he ever had any health problems? The parent replied: 'No.' 3:25 You asked the child if he had trouble breathing? (Out of breath) He replied: 'Yes' 3:44 You gave the child 100% oxygen from a nonrebreathing mask. This was part of your orders. 3:57 You phoned the provider in order to discuss the patient. 4:04 Child status - ECG: Sinus tachycardia. Heart rate: 156. Pulse: Present. Blood pressure: 99/66 mmHg. Respiration: 30. Conscious state: Appropriate. SpO2: 89%. Temp: 37.1 C 4:14 The oxygen rate was 6 L/min. You should use at least 10 L/min of oxygen for the oxygen mask with reservoir. 5:04 Child status - ECG: Sinus tachycardia. Heart rate: 155. Pulse: Present. Blood pressure: 93/62 mmHg. Respiration: 31. Conscious state: Appropriate. SpO2: 93%. Temp: 37.1 C             This study source was downloaded by 100000860583932 from CourseHero.com on 01-27-2023 03:26:47 GMT -06:00 https://www.coursehero.com/file/73088989/Feedback-Log-Score-Charlie-Snow-pdf/ 11/12/2020 Feedback Log & Score — Charlie Snow Sept 30, 2020 10:02 AM https://simserver.wkhpe.com/debriefing/debrief.aspx?dss=https%3A%2F%2Fsso.wkhpe.com%2FDebriefingLog%2FSingle%2Faa0efceb-3c1b-4d86-b… 3/4 5:27 You listened to the lungs of the child. He has retractions, a prolonged expiration phase, and a lot of audible wheezing. In the clinical situation you should auscultate the lungs both anteriorly and posteriorly. 5:45 You assessed the child's IV. The site had no redness, swelling, infiltration, bleeding, or drainage. The dressing was dry and intact. This is correct. Assessing any IVs the child has is always important. 6:04 Child status - ECG: Sinus tachycardia. Heart rate: 154. Pulse: Present. Blood pressure: 86/56 mmHg. Respiration: 31. Conscious state: Appropriate. SpO2: 96%. Temp: 37.1 C 6:43 You started a bolus of 420 mL of normal saline IV, given over 30 minutes. It is important to use the basic rights of medication administration to ensure proper drug therapy. This was indicated by order. 7:04 Child status - ECG: Sinus tachycardia. Heart rate: 155. Pulse: Present. Blood pressure: 85/56 mmHg. Respiration: 31. Conscious state: Appropriate. SpO2: 97%. Temp: 37.1 C 7:05 You administered 0.3 mg of epinephrine 1:10000 IV. 7:16 Child status - ECG: Sinus tachycardia. Heart rate: 186. Pulse: Present. Blood pressure: 109/78 mmHg. Respiration: 27. Conscious state: Appropriate. SpO2: 97%. Temp: 37.1 C 7:28 You flushed the cannula. 7:32 You administered 25 mg of diphenhydramine IV. It was reasonable to administer an antihistamine here. 7:33 Child status - ECG: Sinus tachycardia. Heart rate: 201. Pulse: Present. Blood pressure: 135/102 mmHg. Respiration: 22. Conscious state: Appropriate. SpO2: 98%. Temp: 37.1 C 7:43 You flushed the cannula. 7:45 You administered 20 mg of ranitidine IV. 7:54 You flushed the cannula. 7:57 You administered 10 mg of methylprednisolone IV. Steroids are part of the correct treatment of anaphylaxis. 8:01 Child status - ECG: Sinus tachycardia. Heart rate: 204. Pulse: Present. Blood pressure: 156/123 mmHg. Respiration: 17. Conscious state: Appropriate. SpO2: 98%. Temp: 37.1 C 8:07 You placed a <Nasal_oxygen>nasal oxygen cannula.<> This was part of your orders. 9:01 Child status - ECG: Sinus tachycardia. Heart rate: 203. Pulse: Present. Blood pressure: 166/133 mmHg. Respiration: 14. Conscious state: Appropriate. SpO2: 98%. Temp: 37.1 C 9:31 You looked for normal breathing. He is breathing at 13 breaths per minute. The chest is moving equally. 9:56 You measured the <Temperature>temperature<> in the ear. The temperature was 37.1 C. 10:01 Child status - ECG: Sinus tachycardia. Heart rate: 200. Pulse: Present. Blood pressure: 168/136 mmHg. Respiration: 13. Conscious state: Appropriate. SpO2: 98%. Temp: 37.1 C          This study source was downloaded by 100000860583932 from CourseHero.com on 01-27-2023 03:26:47 GMT -06:00 https://www.coursehero.com/file/73088989/Feedback-Log-Score-Charlie-Snow-pdf/ 11/12/2020 Feedback Log & Score — Charlie Snow Sept 30, 2020 10:02 AM https://simserver.wkhpe.com/debriefing/debrief.aspx?dss=https%3A%2F%2Fsso.wkhpe.com%2FDebriefingLog%2FSingle%2Faa0efceb-3c1b-4d86-b… 4/4 10:19 You checked the pulse at the brachial artery. The pulse is strong, 200 per minute and regular. It is correct to assess the child's vital signs. 10:38 You provided patient education. This is correct. It is important to use every opportunity to provide patient education. 10:48 You provided education to the relative regarding the child's condition. You should have identified the relative, before providing education. 11:01 Child status - ECG: Sinus tachycardia. Heart rate: 194. Pulse: Present. Blood pressure: 169/137 mmHg. Respiration: 13. Conscious state: Appropriate. SpO2: 98%. Temp: 37.1 C 11:26 You asked the child how he felt. He replied: 'A bit better, thanks.' 11:35 You asked the child if he had trouble breathing? He replied: 'No, my breathing's fine.' 11:46 You asked the parent: Has he urinated today? The parent replied: 'Yes, several times.' 12:01 Child status - ECG: Sinus tachycardia. Heart rate: 185. Pulse: Present. Blood pressure: 169/138 mmHg. Respiration: 13. Conscious state: Appropriate. SpO2: 98%. Temp: 37.1 C 12:57 A patient handoff was performed. Anaphylaxis is a potentially life-threatening systemic reaction to an allergen. [newline]It prese [Show More]

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