Question

Background Information: Alison is a 12 month old who has been vomiting for the past 12 hours. Since waking at 6 AM she has "not held anything down." It is now 5:30 PM and Alison's mother is becoming concerned. She calls the primary care office and the nurse recommends that Alison be brought into the office for evaluation. On initial assessment, Alison is lethargic and very quiet. Her lips and skin are dry. She is crying at times, but does not produce tears. Her diaper is dry; her mother says that she has not needed to change her diaper since 7 AM.

Alison lies very quietly on the examination table. Her vital signs are: Temperature: 101O F Apical Rate: 150 bpm Respiratory Rate: 40 breaths per minute Blood pressure 90/48 Birth weight: 8 lbs Current weight: 21 lbs 6 oz Weight at 12 month visit 2 weeks ago: 24 lbs 2 oz

Alison's mother reports that she loves her milk and usually drinks about 40 ounces per day. However, for the past 24 hours she has not wanted anything to eat or drink. Her mother wants to know if there is anything that the nurse can give Alison to help stop the vomiting.

What questions does the nurse need to ask mother at this point? Why?

How does the nurse ensure that Alison is correctly identified?

What care does Alison need at this point? Why?

Answer 1

Answer

The nurse need to ask regarding :

1.History collection regarding what type of food eaten? Oily solid food baby can not tolerate.

2.Whether is it prepared in home or in out side? Unhygienic conditions leads to vomitings.

3.Is it soft food or solid? Because one year child they con not digestible all types of food easily.

4.Fever since how many days? To know infection status.

5.Either Child is suffering from common cold and cough? Because these are may induces the vomitings.

* nurse correctly identified by doing history collection, physical examination and laboratory investigations.

Care for Alison :_

1. Antipyretics to reduce fever.

2. Anti emitics to reduce vomitings.

3. Rehydration therapy to reduce dehydration.

4. Rules tube insertion if not able to take orally.

5. Iv cannulization to administer Iv fluids.

6.catheterization to empty bladder.

7. Balanced menu plan.

8. Comfortable position and wompth ness.

9.Quite and calm environment

10. Intake and out put chart to know negative and positive balance.