Question

Case Study:
Yasmin is a 12 month old female who was brought to the Emergency Department by her aunt. Yasmin’s aunt anxiously reports that the child has been having diarrhea for the past two days and “is not her usual self”. She adds that the child is fussy, lethargic, not feeding well and when she attempted to give Yasmin acetaminophen
she spit it out. Yasmin’s aunt reports that her parents are out of town, but that she does have the phone number of the hotel in which they are staying.
Assessment:
Weight: 11 kg Vital Signs Heart Rate: 115
Blood pressure: 85/50
Respiratory rate: 30 deep and rapid breathing Oxygen saturations: 95% on room air Temperature: 39.0 Degrees Celsius
General Appearance: Appears stated age. Height and weight proportional
Cardiovascular: Sinus tachycardia Respiratory: Clear breath sounds GI: Hypoactive bowel sounds
Gastrointestinal and Urinary: Has not voided in 8 hours, and is refusing fluids
Integumentary: Warm and dry to touch. Dry lips. Eyes appear sunken. No tears. Poor skin turgor
Neurological: Awake, but lethargic and irritable. Pupils equal, round and reactive to light, weak movements present in all four limbs
3. Describe and give rationale explaining what findings in Yasmin’s assessment are of concern. (4 marks)

Answer 1

Ans : Assessment findings reveals the case of dehydration or fluid electrolyte imbalance in children.

Dehydration is loss of fluid or water from the body . It is mostly seen in diarrhea and can be a cause of child mortality.

Fluid & electrolyte imbalance eassessment findings of yasmi pressure : 95158 mm of Hg ake of dehydration auses low blood volume Blood pressure: 85150 mm of Hg This blood pressure is low Normal pediatric pressure : 9558 Inadequate frid intake or dengan is the cause of low Bop because dehydration causes low blood in the inadequate body that reads to tissue pertusion . Respiratory rate - 30 min - deep & rapid breathing Normal rate = 30-60 min Because of dehydration the blood become acidic & body takes action to restore imbalance By using deeper , longer breaths. lungs expel more acidic CO2:! cardiovascular : sinus tachycardia HB-LIS been Normal :HR - 70-110 bpm Fluid & electrolyte imbalance puts strain on heart. Due to decreased circulating blood volume , heart compensate & beats haster & causing to tell palpitations & increased heart rate

→ Gastrointestinal & urinary system. -not voided urine since shours because of inadequate thuid intake Kidney are not forming urine Baby is refusing to take Huid & Spitting Hypoadive Bowel sounds - reduction in the regularity of the sound is Seen because intestinal activity get slowed & bulk formation get impaired due to dehydration Integumentary dry skin, dry lips e Sunken eyes o poor - skin turgor. It is seen in dehydration due to ineffective or poor 'tissure pertusion. Neurological : lethargic, irritable, weak movements in - all four limbs Normally babies are active but in this case due to fluid & electrolyte imbalance the electrical activity of generating impulses of brain get hampered therefore baby is lethargic x muscle gets weak,