Essay upon Pediatric Case Study Template TWO 1

RNSG2462 Pediatric

Example Template TWO

Student Name___________

Due Date: ______02/21/15______________

*Begin typing at the asterisk under each proceeding. Please start to see the Grading Rubric for recommendations for writing the case examine.

Patient Story

Current Information

*J, a two week aged Caucasian girl, was clinically determined to have Hirschsprung's Disease. Hirschsprung's Disease is a inborn condition where the large intestinal tract becomes obstructed due to poor muscle movement in the intestinal. Failure to pass meconium in the first thirty eight hours following birth suggested a intestinal obstruction, and an educational laparotomy with sigmoid intestines and ileal biopsy recognized evidence of Hirschsprung's Disease. Her recovery coming from ileostomy surgery and nutritional status is being evaluated pertaining to discharge. An ostomy sack was used for the draining of the digestive tract waste, and a mucous fistula allowed passing of mucous and gasses in the non-functioning part of the intestines. The patient has not any known medicine allergies. Bacitracin 500units/g topical ointment ointment can be scheduled, and applied generously twice daily to the peristomal erythema encircling the mucous fistula. Medicines as necessary include acetaminophen 37. 5mg every six hours one particular to 3 times daily, and hydrocodone-acetaminophen 0. 8ml just about every 4 hours to get pain by way of nasogastric conduit. Lanolin topical cream is also readily available, 1 app as necessary. She gets enteral feedings of Similac Sensitive solution via nasogastric tube every 3 several hours, and successfully passing gas and intestinal tract waste through ostomy sack. The patient's mother reviews 2-3 rainy diapers every single 4 hours.

Background

*Patient came to be vaginally at term analyzing 2 . 7kg, and scored 48cm long. The patient's mother breast fed pertaining to the initially 48 hours. It was reported that there is difficulty latching on for feedings, the patient was turned to solution feedings. No meconium was passed within just 36 hours after beginning. Abdominal x-rays showed designated dilation inside the bowel without having gas in...



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