Prioritize nursing interventions when caring for pediatric clients with health disorders.
A 5-year-old Gabriel is a multiracial male weighing 48 lbs with an allergy to penicillin arrives in the emergency room, no cultural considerations identified. You are handed the following notes on the patient that read:
He arrived in ER with his mother after falling out of bed after jerking movement activity as witnessed by his older brother while sleeping. Right-upper extremity appears with deformity. Mother and child speak English. Child has no significant medical history. Mother reports incontinent of urine during episode.
Vital Signs: T 102.9, P 135, R 24, BP 118/60, O2 sat 100% RA
General Appearance: appears drowsy; face flushed, quiet
Neuro: oriented X3
Respiratory: lungs clear
Integumentary: very warm, dry
GI/GU: abdomen normal
• Complete Blood Count (CBC)
• Complete Metabolic Panel (CMP)
• Urinalysis with culture and sensitivity (U/A C&S)
• Blood Cultures x 2
• X-rays kidneys,
• Influenza screening
• Acetaminophen 15 mg/kg PO now
• Ibuprofen 10 mg/kg PO now
• Pad side rails
• Suction at bedside with seizure precautions
• Radiographs of right arm
• Cast to right arm
• Start PO fluids and increase as tolerated
The physician discharges Gabriel from ER to home with a diagnosis of; Right ear infection, Acute Febrile Seizure and fracture of the right ulna.
Discharge orders include:
• Follow up with pediatrician in 7 days
• Follow up with pediatric orthopedics in 7-10 days
• Cefuroxime 30mg/kg PO BID for 10 days not to exceed 1,000mg daily. What is the recommended dosage if cefuroxime is supplied as an oral suspension 125mg/5ml or 250/5ml?
• Acetaminophen 15 mg/kg PO Q4 hours PRN fever or pain and ibuprofen 10 mg/kg PO Q6 hours PRN fever and pain for up to 3 days
• Acetaminophen is available as 160 mg/5 mL. Ibuprofen is available as 100 mg/ 5 mL.
• What is the amount of acetaminophen in mg and ml per dose? What is the amount of ibuprofen in mg and ml per dose?
Develop a discharge plan with three goals listed in order of priority, prior to discharge from current orders. Provide rationale for why you listed the goals in a particular order. Also, list three nursing interventions to meet each of the goals (you should have nine interventions in total). Last, give the mother the exact dosage she will need to give the child for acetaminophen, ibuprofen, and the cefuroxime when she gets home and explain why the exact dosage is important.
Contrasts Between Tokyo and Kyoto GuidesorSubmit my paper for investigation japanese mountainIn ongoing decades, the title of one of the most mainstream societies worldwide ought to be certainly given to Japan. A large number of individuals everywhere throughout the world examination the Japanese language, watch dorama (emotional TV arrangement on a wide range of subjects) or movement, peruse and compose haiku, and make friends through correspondence with Japanese individuals. Innumerable individuals purchase tickets and fly to the nation of the rising sun to see its miracles with their own eyes. Among the most mainstream goals—for the most part in light of the fact that these city names are generally known toward the western open—are Tokyo and Kyoto. What's more, maybe for an unpracticed explorer, there is: where to go? For the most part, individuals realize that Tokyo is a super city of things to come, and Kyoto has more to do with old culture, conventions, etc. Fundamentally it is valid, and yet, there additionally exist increasingly inconspicuous contrasts one ought to consider while picking their goal point in Japan. The first of them is costs. Tokyo is costly—as you may anticipate from the capital of the most urbanized nation on the planet (the costs beneath are recorded in Japanese yen: 1 USD around rises to 100 yen). Thus, to snatch some reasonable nibble in Tokyo would cost around 850 yen. Having a full dinner for two individuals in a mid-run café, on the off chance that you travel with your life partner, will cost you 5,230 yen. A single direction ticket on Tokyo transport costs you 190 yen, and leasing one room condo outside of the downtown area costs 77,853 yen (and this is most likely a week after week cost). Simply don't anticipate that this condo should be large and comfortable; undoubtedly it will be modest, with fundamental utilities, and with no focal warming (really, there is nothing of the sort in Japan by any means—everybody warms their home up all alone). On the off chance that you consider purchasing a condo in Tokyo, overlook it—one square meter of a room outside of the downtown area is around 1 million yen (twofold the cost on the off chance that you need to live nearer to the downtown area). Kyoto isn't a lot less expensive. Despite the fact that feasting in a café is less expensive—just 4,000 yen for two people in a mid-go eatery—transportation costs are shockingly higher: 235 yen for a ride (nonetheless, in the event that you need to buy a month to month pass, it is less expensive to do in Kyoto as opposed to in Tokyo: 8,410 yen contrasted with 10,000 yen). In the event that you want to set aside some cash purchasing nourishment in a market, you are right just in points of interest: a few items in Japan cost a great deal of cash regardless of where you get them. For instance, white rice costs 850 yen for 1 kg in Kyoto (453 yen in Tokyo). White bread, tomatoes, chicken bosoms, and particularly cheddar—these are the most costly items both in Kyoto and in Tokyo. Talking about settlement, leasing or purchasing a condo in Kyoto is a lot less expensive: for a one room loft outside of Kyoto's inside, you should pay 48,000 yen to lease, or 300,000 yen for each square meter on the off chance that you need to get it (Numbeo.com). Tokyo is incredible to visit in the event that you appreciate rushing about, on the off chance that you need to feel the heartbeat of a uber city, jump into its life, and experience each one of those insane things individuals in the West for the most part tell about Japan. Be set up for the packed metro—and "stuffed" is a delicate method to put it; truth be told, you can take an hour long ride in the tram, and your feet won't contact the floor, since you will be pressed between others so tight that you can even sleep right now. Kyoto, then again, is acceptable to visit for every one of the individuals who feel propelled by customary Japanese culture: haiku, hanami, court customs, the No theater, etc. In Kyoto, you won't see stunning high rises, more than 280 metro stations, and the absurdity of the well known Shibuya crossing; rather, get readied for sanctuaries, tea houses, exhibition halls: everything collectible and credible. Be that as it may, in the event that you need innovation, go to Tokyo, and you won't feel baffled—this city as of now lives later on (Go Overseas). It is hard to state which city is better for an unpracticed visitor to visit, Tokyo or Kyoto. Kyoto is less expensive, particularly as far as leasing a condo, and is increasingly appropriate for those searching for the old Japanese culture meshed into refined castles made during Heian-jidai. Tokyo, despite what might be expected, is a tremendous city, with insane costs, insane transportation, insane everything. The climates are extraordinary, yet both of the urban communities will make you awed, so on the off chance that you get an opportunity, you should visit them. References "Typical cost for basic items Comparison Between Tokyo and Kyoto." Numbeo. N.p., n.d. Web. 30 Sept. 2015. "Where to Study Abroad in Japan: Tokyo or Kyoto?" Go Overseas. N.p., n.d. Web. 30 Sept. 2015.>GET ANSWER