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On auscultation, wheezes to left upper lobe on expiration and decreased air entry to bases bilaterally noted - abnormal but consistent with pneumonia diagnosis

Congested cough observed - abnormal but consistent with pneumonia

RR 27 - normal

SpO2 96% on RA - normal

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Showed right middle lung lobe consolidation and left perihilar lung infiltrates, all consistent with pneumonia diagnosis

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Meropenem

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HR 98 - normal

Temp 36.5 axillary - normal but on the lower side (was also asleep when taken)

Capillary refills under 2 seconds

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Continuous D5NS 5ml/hr

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Voiding well with no abnormalities

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First urine culture showed positive for E Coli

Second urine culture showed negative for E Coli, because the first was contaminated

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Increased anxiety and irritability when nurses and HCPs approach

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Eating and drinking less than normal

During my shift ate a couple muffins from home for breakfast

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WBC 2.6 - low

RBC 3.47 - low but trend is improving

Hbg 93 - low but trend is improving

Hct 0.26 - low but trend improving

RDW 18.2 - high but trend improving

Neutrophils 1.5 - low

Lymphocytes 2.1 - low

Abnormal lymphocytes +2 - high

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Sodium 133 - low

CRP 61.0 - high but trend improving

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Protein 0.75 - high

Ketones - marked high

Granular Casts 1-2 - high

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Mom and dad at bedside

Mom, dad, and daughter (pt) live together

Grandparents of dad live nearby

Recent visit to India, during 20 hour flight, daughter started getting runny nose and cough

Mom and dad also feeling slightly unwell

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Erikson's Preoperational stage

Piaget's Initiative vs Guilt stage

Assessment details:

playing with toys on bed - dool house and characters

clinging to mom

saying "ow" and "no"

Interacting and talking to parents and nurses

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Mom able to stay with patient in the hospital

Dad able to support mom and patient by going home and getting food and other things they might need

Mom makes patient's needs known

Mom and dad able to help distract patient when needed

Effective child and parent communication

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Dad's parents live nearby to help with childcare when needed

Mom and dad can rely on each other - live together as a family