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6 year old, Male

Post operative Appendectomy (appendicitus, bowel perforation, sepsis)

23.9kg

PEWS Score 0

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Only Child

Mom - Sophira, present with child 24/7

Dad - Logan, usually works weekdays but is currently experiencing symptoms in line with appendicitis/Kidney Stone. Dad was in ER and came up after CT scan.

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Mom is able to be present 24/7

Grandma present for support

Strong communication and understanding from parents

Supportive network of friends and family

Supportive network from their church

Positive Outlook on situation

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Mother is indigenous, relatives and community having prayer/healing ceremony

Church mother attends praying for child

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A&O x3

A&O x2 after hydromorph administration

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Heart Sounds Regular

HR 119, 121, 111

BP 103/65, 100/65, 100/64

Cap Refill 1-2 sec x3

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Lung Sounds Clear bilateral

Shallow breathing present

Asthma Diagnosis

O2 Sat %: 97%, 99%, 98%

RR: 29, 28, 28

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minimal eating/drinking, no appetite

Bowel Sounds Active x4

Flatus relieving Pain

Hx. Appendicitis, Sepsis, Bowel Perforation

No BM

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x3 Lap sites

no concerns

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Difficulty Voiding - causing possible pain d/t pressure on surgical interventions.

Void x1 on shift

Orange, Cloudy, Concentrated, 300ml

Labs H protein, H ketones, H Nitrite, and H Leukocytes

Fluid intake -> 706ml LR, 171ml D5W

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10/10

9/10 after Ketorolac

5/10 after Hydromorph + Flatus

10/10

8/10

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Erikson - Identity vs Inferiority

Piaget - Pre-Operational

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Acetaminophen 240-360mg

Ketorolac 4.8-12mg

Hydromorph 2-7mg

Ceftriazone 1200mg

Metromidazole 250mg

Salbutamol

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Lactated Ringers 60ml/hr

D5W 60ml/hr when Ceftriaxone