N303 Mind Map by https://padlet.com/emilypaigenelson/19o7g4c80atr3s4l en-us 2025-02-12 21:53:36 UTC 2025-02-15 00:21:18 UTC hello@padlet.com https://padlet.net/icons/png/1f504.png Respiratory Assessment emilypaigenelson https://padlet.com/emilypaigenelson/19o7g4c80atr3s4l/wish/3329340565 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

]]> 2025-02-14 21:13:59 UTC https://padlet.com/emilypaigenelson/19o7g4c80atr3s4l/wish/3329340565 Chest X-Ray emilypaigenelson https://padlet.com/emilypaigenelson/19o7g4c80atr3s4l/wish/3329341847 Showed right middle lung lobe consolidation and left perihilar lung infiltrates, all consistent with pneumonia diagnosis

]]> 2025-02-14 21:15:44 UTC https://padlet.com/emilypaigenelson/19o7g4c80atr3s4l/wish/3329341847 IV antibiotics emilypaigenelson https://padlet.com/emilypaigenelson/19o7g4c80atr3s4l/wish/3329342834 Meropenem

]]> 2025-02-14 21:17:50 UTC https://padlet.com/emilypaigenelson/19o7g4c80atr3s4l/wish/3329342834 Cardiovascular Assessment emilypaigenelson https://padlet.com/emilypaigenelson/19o7g4c80atr3s4l/wish/3329344714 HR 98 - normal

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

Capillary refills under 2 seconds

]]> 2025-02-14 21:21:41 UTC https://padlet.com/emilypaigenelson/19o7g4c80atr3s4l/wish/3329344714 IV emilypaigenelson https://padlet.com/emilypaigenelson/19o7g4c80atr3s4l/wish/3329345002 Continuous D5NS 5ml/hr

]]> 2025-02-14 21:22:22 UTC https://padlet.com/emilypaigenelson/19o7g4c80atr3s4l/wish/3329345002 Genitourinary emilypaigenelson https://padlet.com/emilypaigenelson/19o7g4c80atr3s4l/wish/3329345899 Voiding well with no abnormalities

]]> 2025-02-14 21:24:13 UTC https://padlet.com/emilypaigenelson/19o7g4c80atr3s4l/wish/3329345899 Urine Culture emilypaigenelson https://padlet.com/emilypaigenelson/19o7g4c80atr3s4l/wish/3329346564 First urine culture showed positive for E Coli

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

]]> 2025-02-14 21:25:57 UTC https://padlet.com/emilypaigenelson/19o7g4c80atr3s4l/wish/3329346564 Pain / Comfort emilypaigenelson https://padlet.com/emilypaigenelson/19o7g4c80atr3s4l/wish/3329347910 Increased anxiety and irritability when nurses and HCPs approach

]]> 2025-02-14 21:28:47 UTC https://padlet.com/emilypaigenelson/19o7g4c80atr3s4l/wish/3329347910 Nutrition Assessment emilypaigenelson https://padlet.com/emilypaigenelson/19o7g4c80atr3s4l/wish/3329348894 Eating and drinking less than normal

During my shift ate a couple muffins from home for breakfast

]]> 2025-02-14 21:31:04 UTC https://padlet.com/emilypaigenelson/19o7g4c80atr3s4l/wish/3329348894 Blood Work Hematology emilypaigenelson https://padlet.com/emilypaigenelson/19o7g4c80atr3s4l/wish/3329350841 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

]]> 2025-02-14 21:36:14 UTC https://padlet.com/emilypaigenelson/19o7g4c80atr3s4l/wish/3329350841 Blood Work Chemistry emilypaigenelson https://padlet.com/emilypaigenelson/19o7g4c80atr3s4l/wish/3329351545 Sodium 133 - low

CRP 61.0 - high but trend improving

]]> 2025-02-14 21:38:02 UTC https://padlet.com/emilypaigenelson/19o7g4c80atr3s4l/wish/3329351545 Urine Sample emilypaigenelson https://padlet.com/emilypaigenelson/19o7g4c80atr3s4l/wish/3329351692 Protein 0.75 - high

Ketones - marked high

Granular Casts 1-2 - high

]]> 2025-02-14 21:38:21 UTC https://padlet.com/emilypaigenelson/19o7g4c80atr3s4l/wish/3329351692 Encouraging oral fluids emilypaigenelson https://padlet.com/emilypaigenelson/19o7g4c80atr3s4l/wish/3329354470 2025-02-14 21:45:10 UTC https://padlet.com/emilypaigenelson/19o7g4c80atr3s4l/wish/3329354470 Family emilypaigenelson https://padlet.com/emilypaigenelson/19o7g4c80atr3s4l/wish/3329358271 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

]]> 2025-02-14 21:54:31 UTC https://padlet.com/emilypaigenelson/19o7g4c80atr3s4l/wish/3329358271 Developmental emilypaigenelson https://padlet.com/emilypaigenelson/19o7g4c80atr3s4l/wish/3329364763 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

]]> 2025-02-14 22:10:34 UTC https://padlet.com/emilypaigenelson/19o7g4c80atr3s4l/wish/3329364763 Strengths emilypaigenelson https://padlet.com/emilypaigenelson/19o7g4c80atr3s4l/wish/3329407889 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


]]> 2025-02-15 00:14:30 UTC https://padlet.com/emilypaigenelson/19o7g4c80atr3s4l/wish/3329407889 Resources emilypaigenelson https://padlet.com/emilypaigenelson/19o7g4c80atr3s4l/wish/3329409207 Dad's parents live nearby to help with childcare when needed

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


]]> 2025-02-15 00:18:22 UTC https://padlet.com/emilypaigenelson/19o7g4c80atr3s4l/wish/3329409207