My bold padlet by Jason Van Spronsen https://padlet.com/jasonwvanspronsen/pquv0b2szsv012o7 en-us 2024-03-23 22:46:28 UTC 2024-03-24 04:57:22 UTC hello@padlet.com Patient Data jasonwvanspronsen https://padlet.com/jasonwvanspronsen/pquv0b2szsv012o7/wish/2931116907

  • 6 year old, Male

  • Post operative Appendectomy (appendicitus, bowel perforation, sepsis)

  • 23.9kg

  • PEWS Score 0


]]> 2024-03-23 22:47:23 UTC https://padlet.com/jasonwvanspronsen/pquv0b2szsv012o7/wish/2931116907 Family jasonwvanspronsen https://padlet.com/jasonwvanspronsen/pquv0b2szsv012o7/wish/2931117804

  • 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.

    • ]]>     2024-03-23 22:51:29 UTC https://padlet.com/jasonwvanspronsen/pquv0b2szsv012o7/wish/2931117804     Strengths jasonwvanspronsen https://padlet.com/jasonwvanspronsen/pquv0b2szsv012o7/wish/2931118301

  • 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


    • ]]>     2024-03-23 22:53:49 UTC https://padlet.com/jasonwvanspronsen/pquv0b2szsv012o7/wish/2931118301     Spirituality jasonwvanspronsen https://padlet.com/jasonwvanspronsen/pquv0b2szsv012o7/wish/2931118703

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

  • Church mother attends praying for child

    • ]]>     2024-03-23 22:55:44 UTC https://padlet.com/jasonwvanspronsen/pquv0b2szsv012o7/wish/2931118703     Neuro jasonwvanspronsen https://padlet.com/jasonwvanspronsen/pquv0b2szsv012o7/wish/2931118999

  • A&O x3

  • A&O x2 after hydromorph administration

    • ]]>     2024-03-23 22:57:15 UTC https://padlet.com/jasonwvanspronsen/pquv0b2szsv012o7/wish/2931118999     CV jasonwvanspronsen https://padlet.com/jasonwvanspronsen/pquv0b2szsv012o7/wish/2931120587

  • Heart Sounds Regular

  • HR 119, 121, 111

  • BP 103/65, 100/65, 100/64

  • Cap Refill 1-2 sec x3

    • ]]>     2024-03-23 23:04:44 UTC https://padlet.com/jasonwvanspronsen/pquv0b2szsv012o7/wish/2931120587     Resp jasonwvanspronsen https://padlet.com/jasonwvanspronsen/pquv0b2szsv012o7/wish/2931121742

  • Lung Sounds Clear bilateral

  • Shallow breathing present

  • Asthma Diagnosis

  • O2 Sat %: 97%, 99%, 98%

  • RR: 29, 28, 28

    • ]]>     2024-03-23 23:10:01 UTC https://padlet.com/jasonwvanspronsen/pquv0b2szsv012o7/wish/2931121742     GI jasonwvanspronsen https://padlet.com/jasonwvanspronsen/pquv0b2szsv012o7/wish/2931122494

  • minimal eating/drinking, no appetite

  • Bowel Sounds Active x4

  • Flatus relieving Pain

  • Hx. Appendicitis, Sepsis, Bowel Perforation

  • No BM

    • ]]>     2024-03-23 23:13:58 UTC https://padlet.com/jasonwvanspronsen/pquv0b2szsv012o7/wish/2931122494     Integumentary jasonwvanspronsen https://padlet.com/jasonwvanspronsen/pquv0b2szsv012o7/wish/2931123013

  • x3 Lap sites

  • no concerns

    • ]]>     2024-03-23 23:16:33 UTC https://padlet.com/jasonwvanspronsen/pquv0b2szsv012o7/wish/2931123013     GU jasonwvanspronsen https://padlet.com/jasonwvanspronsen/pquv0b2szsv012o7/wish/2931123682

  • 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

    • ]]>     2024-03-23 23:19:55 UTC https://padlet.com/jasonwvanspronsen/pquv0b2szsv012o7/wish/2931123682     Pain jasonwvanspronsen https://padlet.com/jasonwvanspronsen/pquv0b2szsv012o7/wish/2931123979

  • 10/10

  • 9/10 after Ketorolac

  • 5/10 after Hydromorph + Flatus

  • 10/10

  • 8/10

    • ]]>     2024-03-23 23:21:24 UTC https://padlet.com/jasonwvanspronsen/pquv0b2szsv012o7/wish/2931123979     Developmental jasonwvanspronsen https://padlet.com/jasonwvanspronsen/pquv0b2szsv012o7/wish/2931124222

  • Erikson - Identity vs Inferiority

  • Piaget - Pre-Operational

    • ]]>     2024-03-23 23:22:36 UTC https://padlet.com/jasonwvanspronsen/pquv0b2szsv012o7/wish/2931124222     Administered Medication jasonwvanspronsen https://padlet.com/jasonwvanspronsen/pquv0b2szsv012o7/wish/2931136190

  • Acetaminophen 240-360mg

  • Ketorolac 4.8-12mg

  • Hydromorph 2-7mg

  • Ceftriazone 1200mg

  • Metromidazole 250mg

  • Salbutamol


    • ]]>     2024-03-24 00:23:38 UTC https://padlet.com/jasonwvanspronsen/pquv0b2szsv012o7/wish/2931136190     IV jasonwvanspronsen https://padlet.com/jasonwvanspronsen/pquv0b2szsv012o7/wish/2931136400

  • Lactated Ringers 60ml/hr

  • D5W 60ml/hr when Ceftriaxone


    • ]]>     2024-03-24 00:24:39 UTC https://padlet.com/jasonwvanspronsen/pquv0b2szsv012o7/wish/2931136400