Pediatric Case Study
Pediatric Case Study
Patient Initials: AM Birthdate: 1-20-2013 Admission: 1-20-2013 Discharge: 1-22-2013
Diagnosis
Diagnosis: Single Live Birth via Cesarean Section
Definition: An infant showing one of the three evidences of life (breathing, heart action, movements of a voluntary muscle) after complete birth. In some countries a live birth is considered not to have occurred if the infant dies during the 24 hours following delivery. Which of these two definitions is used has considerable effect on various vital statistics concerned with the viability of the fetus at time of delivery.
Textbook Symptoms: * Breathing * Heart action * Movements of voluntary muscle.
Patient Symptoms: * Breathing * Heart action * Movements of voluntary muscle.
Diagnostic Tests/Labs: * PKU- Results pending * Test for phenylketonuria * A congenital autosomal recessive disease marked by failure to metabolize phenylalanine to tyrosine. * It results in severe neurological deficits in infancy if it is unrecognized or left untreated. PKU is present in about 3.5 in 10,000 newborns in the U.S. In this disease, phenylalanine and its by-products accumulate in the body, esp. in the nervous system, where they cause severe mental retardation (IQ test results often below 40), seizure disorders, tremors, gait disturbances, coordination deficits, and psychotic or autistic behavior. Eczema and an abnormal skin odor also are characteristic. The consequences of PKU can be prevented if it is recognized in the first weeks of life and a phenylalanine-restricted (very low protein) diet is maintained throughout infancy, childhood, and young adulthood. * Biliscan- 3.7 mg/dL * Within normal range * 1-12 mg/dL * Used To evaluate liver function.
Treatments: No treatments ordered
Nursing Care
0730: Quiet, lying on bed between mother’s legs with father at bed side.
0830: Alert. Pulse- 128
Patient Initials: AM Birthdate: 1-20-2013 Admission: 1-20-2013 Discharge: 1-22-2013
Diagnosis
Diagnosis: Single Live Birth via Cesarean Section
Definition: An infant showing one of the three evidences of life (breathing, heart action, movements of a voluntary muscle) after complete birth. In some countries a live birth is considered not to have occurred if the infant dies during the 24 hours following delivery. Which of these two definitions is used has considerable effect on various vital statistics concerned with the viability of the fetus at time of delivery.
Textbook Symptoms: * Breathing * Heart action * Movements of voluntary muscle.
Patient Symptoms: * Breathing * Heart action * Movements of voluntary muscle.
Diagnostic Tests/Labs: * PKU- Results pending * Test for phenylketonuria * A congenital autosomal recessive disease marked by failure to metabolize phenylalanine to tyrosine. * It results in severe neurological deficits in infancy if it is unrecognized or left untreated. PKU is present in about 3.5 in 10,000 newborns in the U.S. In this disease, phenylalanine and its by-products accumulate in the body, esp. in the nervous system, where they cause severe mental retardation (IQ test results often below 40), seizure disorders, tremors, gait disturbances, coordination deficits, and psychotic or autistic behavior. Eczema and an abnormal skin odor also are characteristic. The consequences of PKU can be prevented if it is recognized in the first weeks of life and a phenylalanine-restricted (very low protein) diet is maintained throughout infancy, childhood, and young adulthood. * Biliscan- 3.7 mg/dL * Within normal range * 1-12 mg/dL * Used To evaluate liver function.
Treatments: No treatments ordered
Nursing Care
0730: Quiet, lying on bed between mother’s legs with father at bed side.
0830: Alert. Pulse- 128
Bibliography: Patient’s Chart Taber’s Cyclopedic Medical Dictionary- F.A. Davis Textbook of Basic Nursing- Caroline Bunker Rosdahl and Mary T. Kowalski Mosby’s Manual of Diagnostic and Laboratory Tests- Kathleen Deska Pagana and Timothy J. Pagana