Solution :
Nursing the care plan
<u>Assessment</u>
To assess the respiratory rate, the depth, the abnormal breathing pattern.
Monitor the behavior of the patient and the mental status for the onset of the restlessness and confusion.
Observe for the nail beds and the cyanosis in the skin.
Monitor the oxygen saturation continuously with the help of a pulse oximeter.
<u>Nursing diagnosis</u>
Impaired the gas impaired exchanged related to the airway obstruction as a evidence by the restless and shortness of the breathing and confusion.
<u>Goals</u>
Improving the gas exchange and also improve the breathing pattern.
<u>Intervention</u>
Position the patient with his or her head elevated from the bed in a semi Flower's position.
<u>Evaluation </u>
The patient can breathe normally and then reduce the restlessness and the confusions.
Answer:
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Explanation:
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Based on the symptoms,
Differential diagnoses for the boy includes:
- Rocky Mountain Spotted Fever (RMSF) owing to his recent visit to Florida
- Meningitis
Course of treatment:
- The patient needs to be admitted
- Diagnostic tests including CBC, cultures of both blood and CSF to rule out meningitis should be done
Explanation:
Initial line of treatment with loading dose of doxycycline at 2.2 mg/kg and ceftriaxone at 100 mg/kg/day can be started.
RMSF is a contagious disease caused by ticks and is predominant in the southeastern regions of the United States like North Carolina. So the boy could have got the disease from his visit to N. Carolina. Doxycycline is a broad spectrum antibiotic is the most preferred treatment of choice for RMSF
Meningitis is a bacterial disease affecting the brain. Ceftriaxone is the treatment of choice for empirical treatment of meningitis.
Since the boy’s symptoms like fever, headache, petechial rashes etc are symptomatic of both RMSF and meningitis, both the antibiotics should be administered initially.
Then depending upon the culture results, other specific antibiotics and treatments can be started.
Learned about eating healthy
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