Harper Anderson Pediatric Gastroenteritis SKINNY Reasoning Case

Harper Anderson, 5 months old Primary Concept Infection Interrelated Concepts In order of emphasis Inflammation • Perfusion Fluid and Electrolyte Balance Acid-Base Balance Clinical Judgment NCLEX Client Need Categories Percentage of Items from Each Cate o /Subcategory Covered in Case Study Safe and Effective Care Environment • Management of Care 17-23% • Safety and Infection Control 9-15% Health Promotion and Maintenance 6-12% Psychosocial Integrity 6-12% Physiological Integrity • Basic Care and Comfort 6-12% Pharmacological and Parenteral Thera les 12-18% Reduction of Risk Potential 9-15% Physiological Adaptation 11-17% SKINNY Reasoning Part 1: Recognizing RELEVANT Clinical Data Patient Care Begins: History of Present Problem: Harper Anderson is a 5-month-old female who was brought into the physician's office for diarrhea and vomiting over the past two days. She had two loose large loose stools the first day and now her mother reports that she has been less active, is not interested in playing, and has been more sleepy today. She is unable to keep any feedings down today. She has had four loose, watery stools and emesis x3 this morning. She has not had a wet diaper since yesterday evening. She is 25 inches (63.5 cm) in length and weighs 14 pounds, 2 ounces (6.4 kg). She weighed 15 pounds, 2 ounces (6.86 kg) at her Last office visit two wee...

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