NURS 6501N Week 11: Concepts of Pediatrics

NURS 6501N Week 11: Concepts of Pediatrics


Scenario 1:

A 32-year-old female presents to the ED with a chief complaint of fever, chills, nausea, vomiting, and vaginal discharge. She states these symptoms started about 3 days ago, but she thought she had the flu. She has begun to have LLQ pain and notes bilateral lower back pain. She denies dysuria, foul-smelling urine, or frequency. States she is married and has sexual intercourse with her husband. PMH negative.

Labs: CBC-WBC 18, Hgb 16, Hct 44, Plat 325, ­ Neuts & Lymphs, sed rate 46 mm/hr, C-reactive protein 67 mg/L CMP wnl

Vital signs T 103.2 F Pulse 120 Resp 22 and PaO

2

99% on room air. Cardio-respiratory exam WNL with the exception of tachycardia but no murmurs, rubs, clicks, or gallops. Abdominal exam + for LLQ pain on deep palpation but no rebound or rigidity. Pelvic exam demonstrates copious foul-smelling green drainage with reddened cervix and + bilateral adenexal tenderness. + chandelier sign. Wet prep in ER + clue cells and gram stain in ER + gram negative diplococci. NURS 6501N Week 11: Concepts of Pediatrics

Week 11: Concepts of Pediatrics

Pediatric disorders can present unique challenges to patients, families, and healthcare providers. Disorders in these areas are complicated by the fact that young patients can have difficulties communicating symptoms. Furthermore, the manner in which disease and disorders manifest in children may be unique.

APRNs working to support these patients and their loved ones must demonstrate not only support and compassion, but expertise to communicate and guide understanding of diagnoses and treatment plans. This includes an understanding of disease and disorders at the pediatric level.

This week, you examine pathophysiology in pediatrics. You apply key terms, concepts, and principles in this area to demonstrate an understanding of the impact they have on altered physiology in children.

Learning Objectives


Students will:

  • Analyze concepts and principles of pathophysiology across the lifespan

Learning Resources – NURS 6501N Week 11: Concepts of Pediatrics


Required Readings

(click to expand/reduce)

McCance, K. L. & Huether, S. E. (2019). P

athophysiology: The biologic basis for disease in adults and children

(8th ed.). St. Louis, MO: Mosby/Elsevier.

  • Chapter 14: Cancer in Children, including Summary Review
  • Chapter 20: Alterations of Neurologic Function in Children (stop at Childhood tumors); Summary Review
  • Chapter 34: Alterations of Cardiovascular Function in Children (stop at Defects decreasing pulmonary blood flow); Summary Review
  • Chapter 37: Alterations of Pulmonary Function in Children (stop at Congenital malformations); Summary Review
  • Chapter 40: Alterations of Renal and Urinary Tract Function in Children, including Summary Review
  • Chapter 43: Alterations of Digestive Function in Children, including Summary Review
  • Chapter 46: Alterations of Musculoskeletal Function in Children (stop at Avascular diseases); (start at Cerebral palsy) (musculoskeletal tumors in children); Summary Review
  • Chapter 48: Alterations of the Integument in Children, including Summary Review
  • Chapter 50: Shock, Multiple Organ Dysfunction Syndrome, and Burns in Children, including Summary Review

Required Media

(click to expand/reduce)


Module 8 Overview with Dr. Tara Harris


Dr. Tara Harris reviews the structure of Module 8 as well as the expectations for the module. Consider how you will manage your time as you review your media and Learning Resources throughout the module to prepare for your Knowledge Check and your Final Exam. (3m)


Wyatt, K. (2018, February 4).

Pediatrics – Growth and development milestones review

[Video file]. Retrieved from https://www.youtube.com/watch?v=ZG60nC3RJwc


Note:

The approximate length of the media program is 34 minutes.

Online Media from Pathophysiology: The Biologic Basis for Disease in Adults and Children

In addition to this week’s media, it is highly recommended that you access and view the resources included with the course text,

Pathophysiology: The Biologic Basis for Disease in Adults and Children

. Focus on the videos and animations in Chapter 20, 34, 37, 40, 43, and 46 that relate to alterations in hematological function in children. Refer to the Learning Resources in Week 1 for registration instructions. If you have already registered, you may access the resources at

https://evolve.elsevier.com/


Knowledge Check: Pediatrics

In this exercise, you will complete a 10-20 question Knowledge Check to gauge your understanding of this module’s content. This Knowledge Check will give you an opportunity to review a given scenario or situation to help you determine cause and effect of a given disorder from a pathophysiology perspective. Please note that this is a very formative type of practice for you to help you better prepare for your Final Exam.

Possible topics covered in this Knowledge Check include:




Photo Credit: laflor / E+ / Getty Images


 

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