please address pharmacological: acetaminophen and erythromycin lactobionate psychosocial maternal anxiety / husband is out of town,

initiated at 20ml/hr. Their oxygen saturations are continuously monitored using pulse oximetry and each is started on 0.5L of oxygen per nasal cannula in response to oxygen saturation readins of Sara-94% and Mary 92%. ABG are drawn from each infant Sara: pH-7.35, CO2-35, HCO3- 22 Mary: pH-7.37, CO2 37, HCO3-23 On admission: Sara weighs6 lb, 8 oz. Mary weighs: 7 lb Please answer these questions 1. which child should be seen first and why? 2. discuss pertussis and how it can be prevented. 3. What conclusions can you draw about the clients clinical manifestations and leukocyte counts of the twins?
Client Profile: Sara and Mary are 2 month old twins born at 35 weeks gestation and weighing 2,272 gram and 2,300 gram respectively. They remained hospitalized for 4 weeks to gain weight and were discharged to home weighing 2600 gram. They are scheduled to see the health care provider to begin their immunizations at 10 weeks of age. The twins’ mother has taken an extended maternity leave to remain home with the twins until they are 4 months old. Case Study: The twins’ mother, Fran, noted that both infants, 9 weeks of age, had runny noses” when she picked them up from daycare. The twins’ father left at 0500 for a 5 day business trip and at 0600 Fran heard them both coughing. Their coughs sounded dry, however, when she checked them, they both had runny noses and felt warm to the touch. She took their temperatures, Sara’s was 100 F and Mary’s was 100.4 F. She administered 15mg/kg acetaminophen. This lowered their temperatures to 99.5 and 99.5 F, respectively, however, they continued to cough three hours later, both girls began exhibiting a high-pitched, whooping sound when inhaling during their coughing attacks. When Fran noted the girls experienced brief apneic periods during their coughing spells and appeared “bluish” in color, she phoned her pediatrician and was told to go to the nearest ED The girls were admitted to the pediatric nursing unit with a diagnosis of “rule out pertussis” Sara’s leukocyte count is 31,000 and Mary’s count is 32,300 on admission. Nasal and throat cultures and serology tests are pending IV access devices are placed in IV fluids of D5W with 0.225% sodium chloride is
DE ACOL Voice Gender: female age: 2 months old setting: hospital. What types of growth and development issues need to be addressed? ethnicity: white american cultural considerations: please list any cultural considerations you may find in the care of these clients preexisting conditions: please address pharmacological: acetaminophen and erythromycin lactobionate psychosocial maternal anxiety / husband is out of town, what issues will this bring to this family unit? does this change the way you will deliver care? socioeconomic issues: lower economic class. How does this affect this family? care needs? spiritual affiliation: bantist Client Profile: Sara and Mary are 2 month old twins bom at 35 weeks gestation and weighing 2,272 gram and 2,300 gram respectively. They remained hospitalized for 4 weeks to gain weight and were discharged to home weighing 2,600 gram. They are scheduled to see the health care provider to begin their immunizations at 10 weeks of age. The twins’ mother has taken an extended maternity leave to remain home with the twins until they are 4 months old.