charlie snow age 6 years diagnosis anaphylaxis| feedback log amp score 96 complete
charlie snow age 6 years diagnosis anaphylaxis
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NURS 101
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11/2/2019 Feedback Log & Score — Charlie Snow Nov 02, 2019 9:07 PM
Date of Completion
Nov 02, 2019 9:07 PM
Charlie Snow
Age: 6 years
Diagnosis: Anaphylaxis
Score
1
0 96%
0
Feedback Log
0:00 You arrived at the child.
0:00 You introduced yourself.
0:06 You washed your hands. To maintain patient safety it is important to wash your
hands as soon as you enter the room.
0:10 Child status - ECG: Sinus tachycardia. Heart rate: 156. Pulse: Present. Blood pressure:
109/73 mmHg. Respiration: 30. Conscious state: Appropriate. SpO2: 91%. Temp: 37.2 C
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2:18 You attached the automatic noninvasive blood pressure (NIBP) measurement
cuff. This will allow you to reassess the child continuously.
2:23 You looked for normal breathing. He is breathing at 26 breaths per minute. He
has retractions, a prolonged expiration phase, and a lot of audible wheezing.
There is increased respiratory effort.
2:45 You gave the child 100% oxygen from a nonrebreathing mask. This was part of
your orders.
3:03 You measured the <Temperature>temperature<> in the ear. The
temperature was 37.1 C.
3:19 You checked the pulse at the brachial artery. The pulse is strong, 145 per minute
and regular. It is correct to assess the child's vital signs.
3:44 You assessed the pain level using the FACES scale. The child answered 0 on the
FACES pain scale with a range of 0 to 5.
3:55 You asked the child how he felt. (Out of breath) He replied: 'It's
getting difficult to breathe!'
3:59 You asked the child if he had trouble breathing? (Out of breath) He replied:
'Yes'
4:25 You listened to the lungs of the child. He has retractions, a prolonged expiration
phase, and a lot of audible wheezing. In the clinical situation you should
auscultate the lungs both anteriorly and posteriorly.
4:43 You assessed the child's IV. The site had no redness, swelling, infiltration,
bleeding, or drainage. The dressing was dry and intact. This is correct. Assessing
any IVs thefrom
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