Hector Jimenez Walker Pediatric
Case 6 week old 2023/2024
GRADED A+.
Hector Jimenez-Walker, 6-week-old infant who presented to the ED with acute
dehydration and a history of projectile vomiting, irritability, and low urine
output. Hector’s mother, who is an adult orthopedic surgeon, and fath...
Hector Jimenez Walker Pediatric
Case 6 week old 2023/2024
GRADED A+.
, Hector Jimenez-Walker, 6-week-old infant who presented to the ED with acute
dehydration and a history of projectile vomiting, irritability, and low urine
output. Hector’s mother, who is an adult orthopedic surgeon, and father
bring Hector to the ED. Hector’s father, Paul Walker, is the primary caregiver
and said he visited their pediatrician one week ago due to concerns over
frequent vomiting after feeds. Hector’s mother, Helena Jimenez, is
breastfeeding and went back to work last week. Hector takes the pumped
milk in a bottle well and the pediatrician recommended frequent burping,
keeping upright after feeds, and return to the doctor in one week if no
improvement. Despite following these instructions, the vomiting became
more projectile and larger volumes over the weekend, causing the parents to
seek out ED care. Hector’s last wet diaper was 6 hours ago, he has no tears,
and his mucus membranes are pale and dry. Hector’s vital signs are: Heart
rate 164 beats/minute, 35 breaths/minute, 88/48 mmHg, 38o C./100.4o F.
Hector is somewhat lethargic, crying and whimpering with intervention and
Hector has a weak cry. The parents state this is their first child.
You responded correctly to 5 out of 6 evaluations:
Category Your response Explanation
Educational Increased Hector’s parents admit this is their first child and they are worried about his
acuity care.
Health Increased Hector demonstrates a change in health status including vomiting and dehy
acuity
LOC Increased Hector appears dehydrated and has a weak cry. This indicates a change in L
acuity dehydration.
Pain level Increased Hector is irritable and crying, indicating some level of pain.
acuity
Psychological Increased There is no evidence of increased psychological needs in this case.
Needs acuity
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Tutor23. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $8.49. You're not tied to anything after your purchase.
