Wong\'s Clinical Manual of Pediatric Nursing E-Book notes

Day 1, 8:00 AM 1. A 9-year-old boy has paravertebral fibrosarcoma of the right lumbosacral area, complicated by paraplegia, urine retention, constipation, and neuropathic pain. He has a 5-month history of progressive lower back pain and swelling and paralysis of the lower limbs. The patient received and responded well to chemotherapy and radiotherapy, with a 40% regression in his tumor. However, the patient continued to suffer severe “burning/piercing” pain in the lower extremities, especia...

Emergency Treatment Guidelines Trauma Before entering the trauma area, observe for potential threats or dangers to rescuers and bystanders. Be aware of the potential for further injuries to the child. Observe the scene for signs and mechanism of injury (e.g., head-on motor vehicle injury), which helps determine the proper course of action for treating the child’s injuries. Do not move the child before the arrival of emergency medical services (EMS) personnel unless the child is in danger...

Day 1, 8:00 AM 1. A 9-year-old boy has paravertebral fibrosarcoma of the right lumbosacral area, complicated by paraplegia, urine retention, constipation, and neuropathic pain. He has a 5-month history of progressive lower back pain and swelling and paralysis of the lower limbs. The patient received and responded well to chemotherapy and radiotherapy, with a 40% regression in his tumor. However, the patient continued to suffer severe “burning/piercing” pain in the lower extremities, especia...

Emergency Treatment Guidelines Trauma Before entering the trauma area, observe for potential threats or dangers to rescuers and bystanders. Be aware of the potential for further injuries to the child. Observe the scene for signs and mechanism of injury (e.g., head-on motor vehicle injury), which helps determine the proper course of action for treating the child’s injuries. Do not move the child before the arrival of emergency medical services (EMS) personnel unless the child is in danger...