Pediatric Case 3: Eva Madison Guided Reflection Questions

Pediatric Case 3: Eva Madison Guided Reflection Questions Opening Questions How did the simulated experience of Eva Madison’s case make you feel? Comfortable, just like med surg for adults only for tiny humans. Describe the actions you felt went well in this scenario. The orders were clearly written and laid out, and the feedback from both the patient and mother. Scenario Analysis Questions1 EBP List in order of priority your initial nursing actions identified for Eva Madison based on physical findings and family interaction. 1. Attach pulse ox 2. Check chest and legs 3. Listen to lungs and heart 4. Check pulses and cap refill 5. Raise bed 6. Administer dextrose 5% in 0.45 NS 7. Check chest and lung sounds again 8. Educate patient and mother 9. Obtain stool and urine sample EBP When initiating a fluid bolus for a dehydrated child, what type of fluid should be given and why? Isotonic fluid, like D5W or lactated ringers. When fluid levels in the ECF drops, the body attempts to rebalance itself and will move water from the ICF to the ECF which causes a larger imbalance. Isotonic fluids act the quickest for volume expansion for the ECF