NR602 Discussion Week 3 part 1 2017
Week 3: PBL Case Study Discussion: Assessment of a Child Part One
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Child with Fever and Respiratory or Skin issues
Kayla brings Riley, now 18 months, in for complaint of fever and rash. The fever began 3 days ago and is of normal levels in the morning then gets as high as 100 to 101 degrees in the afternoons. Riley has also had clear rhinorrhea and in the last 24 hours he has developed a red, diffuse rash to the torso and abdomen that does not itch and a barking cough in the last day. Mother reports he is drinking, but not as well as usual. He did have a good wet diaper this morning and at least four diapers yesterday, but is not really eating much and is not playing.
Medications: Mother has stopped the Zyrtec. She is giving Robitussin cough and cold at 2.5 ml last night and this morning. Liquid Tylenol 7.5 ml last night and this morning.
She is very concerned about the level of the fever and the fact that after 3 days he is not improving.
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