Question

For the case study section only: Only provide short answers for the case study No more than 2 sentence response. Answer all the questions in all case study scenarios.

Michael is a 7-week-old breastfed infant with a 2-day history of irritability and poor feeding.

Subjective Data

Mom states that her infant has been “fussy” for the last 2 days.

He feeds for only a “few” minutes at a time.

He is breathing heavily and fast for 2 days.

Objective Data

Weight: 4.8 kg

Vital signs: temp, 36.8º C; pulse, 250 bpm; resp, 65 breaths/min; blood pressure, 84/58 mm Hg

Breath sounds clear to auscultation

Oxygen saturation: 95%

Central capillary refill: 4 seconds

Questions:

1. What is the treatment for an unstable patient with supraventricular tachycardia (SVT)?
2. Decreased cardiac output from prolonged SVT would produce what complication?
3. In this clinical situation, what actions should the nurse take? Prioritize the actions.

Discussions

Discussion Topic# 1: What is a “shift to the left” in a CBC?

Discussion Topic# 2: A father brings in his 3-year-old son, James, who was initially running a fever. He was given Tylenol, and the fever went away for 2 days. Now, however, the fever is back, and he has noted dark spots on his body and a lump in his armpit. He has been lethargic and has not wanted to eat for the last 24 hours. The physician suspects acute lymphocytic leukemia and has ordered blood chemistry studies, immunophenotyping, and bone marrow aspiration and biopsy.

1. The father is upset and wants to know what is leukemia and how did his son catches it? How would the nurse address this question?

Answer 1

Case study1:

1. Supraventricular Tachycardia : This is the condition of rapid heart beat that developed when the normal electrical impulses of heart are disturbed. Treatment for unstable SVT include antiarrhythmic drugs, beta blocker's, calcium channel blocker's. Catheter ablation help to treat.

2. Decreased cardiac output from prolonged SVT leads to heart failure or heart attack due to shock.

3.Immediate nursing actions for this situation include cardiac support with beta blocker's and anti arrhythmic drugs, with oxygen supplementation.

Discussion :Topic1: shift to left or blood shift is an increase in the number of immature cell types among the blood cells in a sample of blood.

Topic 2.: Leukemia is cancer of blood forming tissue,including bone marrow.There are different types of leukemia like acute lymphoblastic leukemia, acute myeloid leukemia,and chronic lymphatic leukemia.

Leukemia is blood Cancer caused by a rise in the number of white blood cells.It may occur due to exposure to cancer causing agents, smoking, history of radiation or chemotherapy , rare genetic syndrome, family history. By explaining these things nurse can address the patient father question.