Summary Charlie Snow Age: 6 years Diagnosis: Anaphylaxis| Feedback Log & Score 96% — Charlie Snow

Feedback Log 0:00 You arrived at the child. 0:00 You introduced yourself. 0:06 You washed your hands. To maintain patient safety it is important to wash your hands as soon as you enter the room. 0:10 Child status - ECG: Sinus tachycardia. Heart rate: 156. Pulse: Present. Blood pressure: 109/73 mmHg. Respiration: 30. Conscious state: Appropriate. SpO2: 91%. Temp: 37.2 C  This study source was downloaded by from CourseH on :14:43 GMT -05:00 NURS 101 11/2/2019 Feedback Log & Score — Charlie Snow Nov 02, 2019 9:07 PM 0:23 You identified the child. To maintain patient safety it is important that you quickly identify the child. 0:32 You identified the relatives. This is important, as the patient is below 18 years of age. 0:51 You obtained legal consent from the child's relative. This was reasonable. 1:04 Child status - ECG: Sinus tachycardia. Heart rate: 156. Pulse: Present. Blood pressure: 110/73 mmHg. Respiration: 25. Conscious state: Appropriate. SpO2: 90%. Temp: 37.1 C 1:55 You asked the parent: Does he have any known allergies? The parent replied: 'Yes - he is allergic to peanuts, perfumes and dyes.' 2:01 You sat the child up. It is correct to do so. 2:04 Child status - ECG: Sinus tachycardia. Heart rate: 156. Pulse: Present. Blood pressure: 106/71 mmHg. Respiration: 25. Conscious state: Appropriate. SpO2: 89%. Temp: 37.1 C 2:18 You attached the automatic noninvasive blood pressure (NIBP) measurement cuff. This will allow you to reassess the child continuously. 2:23 You looked for normal breathing. He is breathing at 26 breaths per minute. He has retractions, a prolonged expiration phase, and a lot of audible wheezing. There is increased respiratory effort. 2:45 You gave the child 100% oxygen from a nonrebreathing mask. This was part of your orders. 3:03 You measured the Temperaturetemperature in the ear. The temperature was 37.1 C. 3:04 Child status - ECG: Sinus tachycardia. Heart rate: 156. Pulse: Present. Blood pressure: 100/67 mmHg. Respiration: 28. Conscious state: Appropriate. SpO2: 90%. Temp: 37.1 C 3:19 You checked the pulse at the brachial artery. The pulse is strong, 145 per minute and regular. It is correct to assess the child's vital signs. 3:44 You assessed the pain level using the FACES scale. The child answered 0 on the FACES pain scale with a range of 0 to 5. 3:55 You asked the child how he felt. (Out of breath) He replied: 'It's getting difficult to breathe!' 3:59 You asked the child if he had trouble breathing? (Out of breath) He replied: 'Yes' 4:04 Child status - ECG: Sinus tachycardia. Heart rate: 154. Pulse: Present. Blood pressure: 88/59 mmHg. Respiration: 30. Conscious state: Appropriate. SpO2: 94%. Temp: 37.1 C 4:25 You listened to the lungs of the child. He has retractions, a prolonged expiration phase, and a lot of audible wheezing. In the clinical situation you should auscultate the lungs both anteriorly and posteriorly. 4:43 You assessed the child's IV. The site had no redness, swelling, infiltration, bleeding, or drainage. The dressing was dry and intact.