Case Management (1 item)

Hematologic Disorders: Immunizations for a Client Who Has Sickle Cell Anemia (Active

Learning Template - Basic Concept, RM NCC RN 11.0 Chp 21)

- Treat and prevent infection by administering antibiotics, performing frequent hand hygiene,

giving oral prophylactic penicillin.

- Administer pneumococcal conjugate vaccine, meningococcal vaccine, and Haemophilus

influenza type B vaccine.

- Monitor and report laboratory results.

Establishing Priorities (1 item)

Pediatric Emergencies: Caring for a School-Age Child Who Is Experiencing Anaphylaxis

(Active Learning Template - System Disorder, RM NCC RN 11.0 Chp 43)

- Anaphylactic Shock is a life-threatening allergic reaction that is caused by a

systemic antigen-antibody immune response to a foreign substance (antigen) introduced

into the body.

- It is characterized by a smooth muscle contraction, massive vasodilation and

increased capillary permeability triggered by a release of histamine. It occurs within

seconds to minutes after contact with an antigenic substances and progresses rapidly to

respiratory distress, vascular collapse, systemic shock, and possibly death if emergency

treatment is not initiated.

- Causative agents include severe reactions to a sensitive substance such as a drug,

vaccine, food (such as eggs, milk, peanuts, shellfish), insect venom, dyes or contrast

media, or blood products.

- Assess the respiratory rate, rhythm, and depth, and note for changes such

as:coughing, dyspnea, increased shortness of breath, stridor, tachypnea, use of accessory

muscles, wheezing.

- Assess the client for the sensation of a narrowed airway, presence of angioedema,

Monitor oxygen saturation and arterial blood gasses, Administer IV fluids as ordered,

aminister oxygen as prescribed. Administer medications as ordered: bronchodilators,

corticosteroids, epinephrine, antihistamines.