A nine-month-old baby Elmo, who was formerly healthy, with a 36-hour history of vomiting

after every feed and one episode of blood-tinge per rectum. This was diagnosed as
gastroenteritis in primary care and oral rehydration of 50 to 100 ml after each BM therapy was
advised. Prior to this, hehad a recent diarrheal illness.
The initial observations in the Revealed a Temp of 37.7 °C; PR of 130 bpm; RR 36 cpm, Oxygen
saturation 98% and central capillary refill time of two seconds. PE revealed that he is not
well hydrated. He was uncomfortable when the doctor gently pressed on his abdomen
and noted a sausage shape mass on palpation. The parents report that Elmo will just suddenly
cry inconsolably with drawing up of the knees to the chest usually lasting for 10 minutes
then eventually will stop on his own. He was admitted in pedia ward, when after 6 hours after
admission he had vomited a yellow fluid, and passed blood-tinged per rectum and this time
Elmo continuously cried with drawing up of the knees to the chest and also look very tired.
He was started on intravenous fluids of Lactate Ringers 100 ml/kg over 4 hours then 80 cc/hr for
the next 8 hours and was given an Aeknil 75 mg through IV. Blood investigations showed a C-
reactive protein level of 48mg/L but were otherwise within normal limits. A test for
electrolytes performed with the results potassium (K)-2.8 mEq/L, Sodium (Na) 129mEq/L.
Abdominal X-ray showed A nine-month-old baby Elmo, who was formerly healthy, with a 36-
hour history of vomiting after every feed and one episode of blood-tinge per rectum.This was
diagnosed as gastroenteritis in primary care and oral rehydration of 50 to 100 ml after each BM
therapy was advised. Prior to this, hehad a recent diarrheal illness.
evidence of bowel obstruction. Although, the doctor knows that the clinical history with
the characteristic stools and physical findings are usually sufficiently typical for the diagnosis,
abdominal ultrasound scan was ordered, and Intussusception was confirmed. Ultrasound-
guided Hydrostatic (saline)enema was scheduled. Continue IV fluids, insert NGT now,and
Cefazolin250 mg IV 1 hour prior to surgery.

Discuss the main concept of Cleft lip and palate in the following areas:

▪Etiology/risk factors- CUARTERON

Clinical Manifestations -CONDE

DIAGNOSTIC- CO

MANAGEMENT - DELA CRUZ C.

POSSIBLE COMPLICATIONS- DE GUZMAN

PATHOPHYSIOLOGY- DELA CRUZ E.

Describe the importance of diagnostic and laboratory test in the given scenario- CUARTERON

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 Nursing care plan (2-Priority Nursing Diagnosis-Actual and Potential)
ASSESSMENT DIAGNOSIS PLANNING IMPLEMETATION RATIONALE

OBJECTIVE CONDE DELA CRUZ E.

SUBJECTIVE DE GUZMAN

ESCANER

ASSESSMENT DIAGNOSIS PLANNING IMPLEMETATION RATIONALE

OBJECTIVE DELA CRUZ C.

SUBJECTIVE CONDE DE GUZMAN

ESCANER

Drug study following the given format

MECHANISM INDICATIONS CONTRAINDICATIONS COMMO NURSING
CUARTERON OF ACTION N SIDE CONSIDERATIONS
(CUARTERON CO EFFECTS
(CUARTERON) ESCANER
CO

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