Concept Map

INSTRUCTIONS

Fill out the attached chart with the patient demonstrated on the paragraph below. Whatever is not listed in the paragraph must be made up. Absolutely everything in the nursing concept map needs to be filled out even if the information isn’t provided. For the nursing diagnosis it must be in the format of “related to, as evidence by” and another one that is “at risk for”. You will see where you have to write the nursing diagnosis on page number 2 of the nursing concept map. EVERYTHING MUST BE REFERENCED. Again, whatever you don’t find in the paragraph below must be MADE UP. This is for my pediatrics nursing class.

Patient:

Hannah Johnson, 10-year-old female presented to the ED 45 minutes ago with dehydration, dysuria, and significant weight loss of 18 pounds over the last 2 months. Both parents are with the child, the father is insisting that he be notified of all interventions before they are initiated.  Initial assessment reveals: Skin dry and warm to touch, B/P 90/58, T 99.2 F, 37.3 C, HR 110, RR 30. Child appears thin. Breathing is fast and deep. Noted fruity odor to breath. Initial labs: CBC WNL, K+ 2.89, BG 459, Urinalysis: Positive for ketones, glucose, and bacteria. Orders: IV 0.9% normal Saline at 150 ml/hour, Add 20 mEq K+ after first liter, Ampicillin 250 mg PO q 6 hours, finger stick blood glucose (FSBG) q 1 hour.