NSG 6435 Week 5 Case Study: Robert Ross iHuman Assignment

Case Study: Robert Ross iHuman Assignment

Discussion: iHuman Case Study – Cardiovascular and Hematologic Disorders in Children

This discussion assignment provides a forum for discussing relevant topics for this week based on the course competencies covered. For this assignment, make sure you post your initial response to the Discussion Area.

To support your work, use your course textbook readings and the South University Online Library. As in all assignments, cite your sources in your work and provide references for the citations in APA format.

Start reviewing and responding to the postings of your classmates as early in the week as possible. Respond to at least two of your classmates’ initial postings. Participate in the discussion by asking a question, providing a statement of clarification, providing a point of view with a rationale, challenging an aspect of the discussion, or indicating a relationship between two or more lines of reasoning in the discussion. Cite sources in your responses to other classmates. Complete your participation for this assignment.

For this assignment, you will complete an iHuman case study based on the course objectives and weekly content. iHuman cases emphasize core learning objectives for an evidence-based primary care curriculum. Throughout your nurse practitioner program, you will use the iHuman case studies to promote the development of clinical reasoning through the use of ongoing assessments and diagnostic skills and to develop patient care plans that are grounded in the latest clinical guidelines and evidence-based practice.

The iHuman assignments are highly interactive and a dynamic way to enhance your learning. Material from the iHuman cases may be present in the quizzes, the midterm exam, and the final exam.

Here you can view information on how to access and navigate iHuman.

This week, complete the iHuman case titled “Robert Ross.”

Apply information from the iHuman Case Study to answer the following questions:

Robert Ross is a 17 year-old male who presents with acute chest pain, palpitations, fever and malaise. He has had symptoms suggestive of a viral syndrome for the past week, but otherwise has no significant past medical history.

What questions would you ask to gather important diagnostic information?

How would you diagnose and manage this 17 year old male whose symptoms include palpitations, fever and malaise?

Which diagnostic studies would you recommend for this patient. Include the rationale for ALL diagnostics and Labs?

What physical exam findings and diagnostic results would be concerning to you and why? What would be three differentials in this case? Identify additional life threatening diagnoses that must be considered when a patient presents with acute chest pain.

What is the treatment (including rationale) for Robert and education for the family?

ADDITIONAL INFORMATION;

Introduction

Cardiovascular and hematologic diseases affect children more than any other age group. In this post, we’ll look at the most common disorders that are either congenital or acquired during childhood.

Congenital heart disease

Congenital heart disease is a defect in the structure of the heart that is present at birth. The most common type of congenital heart disease is a ventricular septal defect (VSD), which occurs when one or more parts of the fetal membrane don’t form properly around one or more parts of their ventricles.

Some people may have mild symptoms, while others may experience sudden cardiac arrest as they grow older.

Rheumatic fever

Rheumatic fever is an autoimmune disease that causes inflammation of the heart and other organs. The most common symptoms are swelling, inflamed joints and skin rash.

In children, it can affect their development and growth. Symptoms may vary depending on which part of the body has been affected by rheumatic fever. The most common complication is damage to the heart valves that cause them to become leaky (the valve doesn’t close properly). This can lead to high blood pressure and heart failure as well as kidney failure due to poor circulation throughout your body.

If you think your child has been exposed to someone else with rheumatic fever then speak with their healthcare provider about how best to prevent further spread.

Sickle cell disease

Sickle cell disease is an inherited blood disorder that affects the red blood cells. It can cause pain and damage to organs, as well as long-term complications such as anemia, bone fractures, stroke and organ problems. The disease occurs in about 1 out of every 500 African American children with sickle cell trait (SCT) or SCT plus hemoglobin C (HbC), but it is more common among people of African descent than those of European descent.

Sickle-shaped red blood cells are often found in patients with sickle cell disease because they carry one copy of the HbS gene — which causes them to stick together — while another copy helps balance out their ability to carry oxygen through the body’s circulatory system (the lungs).

Iron deficiency anemia

Iron deficiency anemia is a common disorder among children. It occurs when the body does not have enough iron to carry out its normal functions, such as providing oxygen to cells and making hemoglobin in red blood cells.

• What causes iron deficiency? An illness, injury or genetic condition may decrease your body’s production of erythropoietin (EPO), which stimulates red blood cell production. If you have chronic lung disease, this can cause your EPO levels to fall below normal.

• How do I know if my child has iron deficiency anemia? A child with classic symptoms of iron deficiency will complain of: fatigue; weakness; pale skin color without any other explanations for why she looks weak; trouble concentrating on schoolwork or playing sports; difficulty sleeping because she tosses from one side of her bed onto another throughout the night due either lack or excess energy levels during waking hours – this is particularly true during warm weather months when outdoor activities require more physical activity than usual.”

Vitamin B12 deficiency

Vitamin B12 deficiency is a common cause of anemia in children. The symptoms are dependent on the degree of deficiency, but may include:

• Fatigue or weakness

• Excess sleepiness or drowsiness

• A decreased sense of well-being (malaise)

Vitamin B12 can be obtained from many foods like meats and fish but it’s not found naturally in plant foods such as fruit and vegetables.

Hemophilia

Hemophilia is a genetic disorder that causes excessive bleeding. Hemophilia occurs in males and females, but it’s more common in males. The mutation responsible for hemophilia causes the body to produce less of the protein needed to stop bleeding by forming a clot. About 50 percent of cases result from spontaneous mutations (which occur randomly) while another 25 percent are caused by gene errors during fertilization or early embryonic development.

There are two types of hemophilia: classic hemophilia, which affects mainly boys; and factor VIII deficiency (FVIII), which affects both sexes equally but more often occurs in girls than boys.

Familiarize yourself with the symptoms of the above six disorders.

Familiarize yourself with the symptoms of the above six disorders.

• Cardiac valvular disease: This can occur as a result of a congenital heart defect, but also as a result of viral infections or other causes. Signs include chest pain, palpitations and cyanosis. If you suspect that your child has this condition, contact a physician immediately—the sooner they’re treated, the better they’ll do overall!

• Congenital heart disease: This includes conditions such as atrial septal defect (ASD), ventricular septal defect (VSD), patent ductus arteriosus (PDA) and pulmonary stenosis/atresia with mitral regurgitation (MR). Symptoms include fatigue after exertion or exercise; fainting spells; rapid breathing rate; nausea/vomiting/diarrhea; dizziness upon standing up from sitting or lying down for prolonged periods of time due to shortness-of-breath caused by decreased blood flow in areas closest to where blood vessels connect into one another before continuing toward their destination point on our bodies.

Conclusion

These are all very serious health conditions, and it’s important to know how to recognize them. The best way to do this is by familiarizing yourself with the symptoms, so that when you see a child who has these disorders, you can take action quickly and get them treatment as soon as possible.