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NR 602 Week 6 Olive Chaney IHuman

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NR 602 Week 6 Olive Chaney IHuman Week 6 Olive Chaney 2 year old 2’10”(86cm) 28.0lb(12.7kg) CC: rash GOOD QUESTIONS How can I help her today: rash since this morning has spread a lot. Does she have any other symptoms or concerns we should discuss On what part of her body did the rash start and where did it spread: Has she been having fevers: yes she has When did her fever start: 3 days ago Did she have any other problems two to four days before the rash started What treatments has she had for her rash? Does she have any allergies Is she taking any over the counter or herbal medications Is she coughing up any sputum How high is her fever Is her rash painful or itchy What treatments has she had for her cough How many stool diapers does your child have per day How is her appetite? Any recent changes; 1 PMH question PHYSICAL EXAM SKIN: warm and dry, maculopapular pink rash on the abdomen and extremities HEENT: inspect eyes no ptosis erythema or swelling, conjunctiva pink no discharge Examine pupils, inspect ears, look in ears Inspect nose, look up nostrils, inspect mouth/pharynx Chest Wall & Lungs Visual inspection anterior posterior chest Normal lung sounds Normal heart sounds ABDOMEN Flat symmetric with no scars No pain, tenderness, masses or pulsation abdomen palpation. No guarding, rebound tenderness EXTREMITIS Visual inspect all extremities Palpate extremities MUSCULOSKELETAL This study source was downloaded by 100000825611411 from CourseHero.com on 10-31-2022 10:18:41 GMT -05:00 https://www.coursehero.com/file/113046961/Week-6-Olive-Chaney-IHuman-GOOD-QUESTIONSdocx/Inpect/palpate back and spine Neurological Look for involuntary movements 2-year-old presents with mother, history per mother, the mother state the rash started this morning on the abdomen and spread to arms and legs. Fever 3 days ago of 103F that has resolved. Runny nose and cough that started 3 days. Immunizations are up to date. This study source was downloaded by 100000825611411 from CourseHero.com on 10-31-2022 10:18:41 GMT -05:00 https://www.coursehero.com/file/113046961/Week-6-Olive-Chaney-IHuman-GOOD-QUESTIONSdocx/This study source was downloaded by 100000825611411 from CourseHero.com on 10-31-2022 10:18:41 GMT -05:00 https://www.coursehero.com/file/113046961/Week-6-Olive-Chaney-IHuman-GOOD-QUESTIONSdocx/Throat culture not recommended at this time IGM not recommended CBC is not recommended This study source was downloaded by 100000825611411 from CourseHero.com on 10-31-2022 10:18:41 GMT -05:00 https://www.coursehero.com/file/113046961/Week-6-Olive-Chaney-IHuman-GOOD-QUESTIONSdocx/Diagnosis: exanthema subitem (HHV-6/roseola) Roseola is a viral infection that causes a rash that appears shortly after the temperature returns to normal. The rash appears as a maculopapular eruption that spreads mainly to the trunk area and will usually disappear in 24 hours. Associated symptoms include a mild cough and rhinorrhea. Fever followed by a rash is specific to Roseola. Management: Symptomatic treatment. Tylenol or ibuprofen for fever as needed. Tylenol oral suspension OTC SIG: take 5ml PO every 4 hours as needed Max dose 25ml in 24 hours, do not exceed 75mg a day Children's Advil oral suspension OTC SIG: take 5ml PO every 6-8 hours as needed, max 20ml in 24 hours

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