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HEALTH ALTERATIONS CLINICAL (NUR 2033L) CASE STUDY_ CONGENITAL HEART DEFECT Trisomy 21 Unfolding Reasoning Johhny Patterson 5 months Old

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HEALTH ALTERATIONS CLINICAL (NUR 2033L) CASE STUDY_ CONGENITAL HEART DEFECT Trisomy 21 Unfolding Reasoning Johhny Patterson 5 months Old Part I: History of Present Illness Johnny Patterson was born ... at 38 weeks gestation and diagnosed with Trisomy 21 (Down Syndrome). At his one-week well checkup at the pediatrician’s office, a prominent heart murmur was auscultated. An echocardiogram revealed a large ventricular septal defect immediately below the aorta. A referral was made to a cardiologist who suggested no immediate interventions because Johnny did not appear to be in any distress. Three weeks later at his second cardiologist appointment, his parents report that Johnny seems to be sleeping more. He seems to have times when he breathes faster than usual, and becomes sweaty when he breastfeeds. His weight is 4 kg. At his last visit three weeks ago he weighed 4.4 kg. The cardiologist prescribed 12 mcg digoxin every 12 hours (0.05mg/ml solution is received from the pharmacy) and 8 mg furosemide every day (10mg/ml oral solution is received from pharmacy). [Show More]

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