The nursing student should be able to identify seizure activity, how to educate the family and or caregiver of the pediatric patient on what to do if a seizure occurs and what medications to administer, implement safety to prevent injury and treatment of fracture. Develop education to support discharge based on assessment of data. Competency Prioritize nursing interventions when caring for pediatric clients with health disorders. Scenario A 5-year-old Gabriel is a multiracial male weighing 48 lbs with an allergy to penicillin arrives in the emergency room, no cultural considerations identified. You are handed the following notes on the patient that read: He arrived in ER with his mother after falling out of bed after jerking movement activity as witnessed by his older brother while sleeping. Right-upper extremity appears with deformity. Mother and child speak English. Child has no significant medical history. Mother reports incontinent of urine during episode. Your Assessment Vital Signs: T 102.9, P 135, R 24, BP 118/60, O2 sat 100% RA General Appearance: appears drowsy; face flushed, quiet Neuro: oriented X3 Cardiovascular: unremarkable Respiratory: lungs clear Integumentary: very warm, dry GI/GU: abdomen normal Physician Orders Complete Blood Count (CBC) Complete Metabolic Panel (CMP) Urinalysis with culture and sensitivity (U/A C&S) Blood Cultures x 2 X-rays kidneys, Influenza screening Acetaminophen 15 mg/kg PO now Ibuprofen 10 mg/kg PO now Pad side rails Suction at bedside with seizure precautions Radiographs of right arm Cast to right arm Start PO fluids and increase as tolerated The physician discharges Gabriel from ER to home with a diagnosis of; Right ear infection, Acute Febrile Seizure and fracture of the right ulna. Discharge orders include: Follow up with pediatrician in 7 days Follow up with pediatric orthopedics in 7-10 days Cefuroxime 30mg/kg PO BID for 10 days not to exceed 1,000mg daily. What is the recommended dosage if cefuroxime is supplied as an oral suspension 125mg/5ml or 250mg/5ml? Acetaminophen 15 mg/kg PO Q4 hours PRN fever or pain and ibuprofen 10 mg/kg PO Q6 hours PRN fever and pain for up to 3 days Acetaminophen is available as 160 mg/5 mL. Ibuprofen is available as 100 mg/ 5 mL. What is the amount of acetaminophen in mg and ml per dose? What is the amount of ibuprofen in mg and ml per dose? Instructions Develop a discharge plan with three goals listed in order of priority, prior to discharge from current orders. Provide rationale for why you listed the goals in a particular order. Also, list three nursing interventions to meet each of the goals (you should have nine interventions in total). Last, give the mother the exact dosage she will need to give the child for acetaminophen, ibuprofen, and the cefuroxime when she gets home and explain why the exact dosage is important.

GuidelinesCASE STUDY: PEP Case Study.doc Assignment: Stage 4: Final System Report Readings: Please Use the Textbook and scholar articles. You must cite textbooks alongside other sources. APA format Grading Rubric: Please follow the grading rubric to complete the assignment. It will enable me to get a better grade Note: This is the continuation of Stage 1, Stage 2 and Stage 3 Stage 4:Final System Report Before you begin this assignment, be sure you have read the Case Study and the feedback you received on your first three staged assignments. Purpose of this Assignment This assignment gives you the opportunity to explain and justify a system proposal to gain approval to proceed with the project. This assignment addresses all of the course outcomes to enable you to: plan, build, and maintain systems that meet organizational strategic goals by demonstrating the use of enterprise architecture and applying enterprise governance principles and practicesneed assessmentapply a systematic approach to translate requirements into an executable systems designeffectively communicate with stakeholders to determine, manage, and document business requirements throughout the SDLCperform modeling to assist with analysis and decision making Assignment The proposed systems design is documented in the form of a Final Systems Report. This report defines objectives and how the proposed system design will satisfy them. The primary purpose of the report is to inform and gain approval to proceed with the project. It should be presented in terms that management and users understand. The Final System Report will be compiled from the previously submitted Staged Assignments, supplemented with information about implementation personnel requirements and time and cost estimates.Rather than paste together all of the previous assignments, the outline below should be followed and will require you to re-arrange sections of the previous assignments. All of the information you need to complete the projects in this class is not provided in the case study.In the discussion area of the classroom, there is a discussion titled "Case Study Interview Questions" where you can pose questions about the case study, as if you were interviewing the people in the case study organization.Any information that you need that is not included in the case study should be asked about in this discussion.Responses from the faculty member on behalf of the case study organization will be available for everyone in the class. Use the case study and the Case Study Interview Questions discussion, your previously submitted staged assignments (including the feedback received), and resources and source documents (previously submitted documents, as corrected) listed below to create a Final System Report in the format provided.Note that sections are re-organized and some paragraphs may need to be re-written using earlier content but presented as required here.Items highlighted in yellow indicate sections that need to be added to or created for this Report. Final System Report Introduction to the full systems study. (This section will come from your Stage 1:Preliminary Investigation Report, re-written or re-organized as appropriate.)An overview of the events leading up to the studyThe subject of the studyThe objective and scope of the proposed systemA statement of recommendations and justifications for the proposed systemDescription of the current process/system (This section will come from your Stage 1 Assignment:Preliminary Investigation Report.)A brief description of the current process or the current system and how it is usedThe purpose of the current process or systemThe problems with the current process or system and the rationale for a new systemThe operating cost of the present system, if applicableDescription of the proposed system (Sections A-E will come from your Stage 1 Assignment:Preliminary Investigation Report; other sections from sources as indicated.)An overview of the proposed systemThe scope of the projectThe tangible and intangible benefits of the proposed systemFeasibility AnalysesTime and cost estimates to implement the proposed systemRequirements Checklist(Stage 2 assignment:Requirements Specification)Data Models (Stage 2 assignment:Requirements Specification)Process Models (Stage 2 assignment:Requirements SpecificationSystem Design Specification (Stage 3 assignment:System Design Specification)Recommended Acquisition Strategy – Respond to each of the following and provide brief explanations of your choices. (New, to be developed) [Week 6 Content reading on Acquisition Strategy]Identify scope of what to buy Product or service?Commercial-off-the-shelf or custom?Use in-house or contractor support?Select hosting alternative (dedicated servers, data center, or cloud computing)Implementation Plan (New, to be developed)A list of personnel needs to develop, install and maintain the new systemA proposed timetable for installing the proposed system and staff-hours required to complete the projectFinancial InformationThe operating cost of the present system, if applicable (from Stage 1)The estimated implementation cost of the proposed system(from Stage 1; updated with any new information)The estimated operating cost and the estimated useful life of the new system (New, to be developed)The tangible and intangible benefits of the proposed system (add to those listed in Stage 1 to include financial benefits)Summary - A summary with a positive statement for implementing the proposed system. The summary should include any concerns about the timetable, funds, software, hardware, or personnel available for the project. (New, to be developed)