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April is currently receiving chemotherapy. The most common complication of immunosuppression is sepsis. This complication is situated in this scenario.
Relevant clinical data must be recognized by the student in order to clinically reason and make a correct clinical judgment that will be needed to save April’s life!
This Case Study Begins with the Following Scenario:
April Peters is a 10-year-old female with acute lymphoblastic leukemia (ALL) who presents to the emergency department with a temperature of 38.4 degrees C. (101.2 F.) and a complaint of a sore throat. She has been receiving chemotherapy since her diagnosis three months ago.
April’s mother reports that her fever has been unresponsive to acetaminophen and she is two days out from her most recent chemotherapy treatment. No reports of nausea, vomiting, or diarrhea noted.
A CBC is drawn immediately from April’s central venous access device (CVAD) and April is admitted directly to the pediatric oncology unit where you are the nurse responsible for her care. She weighs 57 lbs. (25.9 kg), is 51.5 inches (128.8 cm.) and has NKDA.
Key Concepts in Order of Emphasis:
- Cellular Regulation
- Clinical Judgment
Three Complementary Bonuses!
- Faculty users guide to successfully implement this active learning tool in your program!
- SBAR template. Use this to add and practice SBAR with this scenario!
- QSEN/concept based questions in Word doc. Integrate concepts and QSEN competencies into this case study! Several questions related to the primary concept and each QSEN category that can be edited to create a supplement for this case study.
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