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Scenario: Patient MRP is rushed to hospital due to high grade fever.
Scenario: Patient MRP is rushed to hospital due to high grade fever. Patient MRP is a 9 months old accompanied by her mother and aunt. This are the data collected during the assessment. “Nurse, my baby has fever for 3 days already” as verbalized by the mother. By the statement of the aunt, Patient MRP received immunization last Wednesday for the 3rd dose of Pentavalent, PCV, OPV and IPV. Vital signs checked with a result of T- 39.5⁰C; RR- 40 cpm WT- 8.1 kg. When checked by the nurse, she felt hot flushed skin and diaphoresis. Medication given: Paracetamol Oral drops, 1.2 ml every four hours.
Complete the table below by using the assessment as primary data.
| ASSESSMENT | DIAGNOSIS | BACKGROUND STUDY / DEFINITION | PLANNING | IMPLEMENTATION | RATIONALE | EXPECTED OUTCOME |
| Subjective:> “Nurse, my baby has fever for 3 days already” as verbalized by the mother.> Patient received 3rd dose of Pentavalent, PCV, OPV and IPV as per statement of patient’s aunt. Objective: > Hot flushed skin> Diaphoresis> T – 39.5˚C> RR – 40cpm> WT – 8.1kg |