TJacob

Latest Activity

1. cerebral palsy child with cast

   TJacob replied to TJacob's topic in General Nursing

   I was only told seizures. Yes, very complicated. I can usually critically think these things through but this one has me stuck!! Perhaps the casts are on for his feet/ankles and not contracture. But the answer would still be the same, what complicati...

2. cerebral palsy child with cast

   TJacob replied to TJacob's topic in General Nursing

   :) got ya... HE uses a wheel chair reflects that this is a person, wheelchair bound ignores the person. Ill let my instructor know too as it was her phrase. I have no idea what to say then. I need two complications of a child with cerebral palsy that...

3. cerebral palsy child with cast

   TJacob replied to TJacob's topic in General Nursing

   You are right, they are children first, I should have worded that better. He is wheel chair bound and Im not sure on the casting, I think youre right though. Ive read alot about botox injections, perhaps thats something that would help since it weak...

4. cerebral palsy child with cast

   TJacob replied to TJacob's topic in General Nursing

   Thank you tralalaRN, I thought about muscle relaxers and pain relievers since his current med list didnt include either. I thought if his muscles wanted to be spastic but he was confined to a cast it might hurt even more. Does that sound right? Howe...

5. cerebral palsy child with cast

   TJacob replied to TJacob's topic in General Nursing

   I asked my instructor for further clarification, here is her reply. A child with CP will not always have altered sensation. The child in the design has spastic CP. What happens to the muscles of a child with spastic CP? Why are you casting? What ca...

6. cerebral palsy child with cast

   TJacob replied to TJacob's topic in General Nursing

   He is wheelchair bound but the other information is not clear. This is a hypothetical patient. Here is the only information I have: 10-year-old has a history of cerebral palsy, spastic quadriplegia, neuromuscular scoliosis, seizures, and hydroce...

7. cerebral palsy child with cast

   TJacob posted a topic in General Nursing

   I have a question I need to answer but after hours of researching I cant find the answer. Perhaps Im reading too much into the questions. What are complications of a child with cerebral palsy that has casts? The patient is a 10 year old boy with cer...

8. Blood: do you administer platelets or PRBC first?

   TJacob replied to TJacob's topic in General Nursing

   Thank you very much everyone! I appreciate the rationale behind the reasoning :) Though I believe I have the answer, the details were that shes a pediatric pt with meduloblastoma. Wbc: 2,000/mm₃ Hgb: 7.2 g/dl Hct: 19.3 % Plt: 18,000 She has a singl...

9. Blood: do you administer platelets or PRBC first?

   TJacob posted a topic in General Nursing

   Ive looked everywhere and cant find the answer. Does anyone know which blood product you would transfuse first, platelets or pRBC? Thank you :)