SCENARIO OVERVIEW: Johnny Parker is a 4-year-old Hispanic male who ingested an unknown amount of liquid children’s Acetaminophen under the care of his aunt at 1130 on Wednesday. Johnny was brought to the emergency department, where he was given activated charcoal in suspension via PO. The scenario takes place on Thursday at 1210. 

NR328

·        Johnny Parker:

1.      What system alterations should the nurse anticipate in the client with overdose? (This would include acid-base imbalance, respiratory system (oxygenation, ventilation), gastrointestinal, neurological, etc)

2.      What are some potential and actual complications of this client’s current condition?

3.      Based on the assessment findings (please list), what nursing interventions are a priority for this client and why? (please provide rationale for interventions).

4.      Identify pediatric populations at risk for poisoning and list 3 agents used for gastrointestinal decontamination. Describe how nutrition may be affected in a child who has ingested a poison.

5.      List ways in which the nurse can maintain family-centered care during a medical crisis. Can any aspects of the care being delegated to others?

6.      What assessment findings, including your ABC head to toe physical assessment, might the nurse discover on a pediatric patient who has ingested high levels of acetaminophen?