Sarah’s Case Analysis: Nursing and Medical Diagnosis Concept Map

Following the American Psychological Association’s Guidelines

Student’s Name

Institutional Affiliation

Date

Referencing Style: APA / Word Count:  300

  Sarah’s Case Analysis

Patient Information:

Patient name – Sarah, Gender- Female, Age- 1 year old, Admitted on – May 25, 2020

Symptoms – high fever for 2 days; vomiting; lethargic; decreased interaction with her siblings.

Allergies- Eggs and Penicillin, Suspected for urinary tract infection

Vitals: Temperature = 36.5, BP=90/50, Pulse=110, Oxygen saturation= 94%, Respiratory rate = 25bpm 

Concept Map

Nursing 

Diagnosis 

Gastro-intestinal Assessment 

Deficient Fluid Volume/   Dehydration

Associated symptoms of Emesis, and gastroenteritis

Evidenced by:

1. Fluid loss because of fever, vomiting and emesis. 

Nursing Diagnosis

Genitourinary Assessment:

Evidenced by Urinary Tract Infection 

Can be confirmed by CT and/or MRI

(American Urological Association, n.d.)

Nursing Diagnosis

Psychosocial Affection:

Evidenced by:

Lesser interaction with siblings

Nursing 

Diagnosis

Risk for Infection 

Evidenced by:

1. Knowledge deficit as seen by the mannerism of putting everything in mouth.

2. Absence of hand washing habits

Client's Medical Diagnosis

Actual Problem - Acute Gastroenteritis

Potential Problem - Urinary Tract Infection, Dehydration and Bacterial infection from touching objects.

Nursing 

Interventions

1. Patient education and encouraging both sarah and her siblings to interact and play among themselves. 

Nursing 

Interventions

1. Recommend hand hygiene

2. Refrain the child from putting objects in their mouth.

3. Recommend antibiotics: Co-trimoxazole and metronidazole for oral administration (Bruzzese et al., 2018) 

Nursing 

Interventions

1.Recommend 

trimethoprim/

sulfamethoxazole. 

2. Alternative medicines can be amoxicillin/

clavulanate  (Augmentin) or cephalosporins (White, 2011)

Nursing 

Interventions

1. Hydrate the child with lots of water and liquids 

2. Hydrate the body and calm the stomach with Pedialyte.

3. Reintroduce fluids 

like apple juice, 

formula and soft foods
In the above Concept Map,

                      = Link between medical diagnosis and nursing diagnosis

                     = Link between nursing diagnosis

Concept Map Key

References

American Urological Association (n.d.) What is a Urinary Tract Infection (UTI) in Children? 

Urology Care Foundation. Available at https://www.urologyhealth.org/urology-a-z/u/urinary-tract-infections-in-children 

Bruzzese, E. et al. (2018) Antibiotic treatment of acute gastroenteritis in children. F1000Res.

doi: 10.12688/f1000research.12328.1. Available at https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5814741/

White, B. (2011) Diagnosis and Treatment of Urinary Tract Infections in Children. Oregon 

Health and Science University. Available at https://www.aafp.org/afp/2011/0215/p409.html 

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