Answer Happy

3. Mrs. Cruz was worried about her daughter Pauline 11 years old because she is so thin pale and weak so she went to Hospital X to visit Dra. Corpus Pauline's pediatrician for consultation the following morning. Nurse Eve greets them "Good morning Pauline and Mrs. Cruz, how can I help you “Nurse Carol is Dr. Corpus coming? I have painful menstrual cramps" Pauline asked Nurse Carol "We want to see Dra. Corpus, it is her 2nd day and she is experiencing episodic painful menstruation cramps. I'm also worried about Pauline, she looks pale, thin and weak. She also loses her appetite and eats fish crackers often and eating meals less. She just slept for 6 hours because she watched tv and played on her cell phone all the time. Did she miss any vaccines?" said Mrs. Cruz. Nurse Carol gets her vital signs weight and height and records it. Dra Corpus came in and Mrs. Cruz narrate the same problem." Upon checking the vital signs pulse rate, respiratory rate and temperature are within the normal limits except the BP is low 90/60. the normal for her age is 110/80 her weight is low 30 kg ideally for 11 years old is 36.9 kg and her height 140 cm ideally it is 144 cm. She has weight loss that must be corrected. Better if we do cbc to check if she is anemic. I will prescribe multivitamins to be taken once a day daily for 3 months and iron once a day for 2 weeks. You can take Mefenamic acid 250 mg tablets 3 times a day if in pain after meals. Take your iron supplement with orange juice. Once you have the result of her cbc both of you will come back to me after two weeks. Nurse Carol will give you information on proper nutrition. A. What advice can you give to Mrs. Corpus and Pauline to improve Pauline's weight? B. Tabulate the vaccines that should be given to school age? C. Make one nursing care plan based on the scenario and present it in the class