Travis , a sick looking 36 month

Travis , a sick looking 36 month child , has been admitted to the pediatric unit for evaluation an monitoring . Travis has gained 2 pounds in the last 6 days . He has history of asthma that is moderately under control . He resides with both parents . He is up to date on all vaccines . Two weeks ago he had pyelonephritis . He is extremely irritable and crying more than usual . His parents state “his face is so swollen , He is hard to recognize .” Travis has 2+ edema in all 4 extremities and in his scrotum , plus periorbital edema . Mom states his ” urine output has been less than normal and foamy .” He has diarrhea and won’t eat even his favorite foods . He threw up this morning after eating oatmeal and milk. Now he has pallor and is becoming more and more lethargic . Lung sounds: bilateral crackling, RR 48 with dyspnea. HR 150. Lab reports hypoalbuminemia , hyperlipidemia, hemoconcentration . 15grams of protein in his 24 hr urine 3 nursing diagnosis SCIENCE HEALTH SCIENCE NURSING NUR 112

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