Posted: August 27th, 2015

Pediatric Case Study

Answer a discussion board question to the following scenario.

Review the facts of the case and discuss how you would find the evidence needed to address the clinical question.

References must be from Nursing Journals

The scenario is as follows:
You are caring for an infant 4 days after cardiac surgery in the pediatric intensive care unit. Platelets and albumin were administered the night before becasue of the infant’s abnormal clotting profile. In consultation with the healthcare team, you remove the pulmonary artery catheter. You notice continuous ooze from the site and a marked deterioration in the patient’s condition. Cardiac tamponade is diagnosed, and the patient requires a reopening of the sternotomy and removal of 200 ml of blood from the pericardial sac. At the end of your shift, you wonder how rare such a complication is in the patient population and decide to look at the literature.

Questions to consider:
1. to gather the evidence needed to address the clinical question how often does removing a pulmonary artery catheter contribute to cardiac temponade in infants within the first week after cardiac surgery.

2. Is there research out there and where can you find it.

3. Cochrane Collaboration data to transform practice settings, using the information/research gathered to implement projects that are based on such evidence. For example, searching the database for your practice questions will provide you with the most reliable research.
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