Pediatric Case 10: Charlie Snow (Complex)
Guided Reflection Questions
Opening Questions
How did the simulated experience of Charlie Snow’s case make you feel?
This simulation was a bit stressful because dealing with emergency which affect vital signs,
particularly airways and respiration require quick action and effective clinical reasoning for
management, therefore I had to be ready for any emergency situation.
Discuss the actions you felt went well in this scenario.
I was able to obtain the objective and subjective data required to formulate my nursing
diagnostic and care plan. This included the information provided by the caregiver and
Charlie himself, as well have obtain vital sign to make sure I provided an accurate SBAR
report to the provider in order to start treatment for Charlie as soon as possible before
something happen.
Scenario Analysis Questions*
EBP List in order of priority your initial nursing actions identified for Charlie Snow based on
physical findings and family interaction.
Raise the bed from semi fowler to fowler to increase lung capacity. Assess Charlie Vital
signs, mental status and auscultation of his lung.
EBP What complications might Charlie Snow face if symptoms are not recognized and
treated in a timely manner?
A complication of anaphylactic reaction with serious consequence such as drop
in blood pressure and even death can arise if no action is taken in a timely manner.
EBP Why was a glucocorticosteroid administered in this case? Would it have been
appropriate to administer albuterol in this case? Why or why not?
Glucocorticosteroid helps to decrease or minimize the reaction and prevent the return of
symptoms, specially the inflammatory response. No albuterol should be used because
this can increase the anaphylaxis risk and cause further breathing problems. Instead
Albuterol can only be use after the use of epinephrine injection because there are short
acting bronchodilator
, *
The Scenario Analysis Questions are correlated to the Quality and Safety Education for
Nurses (QSEN) competencies: Patient-Centered Care (PCC), Teamwork and Collaboration
(T&C), Evidence-Based Practice (EBP), Quality Improvement (QI), Safety (S), and
Informatics (I). Find more information at: http://qsen.org/
Guided Reflection Questions
Opening Questions
How did the simulated experience of Charlie Snow’s case make you feel?
This simulation was a bit stressful because dealing with emergency which affect vital signs,
particularly airways and respiration require quick action and effective clinical reasoning for
management, therefore I had to be ready for any emergency situation.
Discuss the actions you felt went well in this scenario.
I was able to obtain the objective and subjective data required to formulate my nursing
diagnostic and care plan. This included the information provided by the caregiver and
Charlie himself, as well have obtain vital sign to make sure I provided an accurate SBAR
report to the provider in order to start treatment for Charlie as soon as possible before
something happen.
Scenario Analysis Questions*
EBP List in order of priority your initial nursing actions identified for Charlie Snow based on
physical findings and family interaction.
Raise the bed from semi fowler to fowler to increase lung capacity. Assess Charlie Vital
signs, mental status and auscultation of his lung.
EBP What complications might Charlie Snow face if symptoms are not recognized and
treated in a timely manner?
A complication of anaphylactic reaction with serious consequence such as drop
in blood pressure and even death can arise if no action is taken in a timely manner.
EBP Why was a glucocorticosteroid administered in this case? Would it have been
appropriate to administer albuterol in this case? Why or why not?
Glucocorticosteroid helps to decrease or minimize the reaction and prevent the return of
symptoms, specially the inflammatory response. No albuterol should be used because
this can increase the anaphylaxis risk and cause further breathing problems. Instead
Albuterol can only be use after the use of epinephrine injection because there are short
acting bronchodilator
, *
The Scenario Analysis Questions are correlated to the Quality and Safety Education for
Nurses (QSEN) competencies: Patient-Centered Care (PCC), Teamwork and Collaboration
(T&C), Evidence-Based Practice (EBP), Quality Improvement (QI), Safety (S), and
Informatics (I). Find more information at: http://qsen.org/
