CASE PRESENTATION ABOUT

SEPTIC ARTHRITIS
Instructor Name :Abed-Alhameed Awawdeh
Student Name :Aya Qattoush
Outline:
• Introduction
• Present illness and past illness
• Obstetric history
• Nutritional history
• Growth & Development
• Physical Assessment
• Laboratory tests
• Pathophysiology
• Medication
• Nursing care plan
Introduction
• Patient Name: A.A
• Patient Birth Date : 17.10.2018
• Patient Age: 9 months
• Patient city : Dura
• Medical Diagnosis: Septic Arthritis
Present illness
• Wednesday 17.7.2019
What the mother noted?
• Thursday 18.7.2019
1)What the parents doing ?
2)What did the medical staff do when the child
was admitted to hospital ?
• Friday 19.7.2019
what happened for the child ?
• Saturday 20.7.2019
why the child was returned to the hospital?
 Past illness
• Free

Obstetric history
• G5P5A0
• Birth Weight : 4.600kg
Nutritional History
• Breast feeding __S26ARgold__S26LF

Growth and Development

• Weight :9.600kg_____ (positive percentile)
• Length:72cm _____(on zero line)
• Head circumference:44cm __(negative percentile)
Physical assessment
• Skin : redness, hotness on left elbow

• Skeletal system: low level of motion and swelling

on left elbow
Laboratory tests

• CBC
• BUN & cretanin
• U\A
• Bacteriology Culture \sensitivity
• CRP
• ESR
Pathophysiology
Medication
• ceftriaxone(Rocephin)
• Dicloxacilline(Cloxacillin)
• Ibuprofen(Trufen)
• Cefuroxime(Zinacef)
• Acetaminophen(perfalgan)
Nursing care plan
• Risk for deficient fluid volume related to fever
1. encourage mother to keep feeding the baby and give him full maintenance.
2. Assess for dry mucous membranes, poor skin turgor
• Knowledge deficit related to disease process, treatment, and home
care.
1. Provide the parents with information about medication and care techniques
that they will be responsible for at home
2. Allow parent to asked any question and verbalize concerns and anxieties.
• hyperthermia related to increased metabolic rate, illness or
inflammatory process
1. Adjust and monitor environmental factors like room temperature and bed
linens as indicated.
2. Eliminate excess clothing and covers.
• Acute Pain related to inflammatory process
1. Place and monitor use of pillows, sandbags, splints
2. Encourage frequent changes of position. Assist the patient to move in bed,
supporting affected joints above and below, avoiding jerky movements.