What is involved in the nursing management of a medically fragile child?

CASE STUDY- Make sure all answers are comprehensive in detail. Expand on all of the answers.

Clinical Assignment

Jessie is a 3-year-old boy who was diagnosed with Duchenne muscular dystrophy. Jessie’s parents have been struggling with the diagnosis but have slowly been adapting their lives to support Jessie. Jessie’s mother quit her job and decided to remain home to provide care for Jessie and his older siblings. Jessie’s father works as a computer analyst but the finances are tight at times. (Learning Objectives 1, 2, and 3)
a. What is this diagnosis and what is the progression of the disease?
b. What are the effects of special needs on Jessie?
c. What are the effects of special needs on Jessie’s family?
d. What is involved in the nursing management of a medically fragile child?

Safe Dosage Calculations- Please calculate and complete for clinical. Show your work !!
1) A doctor orders Benadryl foa a child that weighs 98 lbs. The safe dose for Benadryl is 5mg/kg/day. What is the safe dose for this child?

2) A child weighs 52 lbs. The child has a fever and the doctor orders Tylenol. The safe dose range is 10-15mg/kg/q 6hours. What is the maximum safe dose for this child per day?

3) The doctor orders 200 mg of ibuprofen every 8 hours. The child weighs 49 lbs. The safe dosage range for this medication is 5-10 mg/kg/dose. What is the safe dosage range for this child? Is this a safe dose ordered by this doctor?

4) The doctor orders Digoxin 0.92 mg daily for a child that weighs 16 lbs. The safe dosage for this medication is 8-12 mcg/kg/day. Is this a safe dose that is ordered?

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