ON SATURDAY CHAUGHING AND FIVER

On Saturday morning at 9, a mother brought her child bili 2.5 year old to the respati hospital
with in carrying by his father and after it was brought from poly clients heading to the
pediatric ward for hospitalization and further examination.
Billy : "hhhmmm, crying and cranky because of the heat". (Often holding his nose)
Nurse 2: "Good morning Mr and Mrs king, Mr and Mrs king what is billy complaint ?
Mr King: "My son fever since last night nurse"
Mrs King: "yes Nurse, billy cranky last night, coughing and lack of appetite, this is the first
time billy sick"
nurse 2: "well, Mr and Mrs billy, we will phisicaly assessment on whether Billy should"
Mr and Mrs King : yes of course the nurse "
nurse: "okay I'll do a billy, please billy lie ?
Biily: "hmm"
Nurse 1: "Okay, billy what is your favorite? Toy or drawing?
Billy: "toys.
Nurse 1: "oh okay now measured temperature billy ? Consider it a toy? "
Billy: "hmm"
Nurse 1: "Raise your hand I want to measure the temperature billy and then Billy opened his
mouth huh?
Nurse: oke billy good
The nurse checks
Nurse 1: "Okay mother and father I've done the examination result billy 39 C temperature
rise, the tympanic membrane looks red billy besides the chest and abdomen examinations
billy normal and I immediately call a doctor for drug delivery and billy check laboratorium.
Mr and Mrs King: "yes Nurse"
Nurse: "hello doctor ,there new patients in the pediatric ward doctor visit at what time?"
doctor: "okay i want check now Nurse "
Nurse: "Okay doc"
Nurse: "good morning doctor room No. 3 no new patient named billy-old man 2.5 years
with complaints of fever need your checks...After the assessment is derived: temperature
39 C, clear nasal congestion with discharge
Doctor: "OK Nurs good, I want to perform checks to ensure the provision of medical
therapy"
Nurse: "Okay doc please"
Season II
Dr.: "Good morning Mr and Mrs King, I want to check billy ?"
Parents: "Okay doc"
Dr: "billy how are you today? I want check oke?"
Billy: "hmmm"
Dr: "okay billy"
"Mr and mrs billy, after I check the resulting red and bulging tympanic membranes
billaterally, phariynx slighly red and ches clear without exudate, soft abdomen without
hepatosplenomegaly and no meningeal sign and laboratory testing showed increased
leukocytes, Tympanometry its positive no blockage timpani,
Parents: "Okay then what diseases billy?"
Dr: "The diagnoses an upper respiratory infection and bilateral otitis media, we will provide
drug therapy amoxicillin 250 mg tid for 10 day.
Parents: "Okay thanks doc"
Nurse: "Billy's parents is there any other complaints?"
Mother: "Oh, yes nurse, Iam concerned about Billy, he is jealous to new baby sister?
Mr King: " we also love the billy, please give us a solution nurse?"
Mrs King: " nurse, at home billy always say if you want to toilet, but had suddenly billy
bedwetting and did not report back to us.
Nurse: "Okay, Mr. and Mrs. Billy of your story before I'll give you a solution,
1. Refer to billy you dear to him
2.saat here and at home later alternately nurturing and if there is free time to give
togetherness family and warmth to billy and his new baby sister .
3.give billy reward if successful to achieve something
Parents: "oh it's really very helpful at all, thanks very much nurse"