By Sharon Ennis Axton RN MS PNP-CS, Terry Fugate RN MSN
Up to date in an all new third version, Pediatric Care Plans for the Hospitalized baby is an essential guide to getting ready individualized care plans adapted to satisfy the designated wishes of the non-critical, hospitalized baby. This ebook presents a brief reference for correlating pediatric clinical diagnoses with nursing diagnoses, and may function a valuable tool within the scientific setting. a distinct thirteen-part layout offers care plans which are geared up through scientific diagnoses with six corresponding nursing diagnoses for every clinical analysis. during this re-creation the entire nursing care plans are located in tables rather than textual content, making it a lot more uncomplicated for the reader to appreciate and entry
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Extra resources for Pediatric nursing care plans for the hospitalized child
Record percent of oxygen and route of delivery. Assess and record effectiveness of therapy. Humidified oxygen will dilate the pulmonary vasculature, which increases surface area available for gas exchange. Extra source oxygen will also allow for better oxygenation to body tissues and thus help combat ineffective breathing pattern. Document amount and route of oxygen delivery. Describe effectiveness. Keep head of bed elevated at a 30° angle. Elevating the head of the bed to a 30° angle causes a shift of the abdominal contents downward and this in turn will allow for increased lung expansion in order to help improve breathing pattern.
Treatment of infective endocarditis involves intravenous antibiotics for approximately 4 to 6 weeks. Infection of prosthetic valves and tissue may require longer treatment. Surgical removal of vegetations, replacement of infected valves, drainage of myocardial abscesses, and excision of areas of infection may be indicated when antibiotic therapy is unsuccessful. The incidence of infective endocarditis can be reduced in susceptible children by using antimicrobial prophylaxis, which is individualized for each child and depends on the procedure being performed.
Assess and record results. Increased knowledge will assist the child/ family in recognizing and reporting changes in the child’s condition. Document whether teaching was done and describe any successful measures used to help child/family comply with therapeutic recommendations. TEACHING GOALS Child and/or family will be able to verbalize at least 4 characteristics of noncompliant behavior such as failure to • take and record BP measurements as suggested • attain set weight goals (if needed) • administer medications as prescribed • comply with food plan Hypertension | 33 Nursing Diagnosis: Noncompliance (continued) Expected Outcomes Child and/or family will be able to verbalize knowledge of care such as • accurate procedure for obtaining blood pressure • weight goals • medication administration • food plan • exercise program • identification of any signs/symptoms of noncompliance (such as those listed under Assessment) • when to contact health care provider • keeping follow-up appointments Possible Nursing Interventions Teach child/family about care.