Care Plans Using Maternity and Pediatric Nursing

Gloria

1. The nurse would know to include questions about respiratory status, appetite and weight gain, activity tolerance, need for pulmonary or pancreatic medications, fever, and bone state.
2. The nurse would observe the child’s appearance and color, check the nasal passages for polyps, check for crackling and wheezing in breathing, and analyze the sputum for quality and quantity.
3. The nurse would expect a sweat chloride test, pulse oximetry, a chest radiograph, and pulmonary function tests to be ordered.

Medical Diagnosis: Cystic fibrosis

1. Definition of medical diagnosis: an inherited disorder that impedes lung function. Etiology/pathophysiology: changes in epithelial ion transport on mucosal surfaces leading to thickened secretions.
2. Common sign/symptoms Airway obstructions, clubbing, nasal polyps.
3. Potential complications Bronchiectasis, hemoptysis, pneumothorax.
4. Expected assessment findings: Head to toe assessment Barrel chest, wheezing, tachycardia, hyper-resonance during percussion.
5. Diagnostic studies/labs sweat chloride test, chest radiograph. Normal values <29 mmol/l, no abnormalities Expected abnormalities >50 mmol/l, hyperinflation, atelectasis.
6. All NANDA Nursing Diagnoses Ineffective child eating dynamics, Impaired gas exchange, Ineffective breathing pattern.
7. Develop 3 NANDA Priority Nursing diagnosis Nursing Diagnoses Ineffective child eating dynamics, Impaired gas exchange, Ineffective breathing pattern.
8. State patient goals/plan improve pulmonary function, prevent infection, facilitate growth nursing diagnosis Cystic Fibrosis.
9. Write interventions for your plan medication, chest physiotherapy, family education.
10. Scientific rationale for interventions The condition is incurable, so it is necessary to focus on healthy growth.
11. Write how you would evaluate your plan Frequency of respiratory episodes in the patient what potentially may need revision medications, therapies.
12. List of medications typical for cystic fibrosis medical diagnosis Pulmozyme, pancreatic enzymes, antibiotics usual dosage one 2.5 mg ampule a day, depends, depends side effect chest pain, coughing, runny nose; various; various educational considerations teach parents to provide interventions, teach child breathing exercises.

Jimmy Jones

1. The nurse would teach the family about the importance of maintenance during non-severe periods, the use of nebulizers and similar tools, and asthma management action plans.
2. Asthma can damage a child’s self-esteem because they feel different from peers and fear an exacerbation.

Medical Diagnosis: Asthma

1. Definition of medical diagnosis: a long-term lung condition. Etiology/pathophysiology: airways are inflamed, leading to higher activity and a variety of adverse responses following a trigger.
2. Common sign/symptoms Shortness of breath, chest pain, wheezing when exhaling.
3. Potential complications Sleep interference, bronchial tube narrowing.
4. Expected assessment findings: Head to toe assessment Cyanosis, variable breathing, wheezing.
5. Diagnostic studies/labs pulse oximetry, chest radiograph, blood gases test. Normal values >89%, no abnormalities, normal readings. Expected abnormalities <89%, hyperinflation, carbon dioxide retention, hypoxemia.
6. All NANDA Nursing Diagnoses Impaired gas exchange, Ineffective breathing pattern, Disturbed sleep pattern, Risk for activity intolerance, Risk for situational low self-esteem
7. Develop 3 NANDA Priority Nursing diagnosis Nursing Diagnoses Impaired gas exchange, Ineffective breathing pattern, Risk for activity intolerance.
8. State patient goals/plan Restoring clear airway and normal breathing, promoting adequate oxygenation and ventilation nursing diagnosis Asthma.
9. Write interventions for your plan medication, family education.
10. Scientific rationale for interventions The patient will need to maintain their condition, resorting to medicine when it worsens.
11. Write how you would evaluate your plan Frequency of acute periods in the patient what potentially may need revision Education topics.
12. List of medications typical for asthma medical diagnosis Albuterol, flunisolide usual dosage 1 or 2 inhalations every 4-6 hours, 1inhalation twice a day side effect shakiness in the legs; pain, cough, throat soreness educational considerations Teach parents to provide preventative care, help maintain child’s self-esteem