Goal of the Assignment
Making a plan of care for a kid with bronchiolitis is the aim of making a nursing concept map. Nursing interventions would be indicative of a respiratory syncytial virus with a history of patent ductus arteriosus (PDA).
Competency
When caring for patients with health changes, use the principles of pediatric nursing.
Scenario
After hours, you are employed by a sizable metropolitan pediatric clinic.
For treatment of rhinorrhea, congestion, fever, and cough, a mother brings her 6-month-old daughter Vivi Mitchell to the clinic. When you assess the kid, you hear wheezing, and when you examine the youngster, you notice retractions.
The child’s weight is below the 10th percentile, and he or she has a history of patent ductus arteriosus in the heart (PDA).
born after 36 weeks of pregnancy.
Mother claims that although her two other children, who are 2 and 3 years old, do attend daycare, this kid does not.
T: 102.1 HR: 140 RR: 40 BP: 83/58 Oxygen saturation: 96%
Respiratory syncytial virus (RSV) swab results are positive.
Tylenol 15mg/kg Q4 PRN for fever, a nebulizer for albuterol in the office, and push po fluids as tolerated are prescribed by the doctor.
Respirations are 36 and oxygen saturation is 100% following the albuterol neb therapy. The wheezing has subsided. The doctor is at ease knowing that mom is an ER nurse and has a nebulizer at home so she may visit the pediatric after-hours clinic or ER if necessary.
Client is released with these directives:
oral methylprednisolone 0.4 mg/kg BID for 3 Albuterol every four hours for 24 hours, then every six hours for 24 hours, and every six hours as necessary.
Call in advance of the Q4 dosage if necessary.
While awake, control fever with Tylenol and keep up with drinking and nasal bulb suction Q6.
Return in three days for reevaluation.
Overview
In addition to providing care for this fragile, extremely diverse group with their complex and intertwined medical demands, pediatric nurses have a significant obligation to recognize the significance of their emotional needs. Their emotional demands must take precedence above all others.
It is our responsibility as nurses to protect and promote the interests of this occasionally vulnerable group. By reducing the stress and terror reactions that may happen if we don’t plan ahead before we offer care for a child, we are able to do this.
Even though it is common for hospitalized children of all ages to regress, it is the nurse’s job to encourage development and adaptation to the medical environment. Children have acknowledged that their anxieties of nurse interventions, such as needle sticks during treatment, are among their worst.