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I need three nursing care plan for this scenario Background Information: Mary is a 12 month...

Question

I need three nursing care plan for this scenario Background Information: Mary is a 12 month...
i need three nursing care plan for this scenario

Background Information:
Mary is a 12 month old who has been vomiting for the past 12 hours. Since waking at 6 AM she has “not held anything down.” It is now 5:30 PM and Mary's father who is caring for the child while his wife is in the hospital ill, is becoming concerned. He calls the primary care office and the nurse recommends that Mary be brought into the office for evaluation. On initial assessment, Mary is lethargic and very quiet. Her lips and skin are dry. She is crying at times, but does not produce tears. Her diaper is dry; her father says that she has not needed to change her diaper since 7 AM.

Mary lies very quietly on the examination table. Her vital signs are:
Temperature: 101O F
Apical Rate: 150 bpm
Respiratory Rate: 40 breaths per minute
Blood pressure 90/48
Birth weight: 8 lbs
Current weight: 21 lbs 6 oz
Weight at 12 month visit 2 weeks ago: 24 lbs 2 oz

Mary's father reports that she loves her milk and usually drinks about 40 ounces per day. However, for the past 24 hours she has not wanted anything to eat or drink. Her father wants to know if there is anything that the nurse can give Mary to help stop the vomiting.

• Hgb-11 Gm
• WBC-10,000 mm3
• Potassium- 4.2 mEq/L
• Sed rate- 10 mm/hr
• Creatinine-5 mg/dL
• BUN-7 mg/dL
• CO2-15 mEq/L
• UA-small amount of leukocytes, negative nitrites, large ketones
• Blood and Urine cultures-pending
• Blood glucose-75 mg/dL

Answers

The nursing care plan should be formed on the basis of priority according to the assessment done. Hence it is formed on the basis of complaints reported.

The three care plans made on the basis of the immediate complaints are as follow:

1. Hyperthermia related to inflammatory pathological process as evidenced by increase in the body temperature.

- assess the temperature of the infant every 2hrly.

- identify the source of increase in body temperature.

- remove the heavy clothing wrapped around the infant and put a thin cloth to cover her up.

- if required provide sponge bath which will help in reduction of the fever.

2. Imbalanced fluid volume or fluid volume deficit related to vomiting and decreased fluid intake as evidenced by dehydration.

- assess the level of dehydration in the infant.

- wet the lips with the water in order to make the mouth rehydrated.

- try to provide liquid diet in a very small amount to check if the infant is able to digest or hold the liquid .

- if the infant is able to take the liquid diet then provide in a very small amount and very frequently.

- but if the infant is not able to digest the liquid diet then immediate i.v should be started in order to rehydrate her.

3. Fatigue related to dehydration as evidenced by pathetic state of the infant.

- assess the level of lathergy in the infant.

- provide the infant with fluid containing electrolyte.

- assess the condition of the infant frequently until she regains her normal function.

- provide proper rest and sleep to the infant.

- provide comfortable position and comfort devices as well as proper well ventilated room in order to provide good sleep.

- check if the baby is able to regain her normal activity after providing interventions, if not then re plan for the same diagnosis.


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