NUR 2513 / NUR2513 Maternal Child Nursing Exam 3 Concept Guide (Modules 6-8) | Rasmussen
Caring for the Child with a Genitourinary Condition Chapter
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Fluid and Electrolyte Balance; Dehydration:
• Signs and symptoms- feeling tired, sunken fontanelles (infants), poor skin turgor, lethargy, tachycardia, increased heart rate, dry mucus membranes (no tears, dry lips), weight loss.
• Common causes- vomiting and diarrhea, diaphoresis and hemorrhaging, bacteria infections.
• Treatment- fluids orally or IV
• Reliable indicator of fluid loss and recovery- Body weight is a reliable indicator of fluid loss; stable weight is a reliable indicator of recovery/an indicator that the child is doing better. Assess skin color. Pediatric patients are at greater risk for fluid loss and electrolyte imbalance than adults because they have a higher percentage of total body water. (look at slide 120)
• Infection Control- WASH HANDS/ teach parents to teach children
Immunological or Infectious Condition Chapter 25:
• Anaphylaxis – Most severe allergic reaction possible, egg peanuts, seafoods. S/S- develop suddenly and need immediate attention, wheezing, tachycardia, hyphenation, angioedema, facial edema, abdominal pain, sense of impending doom, cardiac arrest. Treatment – open airway. Administer epinephrin.
Caring for the child in the hospital – Chapter 21
• Pain management- for kids/ express pain through a pain scale/ lets the child express their pain. USE A PAIN SCALE. Children feel pain/ children can have narcotics/
• Stress management- Playing games will help them to adhere to medical management. Coughing and deep breathing (blow bubbles etc. ways for patients to adhere to care) have a procedure room to eliminate stress.
• Vital signs -
• BMI- A BMI-for-age plotted below the 5th percentile indicates a child who is underweight; a BMI-for-age between the 5th and less than the 85th percentile is considered a healthy weight; children with a BMI-for-age between the 85th and less than the 95th percentile are considered overweight; and those with a BMI-for-age greater than 95% are considered obese.
• Decreasing stress in the hospital; Make it like play time. what can you do to help your pediatric patient that just has surgery to deep breath after surgery? Blow bubbles and let them blow on the side table. Provide diversional activities. Create a treatment room for activities. Take them to a different room for procedures, like spinal taps and blood draws.
Calculations:
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