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    NCP Hypothermia

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    xchardx
    This nursing care plan summarizes the risk of hypothermia in newborns due to their immature temperature regulatory systems. The nursing diagnosis is the risk of hypothermia as evidenced by a temperature of 36.2°C and exposure to a cool environment. The plan involves nursing interventions like immediate drying and skin-to-skin contact to prevent further temperature decrease and restore normal body temperature. Evaluation after 8 hours found the newborn's temperature stabilized at 37.2°C, meeting the expected outcomes.

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    NCP Hypothermia

    Uploaded by

    xchardx
    31K views3 pages
    This nursing care plan summarizes the risk of hypothermia in newborns due to their immature temperature regulatory systems. The nursing diagnosis is the risk of hypothermia as evidenced by a temperature of 36.2°C and exposure to a cool environment. The plan involves nursing interventions like immediate drying and skin-to-skin contact to prevent further temperature decrease and restore normal body temperature. Evaluation after 8 hours found the newborn's temperature stabilized at 37.2°C, meeting the expected outcomes.

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    Ncp Hypothermia

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    This nursing care plan summarizes the risk of hypothermia in newborns due to their immature temperature regulatory systems. The nursing diagnosis is the risk of hypothermia as evidenced by a temperature of 36.2°C and exposure to a cool environment. The plan involves nursing interventions like immediate drying and skin-to-skin contact to prevent further temperature decrease and restore normal body temperature. Evaluation after 8 hours found the newborn's temperature stabilized at 37.2°C, meeting the expected outcomes.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    31K views3 pages

    NCP Hypothermia

    Uploaded by

    xchardx
    This nursing care plan summarizes the risk of hypothermia in newborns due to their immature temperature regulatory systems. The nursing diagnosis is the risk of hypothermia as evidenced by a temperature of 36.2°C and exposure to a cool environment. The plan involves nursing interventions like immediate drying and skin-to-skin contact to prevent further temperature decrease and restore normal body temperature. Evaluation after 8 hours found the newborn's temperature stabilized at 37.2°C, meeting the expected outcomes.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 3

    PALAWAN STATE UNIVERSITY COLLEGE OF NURSING AND HEALTH SCIENCES Puerto Princesa City

    NURSING CARE PLAN

    CUES

    Nursing Diagnosis
    Risk for hypothermia related to immaturity of newborn s temperature regulatory system as manifested by: y T-36.2 C y Newborn Exposure to cool environment y Not fully develop thermoregulati on y Conduction y Evaporation y Convection y radiation

    Rationale
    Newborn convection Radiation Conduction (The skin is not fully develop until 29 weeks of age)

    Objective
    After 8 hours of nursing interventions the SN will be able to:

    Expected Outcome

    Nursing Interventions

    Rationale
    .

    Evaluation
    After 8 hours of nsg.interventions the objective were completely met as evedinced by: K-Reported signs and symptoms seen and manifested by the baby such as: -T 36.2 C -Free from any complications.

    y y

    T-36.2 C Newborn Exposure to cool environment Not fully develop thermoregulati on

    conduction (their warm body heat transfers to cooler objects that they come into direct contact with) evaporation from exposure of wet skin surfaces lost to

    Evaporation

    Conduction T-36 4C Risk for hypothermia

    K-Identify the signs and symptoms of hypothermia such as: (a) Peripheral vasoconstriction -Acrocyanosis -Cool extremities -Decreased peripheral perfusion (b) CNS depression -Lethargy -Bradycardia -Apnea -Poor feeding (c) Increased

    K-SN will identify and report atleast 10 signs and symptoms of hypothermia such as: (a) Peripheral vasoconstriction -cool extremities -decreased peripheral perfusion (b) CNS depression -Bradycardia -Apnea (c) Increased metabolism -Hypoxia

    K-Discuss the signs and symptoms of hypothermia

    K-To assess and recognize the signs and symptoms of hypothermia

    the atmosphere convection (their body heats transfers to the air surrounding them) radiation (their warm body heat transfers to cooler objects around them)

    related to to immaturity of newborn s temperature regulatory system

    metabolism -Hypoglycemia -Hypoxia -Metabolic acidosis (d) Increase of pulmonary artery pressure -Distress -Tachypnea (e) Chronic signs -Weight loss, poor weight gain S-Demonstrate or show the Unang Yakap Program

    -Metabolic acidosis (d) Increase of pulmonary artery pressure -Distress -Tachypnea (e) Chronic signs -Weight loss - poor weight gain

    S-Perform the procedure immediately.

    S-Provide -Immediate and thorough drying to stimulate breathing after delivery of the baby -Provision of appropriate thermal care through mother - newborn skin-to skin contact -maintaining a delivery room temperature of 25-28 degrees centigrade

    S-To prevent further decreased in body temperature. -to restore normal temperature or organ function. -skin to skin contact is the best method to rewarming the baby until the temperature reaches the mormal range. -Balance among heat production,heat

    S-Displayed temperature within normal range. T 37.2 C -Stabilized and maintained newborn s temperature.

    - wrapping the newborn with clean, dry cloth -place knitcap on infant s head -place droplight or under radiant warmer

    gain,and heat loss.

    -Heat loss in newborn is greatest through head and by evaporation and convection. A-To promote wellness. -For the continuity of care. A-The procedure was done correctly and effectively.

    A-Correctly maintain the positive participation in every procedure.

    A-Maintain and update the Unang Yakap Program and other related factors about hypothermia and its ways of prevention.

    A-Review and perform correctly the Unang Yakap Program and other related factors about hypothermia and its ways of prevention.

    Name of Student: NEEZI E. NATIVIDAD,SN IV

    References:PRENTICE HALL NANDA 8TH EDITION, BY: JUDITH M. WILKINSON,PhD,ARNP

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