Location via proxy:   [ UP ]  
[Report a bug]   [Manage cookies]                
Scribd Logo
Upload

Welcome to Scribd!

  • 270 views

    Self-Directed Learning (Nur 146 - Clinical Area) : School of Health and Allied Health Sciences Nursing Department

    Uploaded by

    bekbekk cabahug
    Roy was born prematurely at 31 weeks gestation to a mother with an acute urinary tract infection. He weighed 1,980g at birth and showed signs of respiratory distress. His condition is likely due to his prematurity, small size for gestational age, and possible infection from the mother's urinary tract infection. Initial nursing actions would include oxygen therapy, ventilatory support, and drug therapy to address his respiratory distress. A physician may order a plasma expander intravenous fluid for Roy to treat circulatory shock given his condition. Close monitoring during IV fluid administration would be important.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd

    Self-Directed Learning (Nur 146 - Clinical Area) : School of Health and Allied Health Sciences Nursing Department

    Uploaded by

    bekbekk cabahug
    270 views2 pages
    Roy was born prematurely at 31 weeks gestation to a mother with an acute urinary tract infection. He weighed 1,980g at birth and showed signs of respiratory distress. His condition is likely due to his prematurity, small size for gestational age, and possible infection from the mother's urinary tract infection. Initial nursing actions would include oxygen therapy, ventilatory support, and drug therapy to address his respiratory distress. A physician may order a plasma expander intravenous fluid for Roy to treat circulatory shock given his condition. Close monitoring during IV fluid administration would be important.

    Original Title

    SDL-4

    Copyright

    © © All Rights Reserved

    Available Formats

    DOC, PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    Roy was born prematurely at 31 weeks gestation to a mother with an acute urinary tract infection. He weighed 1,980g at birth and showed signs of respiratory distress. His condition is likely due to his prematurity, small size for gestational age, and possible infection from the mother's urinary tract infection. Initial nursing actions would include oxygen therapy, ventilatory support, and drug therapy to address his respiratory distress. A physician may order a plasma expander intravenous fluid for Roy to treat circulatory shock given his condition. Close monitoring during IV fluid administration would be important.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    270 views2 pages

    Self-Directed Learning (Nur 146 - Clinical Area) : School of Health and Allied Health Sciences Nursing Department

    Uploaded by

    bekbekk cabahug
    Roy was born prematurely at 31 weeks gestation to a mother with an acute urinary tract infection. He weighed 1,980g at birth and showed signs of respiratory distress. His condition is likely due to his prematurity, small size for gestational age, and possible infection from the mother's urinary tract infection. Initial nursing actions would include oxygen therapy, ventilatory support, and drug therapy to address his respiratory distress. A physician may order a plasma expander intravenous fluid for Roy to treat circulatory shock given his condition. Close monitoring during IV fluid administration would be important.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    of 2

    SCHOOL OF HEALTH AND ALLIED HEALTH SCIENCES

    Nursing Department

    SELF-DIRECTED LEARNING (NUR 146 - CLINICAL AREA)

    Name: CABAHUG, VICTORIA MAE I Date: MAY 25, 2021

    I. Define the following:

    1. Small for gestational age infant

    Small for gestational age is a term used to describe a baby who is smaller than the usual
    amount for the number of weeks of pregnancy. SGA babies usually have birthweights
    below the 10th percentile for babies of the same gestational age.

    2. Term infant

    A very young child or baby.

    3. Large for gestational age infant

    Babies may be called large for gestational age if they weigh more than 9 in 10 babies of
    the same gestational age. In the U.S., this means babies born at 40 weeks' gestation who
    weigh more than 8 pounds, 13 ounces (4,000 grams) or 9 pounds, 11 ounces (4,400
    grams) at birth.

    4. Preterm infant

    Preterm is defined as babies born alive before 37 weeks of pregnancy are completed.


    There are sub-categories of preterm birth, based on gestational age:
    extremely preterm (less than 28 weeks) very preterm (28 to 32 weeks) moderate to
    late preterm (32 to 37 weeks).

    5. Post term infant

    A postterm infant is an infant born after 42 weeks gestation. A postmature infant is


    a postterm infant with manifestations of dysmaturity. The cause of postmaturity is
    generally unknown, but previous postterm delivery increases the risk 2- to 3-fold.

    II. Situation: Mr. and Mrs. Reyes came to the hospital with Mrs. Reyes in active labor. She was 31 weeks
    pregnant and laboratory studies revealed an acute urinary tract infection. Fetal heart tones indicated fetal
    distress and Mrs. Reyes was prepared for s Cesarean section. The Reyes had decided the name of the male
    child would be Roy. Roy was born with an Apgar Score of 4 and 6, weighing 1,980 g, and is preterm and
    small for gestational age. Six hours after birth, Roy’s assessment reveals severe acrocyanosis, progressive
    metabolic disturbances, hematocrit of 56, and specific gravity of 1.005. The infant is in severe respiratory
    distress, and his urinary output is 1ml/kg per hour.

    1. Whattypes of circumstances are likely to contribute to Roy’s respiratory distress ( ex. Related
    method to delivery, maternal disease, newborn condition)?

    1
    ARDS hap
    pens when the
    lungs become severely inflamed from an infection or injury. The inflammation causes fluid
    from nearby blood vessels to leak into the tiny air sacs in your lungs,
    making breathing increasingly difficult. The lungs can become inflamed after: pneumonia
    or severe flu. Multiple risk factors exist for ARDS. Approximately 20% of patients
    with ARDS have no identified risk factor. ARDS risk factors include direct lung injury (most
    commonly, aspiration of gastric contents), systemic illnesses, and injuries. The most
    common risk factor for ARDS is sepsis.

    2. What initial nursing actions would be implemented to address Roy’s respiratory distress,
    and why?

     Oxygen therapy
     Drug therapy
     Ventilatory support
     Anxiety
     Pulmonary secretions
     Pain management

    3. Why might the physician order a plasma expander for Roy, and what nursing actions
    would be important when administering intravenous fluids for Roy.

    Plasma expanders are used for the treatment of circulatory shock, unlike crystalloids,
    colloids contain molecules to pass through the semipermeable membranes.

    Sources :

    https://www.nursingtimes.net/clinical-archive/respiratory-clinical-archive/acute-respiratory-
    failure-2-nursing-management-16-09-2008/
    https://www.medscape.com/answers/165139-43264/what-are-the-common-risk-factors-for-
    acute-respiratory-distress-syndrome-ards
    https://www.nhs.uk/conditions/acute-respiratory-distress-syndrome/

    You might also like