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Nicu NCP (Neo - Pnia)

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LORMA COLLEGES Carlatan, City of San Fernando, La Union Ilocos Training Regional Medical Center Neonatal Intensive Care

Unit 3-11 Shift Clinical Instructor: Mr. Marlon Ligas

NURSING CARE PLAN


Name of patient: Baby Boy Orine Diagnosis: Pneumonia ASSESSMENT Subjective: Nahihirapan huminga ang baby ko dahil sa ubo as verbalized by the mother. Objective: Dyspnea Tachycardia V/S taken as follows: T: 37.7 P: 125 R: 55 Monitor body temperature. High fever greatly increases metabolic demands and oxygen consumption and alters DIAGNOSIS Impaired gas exchange r/t collection of secretions affecting oxygen exchange across alveolar membrane. PLANNING After 4 hours of nursing interventions, the patient will achieve timely resolution of current infection without complications. Student Nurse: Cacho, Lorence Vincent L. Date: November 14, 2011 IMPLEMENTATION Independent: Assess respiratory rate, depth and ease. RATIONALE Manifestation of respiratory distress is dependent on indicative of the degree of lung involvement and underlying general status. EVALUATION After 4 hours of nursing intervention s, the patient will achieve timely resolution of current infection without complications.

cellular oxygenation. Elevate head of the bed and change position frequently. Limit visitors as indicated. Promotes expectoration, clearing or infection. Reduces likelihood of exposure to other infectious pathogens. Isolation technique may be desired to prevent spread and protect patient from other infectious process. Stimulates cough or mechanically clears airway in patient who is unable to cough effectively.

Institute isolation precaution.

Suction as indicated.

Assist with nebulizer treatments.

Facilitates liquefaction and removal of secretions. Signs of improvement in condition should occur within 24- 48 hrs. These drugs are used to combat most of the microbial pneumonias.

Monitor effectiveness of antimicrobial therapy. Collaborative: Administer antimicrobials as prescribed

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