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Saturday, September 14, 2013

Nursing Diagnosis for Jaundice and Nursing Intervention for Jaundice


Nursing Diagnosis for Jaundice and Nursing Intervention for Jaundice

1. Deficient Fluid Volume related to inadequate fluid intake, photo-therapy, and diarrhea.

Goal:
Adequate neonatal body fluids

Intervention:

Record the number and quality of stools,
Monitor skin turgor,
Monitor intake output,
Give water between breast-feeding or give bottle.


2. Hyperthermia related to the effects of phototherapy

Goal:
The stability of the baby's body temperature can be maintained

Intervention:

Give a neutral ambient temperature,
Keep the temperature between 35.5 ° - 37 ° C,
Check vital signs every 2 hours.


3. Impaired skin integrity related to hyperbilirubinemia and diarrhea

Goal:
The integrity of the baby's skin can be maintained

Intervention:

Assess skin color every 8 hours,
Monitor direct and indirect bilirubin,
Change position every two hours,
Massage the area that stands out,
Keep skin clean and moisture.

4. Anxiety related to medical therapy given to the baby.

Goal:
Parents know about treatment, symptoms can be identified to deliver the health care team.

Intervention:

Review knowledge of the client's family,
Give the cause of yellow health education, therapy and treatment process.
Give health education on infant care to home.

Ditulis Oleh : Unknown // 5:36 AM
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4 comments:

  1. Thank u you for this much help 🙂🤓

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