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E.M (Eriksons Stage of Development 5 months old (Growth and Development,…
E.M
Pathophysiology of main problem
RSV
Assessment
Objective
Appearance
Retractions
Flushed
Dry Mouth
Vital Signs
188bpm
130/72
101.1F
SpO2 88% Room Air
Respirations 86 bpm
Weight
Auscultation
Bilateral Wheezing
Congestion
Coarse Cough
Decreased at base
Tachycardic
Positive Bowel Sounds
CBG's
pH 7.31
PaCO2 72 mmhg
HCO3 26 mEq
PaO2 57 mmhg
Chest X-ray
#
Subjective
Respiratory Distress
Cold Symptoms
Dry Diapers
decreased urine output
Poor Breastfeeding
#
Medical Diagnosis
#
#
Bronchiolitis
#
Prevention
Risk Factors
Treatment
Nursing Diagnosis 1
Impaired Gas Exchange
Interventions
Monitor
Outcomes/ Evaluation
Nursing Diagnosis 2
Ineffective Infant Feeding Pattern
Goal
Outcomes/Evaluation
Hungry
Wet Diapers
Development
Interventions
Digestive System Functioning
Technique
Monitor Measurements
Eriksons Stage of Development
5 months old
Trust v. Mistrust
Family
Anticipatory Guidance
Maslows Heirarchy
Mother-Child Relationship
Breast to bottle
Growth and Development
Sitting up
Abdomen to Back
