Question

Please give

1 Physiological Nsg Dx

2 Goal/outcome

4 Intervention and rationale

4 Evaluation

For a 3 weeks old premature infant with upper respiratory infection with symptoms of temp. 101, cough/congestion.

Answer 1

Answer :

Q. No. 1. Answer :

Nursing diagnosis :

Ineffective breathing pattern related to upper respiratory tract infections or improper lung maturity as evidenced by air way congestion and cough.

Q. No. 2. Answer :

Goal or expected outcome :

Maintain normal breathing pattern, baby may improved normal breathing pattern after implementation of nursing interventions.

Q. No. 3. Answer :

Interventions and rationales :

* Assess vital signs of the baby, including oxygen saturation levels.

Temperature is 101 degree f. And saturation is 85%.

It will give baseline information to us to plan interventions.

* administrator oxygen through appropriate instruments, like oxygen hood.

To improve saturation levels and to maintain normal breathing pattern.

* maintain aseptic techniques while handling the baby, like by hand washing and reduce allowing of attenders.

To reduce infections and to improve health condition.

* administer nebulization with asthaline or duoline.

To reduce the congestion.

* admister anti biotics like amoxicillin and anti pyretics through umbilical line.

To reduce infections and fever.

* keep the baby in radiant warmer and maintain isolation, and provide comfortable position.

Premature baby needs high temperature to survive, because of low fat disposition in the body, and to prevent cross infections.

* provide comfortable position, with neck support, by small towel.

By making comfort baby may recovers soon.

Q. No. 4. Answer :

Evaluation :

After the implementation of nursing interventions the baby may improved breathing pattern oxygen saturation is 92%

and reduced body temperature from 101 to 99 degree foreign heat.