Question

9. What are the priority nursing interventions in the patient experiencing early sepsis? 10. What strategies can the nurse use to assist the family of a child who is hospitalized? 11. Develop a discharge plan for the pediatric patient being discharged on home antibiotic therapy. 12. Discuss the importance of including other members of the healthcare team in discharge planning

9-12

Answer 1

9.The priority nursing intervention when a patiwnt is experiencing early sepsis are

• Administer IV fluid (crystalloid) in first to prevent hypoperfusion .This is called as fluid challenge and immediate intervention can prevent many complications (Normal saline is the preferred one)
• Monitor blood levels for Sr.lactate a level more than 2mmol/L and a clear confirmatory indicator of tissue hypo perfusion.It is generally repeated after 6 hours.
• Monitor vital signs as it gives baseline information on hemodynamic status of the patient
• Blood culture for aerobic and anaerobic test gas to be collected prior to antibiotic administration to detect the exact bacterial organism
• Administer antibiotics as per order ,early initiation will always prevent the progression of infection
• Administer vasoactive medication as per order to treat hypotension
• Assess for organ failure to prevent complications

10.The following strategies can be followed to assist a family of a child who is hospitalised

• Provide psychological support and reassurance
• Help them to cope up situations by giving then the clear prognosis or detoriation of disease process
• Communication with the family member and clarifying their doubts and queries
• Provide a family centered care
• Involve the family members in care ofbthe child
• Explain all the procedure to parents get consent and proceed Mr his gives them hope and confidence onnthe healthcare professionals

11.The discharge advice onnhone antibiotic tgerspy for paediatric cases are

• Administer medication to the child prescribed
• Do not stop before completing the course because this can lead to relapse of the infection in more severe form.
• No OTC drug
• Inform parent to administer this medication after meal to prevent gastric irritation
• Report in case of any adverse events like severe nausea,vomiting, abdominal pain,loose stools,dyspnea,altered sensorium etc.,

12.The patient during hospitalization might have been seen by different professionals as a multidisciplinary team,it is important to get advice from each members to help the patient best in revivery process. The usual professionals involved are Doctors, nurses,dietician,surgeon advice in case of any surgical intervention, social support service in case ofcxny rehabilitative programmes,counsellor etc.,