concept map for hirschsprung disease. a comprehensive concept map. you can use this for your case presentations eseciall in pediatric diseases or conditions. not a complex concept map to follow.
concept map for hirschsprung disease. a comprehensive concept map. you can use this for your case presentations eseciall in pediatric diseases or conditions. not a complex concept map to follow.
concept map for hirschsprung disease. a comprehensive concept map. you can use this for your case presentations eseciall in pediatric diseases or conditions. not a complex concept map to follow.
concept map for hirschsprung disease. a comprehensive concept map. you can use this for your case presentations eseciall in pediatric diseases or conditions. not a complex concept map to follow.
SYSTEM SYSTEM ●Sclerema ●Abdominal distention ●Eyes- Anicteric Sclera
●Constipation ●Mouth- Dry Lips
Fluid volume ●Change in Bowel movement
excess Impaired oral and nasal ●Soft to touch mucous membrane ●Hypoactive Bowel Sound a. Careful monitoring, correction of electrolyte, respiratory support, correction a. Assess oral cavity of the least once of hypovolemia and control of hypothermia Acute Pain daily and note any discoloration, lesion, are important in infants with sclerema. Constipation edema, bleeding, exudate or dryness. Refer to a physician or specialists as Altered Bowel appropriate. MEDICATIONS: Elimination b. Inspect for any indication of infection, and culture lesions as needed. Refer to a ●Metronidazole 6mg IV Imbalanced nutrition: less physician, nurse or specialist as than body requirements ●Paracetamol 65mg slow IVTT appropriate.
●Ranitidine 6mg slow IVTT
a. Assess pain using facial expression ●Calcium Gluconate 5cc scale that is appropriate to the age. DIAGNOSTIC TESTS:
●Amikacin 90mg IV b. Observed non-verbal cues of pain and ●Hemoglucotest
other characteristics. ●Digoxin 0.02mg ●Serum Calcium c. Provide comfort measures like calming ●Piperacillin and Tazobactam 600mg the infant after a stress procedure, gently ●Serum Potassium and Sodium slow IV pat or massage the infant, talking in a ●ABG ●Dopamine soothing voice, hold your infant with as much skin to skin as possible. ●CBC and Platelet Count ●Salbutamol (Asmacare) ½ neb. ●Abdominal X-ray a. Before surgery, the child may be prescribed daily enemas to observe bowel movements.
b. Remind parents that the fluid used for
enemas must be normal saline (0.9% NaCL) and not tap water.
a. Determine stool color, consistency,
frequency and amount.
b. Auscultate bowel sounds.
c. Monitor intake output with specific
attention to food of fluid intake.
d. Assess perianal skin condition
frequently, noting changes or beginning breakdown. Encourage or assist with perineal care after each bowel movement. LEGENDS:
PATHOPHYSIOLOGY a. Placed on a minimal residue diet. Stool MEDICATIONS softeners, vitamin supplements and perhaps DIAGNOSTIC TESTS daily enemas until their condition improves.
NURSING DIAGNOSTIC b. TPN can offer another source of nutrition.
NURSING INTERVENTION c. If a child is to be cared for at home, help
the parents learn about minimal- residue diet MANIFESTATION or are that is slow in indigestible fiber and BODY SYSTEM AFFECTED residue.
