Nursing Care of Children (age 6-12)

Nursing Care of Children (age 6-12)

1. DIAGNOSIS BASED ON SYMPTOMS CLASSIFIED BY FOUR CATEGORIES

   • MILD INTERMITTENT- Symptoms occur less than twice a week
     • MILD PERSISTENT - Symptoms that occur more than twice a week, but not daily.
       • MODERATE PERSISTENT - Daily symptoms occur in conjunction with exacerbations twice a week.
         • SEVERE PERSISTENT - Symptoms occur continually, along with frequent exacerbation that limit the child's physical activity and quality of life

2. 2 RISK FACTORS

   • 1. Young children are more susceptible to infections. 2. The presence of second hand smoke increases the risk for asthma.

3. FOUR NURSING INTERVENTIONS

   • 1. Assess/monitor airway patency, respiratory rate, symmetry, effort, and use of accessory muscles
     • 2. Assess/monitor breath sounds in all lung fields.
       • 3. Monitor for SOB, dyspnea and audible wheezing
         • 4. Check lab results, ABG's, SaO2, CBC, and chest x-ray.
           • 5. Position the child (High-Fowler's) to maximize ventilation
             • 6. Administer O2
               • 7. Initiate & Maintain IV access.
                 • 8. Maintain a calm and reassuring demeanor.

4. 2 MEDICATIONS IN TREATMENT OF ASTHMA

   • 1 CONSIDERATION PERTAINING TO MEDS
     • 1. Instuct/reinforce the child and family in the proper use of MDI, DPI, or nebulizer. 2. Watch the child for tremors and tachycardia when taking albuterol. 3. Observe the child for dry mouth when taking Ipratropium. 4. Anti-Inflammatory action and adverse effects considerations. - Watch for decreased immunity function. - Monitor for hyperglycemia - Advise to report black, tarry stools - OBserve for fluid retention and weight gain. - Observe throat and mouth for aphthous (cold sores) lesions.

5. 2 INSTRUCTIONS TO DO AT DISCHARGE

   • 1. Instruct/Reinforce and avoid triggering agents, smoke, dust, mold, sudden weather changes, seasonal allergens, animal dander, stress
     • 2. Instruct/reinforce how to properly self-administer medications,.
       • 3. Educate/Reinforce the child and family regarding infections prevention.
         • 4. Encourage prompt medical attention.
           • 5. Stress the importance of immunizations which includes seasonal influenza and pneumonia vaccines up to date.

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