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    Nursing Care Plan: Assessment Diagnosis Planning Interventions Rationale Evaluation

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    Mina Sumaoang
    The patient is a 3 week old female infant admitted with a diagnosis of pertussis (whooping cough) characterized by lower fever, coughing, post-tussive vomiting, lethargy, and central cyanosis. The nursing care plan includes monitoring vital signs closely, maintaining proper hydration and nutrition, administering antibiotics and vaccines as ordered, and collaborating with other departments. After 14 days of interventions, the patient was breathing normally with no ongoing coughing or vomiting episodes and her hydration and nourishment were optimal, meeting the goal of treatment.

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    Nursing Care Plan: Assessment Diagnosis Planning Interventions Rationale Evaluation

    Uploaded by

    Mina Sumaoang
    671 views2 pages
    The patient is a 3 week old female infant admitted with a diagnosis of pertussis (whooping cough) characterized by lower fever, coughing, post-tussive vomiting, lethargy, and central cyanosis. The nursing care plan includes monitoring vital signs closely, maintaining proper hydration and nutrition, administering antibiotics and vaccines as ordered, and collaborating with other departments. After 14 days of interventions, the patient was breathing normally with no ongoing coughing or vomiting episodes and her hydration and nourishment were optimal, meeting the goal of treatment.

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    Pertussis

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    NCP - Sumaoang

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    The patient is a 3 week old female infant admitted with a diagnosis of pertussis (whooping cough) characterized by lower fever, coughing, post-tussive vomiting, lethargy, and central cyanosis. The nursing care plan includes monitoring vital signs closely, maintaining proper hydration and nutrition, administering antibiotics and vaccines as ordered, and collaborating with other departments. After 14 days of interventions, the patient was breathing normally with no ongoing coughing or vomiting episodes and her hydration and nourishment were optimal, meeting the goal of treatment.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    671 views2 pages

    Nursing Care Plan: Assessment Diagnosis Planning Interventions Rationale Evaluation

    Uploaded by

    Mina Sumaoang
    The patient is a 3 week old female infant admitted with a diagnosis of pertussis (whooping cough) characterized by lower fever, coughing, post-tussive vomiting, lethargy, and central cyanosis. The nursing care plan includes monitoring vital signs closely, maintaining proper hydration and nutrition, administering antibiotics and vaccines as ordered, and collaborating with other departments. After 14 days of interventions, the patient was breathing normally with no ongoing coughing or vomiting episodes and her hydration and nourishment were optimal, meeting the goal of treatment.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 2

    TARLAC STATE UNIVERSITY

    COLLEGE OF SCIENCE
    DEPARTMENT OF NURSING
    Awarded Level III Phase I Status by the Accrediting Agency of Chartered Colleges and Universities in the Philippines

    Name CHRIS DEINIELLE M. SUMAOANG Area PEDIATRIC WARD


    Year Level 2nd Year RLE Group Group 4 Inclusive dates of Rotation
    Name of Patient SABRINA G. MACADANGDANG Age 3 Weeks Old Gender Female
    Date Admitted Diagnosis Pertussis (Whooping Cough)

    NURSING CARE PLAN

    ASSESSMENT DIAGNOSIS PLANNING INTERVENTIONS RATIONALE EVALUATION


    Subjective: • Ineffective Breathing Goal: INDEPENDENDENT • Pertussis is characterized After 14 days of proper
    “Ubo ng ubo yung baby ko at pattern r/t inflamed After 14 days of proper • Assess the VS and monitor by lower fever. Determine nursing intervention, the
    nag-susuka siya, nanghihina bronchial passages, nursing intervention, the for fever every hour the efficacy of treatments by patient:
    na siya” verbalized by the coughing patient: establishing a baseline.
    baby’s mother • Was reported
    • Will breathe normally • Perform Physical • Cyanosis and a reduction in breathing normally
    Objective: and have a clean airway Assessment and note for capillary refill owing to and have a clean
    VS: with no ongoing poor oxygenation inability to breathe properly airway with no
    BT - 36.6 °c • Risk for Aspiration: coughing episodes and and constricted airways ongoing coughing
    HR - 168 BPM Risk factors: inability vomiting episode’s episodes and
    RR - 24 bpm to coordinate • Monitor the Respiratory • Infants may have periods of vomiting episode’s
    BP - 77/46 mm/Hg breathing, coughing, • The patient's hydration status of the patient and apnea and need to be
    sucking. and nourishment will be check for breathing sound carefully monitored • The patient's
    HT - 49 cm or 19 inches optimal. patterns (rate, rhythm, hydration and
    WT – 3.3 kg depth, quality, and nourishment were
    effectiveness) optimal.
    Physical Examination:
    • Coughing
    • Post-tussive • Place the patient in an • Can help improve lung
    vomiting upright position expansion and provide for a REMARKS:
    • Lethargy more effective cough GOAL MET
    • Central Cyanosis
    • Maintain IV fluids • Infants dehydrate quickly
    and require supplemental
    fluids.

    • Provide adequate • To allow enough


    ventilation in the room oxygenation in the room

    DEPENDENT
    • Give 10 mg/kg orally of • To help treat pertussis
    Azithromycin for 5 days as
    ordered by the physician

    • Administer pertussis • Vaccines are available that


    vaccination as ordered by can help prevent whooping
    the physician cough, also known as
    pertussis
    COLLABORATIVE
    • Collaborate with the • To gain access knowledge
    Obstetrics and Gynecology and support for the patient
    department

    • Collaborate with the • To conduct an X-Ray as


    diagnostic imaging ordered by the physician
    department or the
    radiology department

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