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by wallywoman

I am doing a case study on ventricular septal defect that is involving a one day old infant. I am trying to come up with interventions for a nursing diagnosis of imbalance nutrition less than body requirements because the infant is NPO and I also thought about doing a nursing diagnosis on a bonding issue since the mother cannot stay in the nursery the whole time with the baby and cannot hold him.

[onyx77]

Re: Ventricular septal defect

We were always taught that we couldn't use the imbalance nutrition less than requirements as a nursing dx unless the pt was NOT NPO. I think the bonding would be a good direction. Possibly - interupted family processes.

[Giraffe055]

Re: Ventricular septal defect

For VSD the main concern is increased pulmonary blood flow in the heart. I had a test on this a few weeks ago. My first Nx Diagnose would be decreased cardiac output or impaired tissue perfusion. I would list them in order of importance. Remember ABC's. Good luck, and you will learn a lot about VSD. I need to explore the cardiovascular system to get the information down!

[earle58]

Re: Ventricular septal defect

abc's always take priority.
always.
that said, i would assess infant's breathing patterns.

leslie

[WarEagle4Life]

Re: Ventricular septal defect

Always go with ABC's. Impaired perfusion is definitely high on the list - are any other defects present? Quite often, there is more than one defect present. Nutrition will come into play later if there is feeding difficulty, but at this point, not a priority.

Cindy, RN
mom of TOF'er with PA (repaired with great difficulty)

[wallywoman]

Re: Ventricular septal defect

I have to have 5 DX so i went with imaired gas exchange, ineffective breathing pattern, imbalanced nutrition, disturbed family processes, and risk for infection

[core0]

Re: Ventricular septal defect

Originally Posted by wallywoman

I have to have 5 DX so i went with imaired gas exchange, ineffective breathing pattern, imbalanced nutrition, disturbed family processes, and risk for infection

What about impaired growth and development

[Daytonite]

Hi, wallywoman, and welcome to allnurses!

Any nursing interventions you come up with must be based upon and aimed at the symptoms, or defining characteristics, that support your use of this diagnosis, Imbalanced Nutrition: less than body requirements. You should have a nursing diagnosis reference of some sort in helping you diagnose. Before you attach any nursing diagnostic label to a patient's care plan you should also be reading the definition of the nursing diagnosis to make sure that it is indeed the problem your patient has. You can see the NANDA taxonomy information on this particular nursing diagnosis at this website: Imbalanced Nutrition: less than body requirements. So, no one can really answer your request with any specificity because you haven't given us any information about your patient's symptoms that support your use of this diagnosis other than the patient is NPO which isn't much to go on because we don't know anything about the doctor's orders or any more about the patient's medical history or underlying pathophysiology.

There is lots of information about how to write a care plan on the nursing student forums of allnurses. You should also check out these threads:

• http://allnurses.com/forums/f205/help-nursing-care-plans-277791.html
• http://allnurses.com/forums/f8/desparately-need-help-care-plan-279187.html
• http://allnurses.com/forums/f205/care-plan-help-280901.html
• http://allnurses.com/forums/f205/desperately-need-help-careplans-170689.html - Desperately need help with careplans (in Nursing Student Assistance Forum)
• http://allnurses.com/forums/f50/careplans-help-please-r-t-aeb-121128-7.html - CAREPLANS HELP PLEASE! (with the R\T and AEB) (in General Nursing Student Discussion Forum)

Your focus in writing a care plan should be on your assessment of the patient and determination of the abnormal data (symptoms) because the nursing diagnosis, nursing interventions and goals are all based upon the symptoms the patient has. Without that information you have no care plan that is going to make any kind of sense. The nursing diagnoses are only one small part of the care plan and don't deserve the anxiety and worry that students give them.