Help with pediatric care plan

Nursing Students Student Assist

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I don't normally ask for help with careplans on here; I am a second year ADN nursing student who usually does pretty well on care plans. However Im stumped on my recent peds patient that I am sharing with another student and we cannot have the same careplan. My6 yr old pt has pneumonia, downs syndrome, GERD,& epilepsy. A HX of T&A, Dehydration, duodonal atresia at birth, PDA, Cholesteatoma removal.

Abnormal Labs

WBC 19.4 High

Platelets 42.4 High

RBC 3.90 Low

Glucose 177 High

BUN 24 High

B/C ratio 28.6 High

My partner is doing airway and I was thinking Fluid volume deficit for mine, :confused: but am not sure about it as far as Maslow. I was hoping to get some ideas for nursing dx and their outcomes.

Thanks in advance! :yeah:

Specializes in NICU, PICU, PCVICU and peds oncology.

Moving to the Nursing Student Assistance forum for more exposure.

Specializes in Cardiology and ER Nursing.

Risk for Aspiration

Risk for Aspiration related to? Also I checked my care plan book and got nothing. We are not allowed to use care plan books.

Specializes in Critical Care, ED, Cath lab, CTPAC,Trauma.

SOme really excellent sites.....

https://allnurses.com/nursing-student-assistance/desperately-need-help-170689.http://tinyurl.com/6bzc7dyhtml

http://www.scribd.com/doc/8724100/Nursing-Care-Plan-4-gas-exchange-Impaired

http://www1.us.elsevierhealth.com/MERLIN/Gulanick/Constructor/

maslows-hierarchy.jpg

risk of asparation due to poor muscle control from down's also obstruction due to large tongue infection sepsis due to asparation and ineffective airway clearance...

Ok, I get what your saying with the risk for aspiration; however should I really be putting a risk for before an actual nursing diagnosis? Her mom is at her side at all times, the child has had no episodes of aspiration in the past and she has a wonderful appetite. Im thinking fluid volume deficit, dont know what to relate it to.

Specializes in Cardiology and ER Nursing.
Risk for Aspiration related to? Also I checked my care plan book and got nothing. We are not allowed to use care plan books.

Epilepsy/Seizures

Thanks for the help/suggestions.

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