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Discussion

Help with pediatric care plan

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:

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    • Featured Replies

    • Expert

    Moving to the Nursing Student Assistance forum for more exposure.

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    • Expert

    Risk for Aspiration

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    • Author

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

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    • Expert

    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...

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    • Author

    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.

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    • Expert
    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

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    • Author

    Thanks for the help/suggestions.

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