Pediatric Nursing Care
description
Transcript of Pediatric Nursing Care
![Page 1: Pediatric Nursing Care](https://reader033.fdocuments.net/reader033/viewer/2022061608/56816648550346895dd9bf95/html5/thumbnails/1.jpg)
Pediatric Nursing Care
Nursing Care of the Child Born with Physical or Developmental Challenge
![Page 2: Pediatric Nursing Care](https://reader033.fdocuments.net/reader033/viewer/2022061608/56816648550346895dd9bf95/html5/thumbnails/2.jpg)
Physical/Developmental Disorders: GIT
•Ankyloglossia•Thyroglossal cysts•Cleft lip and Palate•Pierre Robin syndrome•Tracheoesophagus Atresia and Fistula•Omphalocele•Gastroschisis•Intestinal obstruction
![Page 3: Pediatric Nursing Care](https://reader033.fdocuments.net/reader033/viewer/2022061608/56816648550346895dd9bf95/html5/thumbnails/3.jpg)
Physical/Developmental Disorders: GIT (cont’d)
•Meconium Plug syndrome•Meconium ileus•Diaphragmatic hernia•Umbilical hernia•Imperforate anus
![Page 4: Pediatric Nursing Care](https://reader033.fdocuments.net/reader033/viewer/2022061608/56816648550346895dd9bf95/html5/thumbnails/4.jpg)
Ankyloglossia
![Page 5: Pediatric Nursing Care](https://reader033.fdocuments.net/reader033/viewer/2022061608/56816648550346895dd9bf95/html5/thumbnails/5.jpg)
Thyroglossal Cyst
![Page 6: Pediatric Nursing Care](https://reader033.fdocuments.net/reader033/viewer/2022061608/56816648550346895dd9bf95/html5/thumbnails/6.jpg)
Thyroglossal Cyst
![Page 7: Pediatric Nursing Care](https://reader033.fdocuments.net/reader033/viewer/2022061608/56816648550346895dd9bf95/html5/thumbnails/7.jpg)
Cleft Lip and Palate
![Page 8: Pediatric Nursing Care](https://reader033.fdocuments.net/reader033/viewer/2022061608/56816648550346895dd9bf95/html5/thumbnails/8.jpg)
Cleft Lip and Palate
![Page 9: Pediatric Nursing Care](https://reader033.fdocuments.net/reader033/viewer/2022061608/56816648550346895dd9bf95/html5/thumbnails/9.jpg)
Bottle Feeding tips: (cleft Lip and Palate)
![Page 10: Pediatric Nursing Care](https://reader033.fdocuments.net/reader033/viewer/2022061608/56816648550346895dd9bf95/html5/thumbnails/10.jpg)
Bottle Feeding tips: (cleft Lip and Palate) Feed your baby in a calm quiet environment.
Make sure you are sitting in a comfortable chair. Seat your baby upright for bottle feeding. This
may prevent milk coming out of the nose during sucking. Hold the baby close to you so they are well supported for feeding.
Feed your baby with a squeeze bottle and cross-cut teat or a Special needs feeder (previously called Haberman feeder). If your baby has a cleft lip, avoid placing the teat into the cleft.
![Page 11: Pediatric Nursing Care](https://reader033.fdocuments.net/reader033/viewer/2022061608/56816648550346895dd9bf95/html5/thumbnails/11.jpg)
Bottle Feeding tips: (cleft Lip and Palate)
Once your baby starts sucking, squeeze the bottle gently to deliver milk into the mouth. A squeeze every 3 to 4 sucks is usually sufficient however all babies are different so you may need to experiment a little with the rate of pulsing/ squeezing. Some babies like to suck when a gentle but constant pressure is applied to the teat (if using the Special needs feeder) or the bottle (if using a squeeze bottle) rather than pulsing.
Experimenting with this technique may also be useful. Some mothers find it helpful to practice squeezing a water-filled bottle to get an idea of how the flow changes with more rapid squeezing or stronger squeezing of the bottle feeding. Some babies may be able to compress the teat enough themselves to feed quickly.
![Page 12: Pediatric Nursing Care](https://reader033.fdocuments.net/reader033/viewer/2022061608/56816648550346895dd9bf95/html5/thumbnails/12.jpg)
Bottle Feeding tips: (cleft Lip and Palate)
Watch how your baby reacts to the pulsing or prolonged squeezing of the bottle. If the baby looks uncomfortable or is not managing the mouthful of milk, stop squeezing and let him/her rest and swallow before more milk is given.
Have breaks for burping, as the baby may be more ‘windy’ than usual.
Keep each feed to 20-30 minutes. Longer feeds mean the baby will use too much energy during feeding. This can make weight gain difficult.
![Page 13: Pediatric Nursing Care](https://reader033.fdocuments.net/reader033/viewer/2022061608/56816648550346895dd9bf95/html5/thumbnails/13.jpg)
Bottle Feeding tips: (cleft Lip and Palate)
Babies can loose up to 10% of their birth weight but usually regain it in 2 to 3 weeks. If your baby is having 5 to 6 wet nappies per day and regular motions, and is healthy and alert, then it is likely that he/she is being fed sufficiently. Your Maternal and Child Health Nurse will help you keep track of your baby’s growth and we will ask you about it when you come to cleft clinic. Slow weight gain or weight loss may mean the feeding method needs to be changed.
Some babies have serious feeding problems (dysphagia) which means they need specialised assistance to manage feeding.
![Page 14: Pediatric Nursing Care](https://reader033.fdocuments.net/reader033/viewer/2022061608/56816648550346895dd9bf95/html5/thumbnails/14.jpg)
Special Bottle
![Page 15: Pediatric Nursing Care](https://reader033.fdocuments.net/reader033/viewer/2022061608/56816648550346895dd9bf95/html5/thumbnails/15.jpg)
Pierre Robin Syndrome
![Page 16: Pediatric Nursing Care](https://reader033.fdocuments.net/reader033/viewer/2022061608/56816648550346895dd9bf95/html5/thumbnails/16.jpg)
Pierre Robin Syndrome …is a triad of micrognathia (small
mandible), cleft palate, and glossoptosis (a tongue malpositioned downward)
![Page 17: Pediatric Nursing Care](https://reader033.fdocuments.net/reader033/viewer/2022061608/56816648550346895dd9bf95/html5/thumbnails/17.jpg)
Tracheoseophageal Atresia
![Page 18: Pediatric Nursing Care](https://reader033.fdocuments.net/reader033/viewer/2022061608/56816648550346895dd9bf95/html5/thumbnails/18.jpg)
Tracheoseophageal Atresia
![Page 19: Pediatric Nursing Care](https://reader033.fdocuments.net/reader033/viewer/2022061608/56816648550346895dd9bf95/html5/thumbnails/19.jpg)
Omphalocele
![Page 20: Pediatric Nursing Care](https://reader033.fdocuments.net/reader033/viewer/2022061608/56816648550346895dd9bf95/html5/thumbnails/20.jpg)
Omphalocele
![Page 21: Pediatric Nursing Care](https://reader033.fdocuments.net/reader033/viewer/2022061608/56816648550346895dd9bf95/html5/thumbnails/21.jpg)
Omphalocele
![Page 22: Pediatric Nursing Care](https://reader033.fdocuments.net/reader033/viewer/2022061608/56816648550346895dd9bf95/html5/thumbnails/22.jpg)
Gastroschisis
![Page 23: Pediatric Nursing Care](https://reader033.fdocuments.net/reader033/viewer/2022061608/56816648550346895dd9bf95/html5/thumbnails/23.jpg)
Intestinal Obstruction
![Page 24: Pediatric Nursing Care](https://reader033.fdocuments.net/reader033/viewer/2022061608/56816648550346895dd9bf95/html5/thumbnails/24.jpg)
Intestinal Obstruction
![Page 25: Pediatric Nursing Care](https://reader033.fdocuments.net/reader033/viewer/2022061608/56816648550346895dd9bf95/html5/thumbnails/25.jpg)
Intestinal Obstruction
![Page 26: Pediatric Nursing Care](https://reader033.fdocuments.net/reader033/viewer/2022061608/56816648550346895dd9bf95/html5/thumbnails/26.jpg)
Meconium Ileus
![Page 27: Pediatric Nursing Care](https://reader033.fdocuments.net/reader033/viewer/2022061608/56816648550346895dd9bf95/html5/thumbnails/27.jpg)
Diaphragmatic Hernia
![Page 28: Pediatric Nursing Care](https://reader033.fdocuments.net/reader033/viewer/2022061608/56816648550346895dd9bf95/html5/thumbnails/28.jpg)
Umbilical Hernia
![Page 29: Pediatric Nursing Care](https://reader033.fdocuments.net/reader033/viewer/2022061608/56816648550346895dd9bf95/html5/thumbnails/29.jpg)
Imperforated Anus
![Page 30: Pediatric Nursing Care](https://reader033.fdocuments.net/reader033/viewer/2022061608/56816648550346895dd9bf95/html5/thumbnails/30.jpg)
Signs and Symptoms of Dehydration
Isotonic Hypotonic Hypertonic
Thirst Mild Moderate Extreme
Skin turgor Poor Very poor Moderate
Skin consistency
Dry Clammy Moderate
Skin temperature
Cool Cool Warm
Urine output Decreased Decreased decreased
Activity Irritable Lethargic Very lethargic
Serum sodium level
Normal Reduced Increased