Meconium Aspiration Syndrome Nursing Care Plan 4 To reduce oxygen demand and help manage edema. To monitor the signs of ineffective tissue perfusion. Monitor the vital signs, characteristics of pulse (such as quality and strength), changes in skin color, status of edema, and inform the healthcare team for any alterations. Nursing Interventions for Meconium Aspiration Nursing Diagnosis: Ineffective Tissue Perfusion related to the altered transport of oxygen across alveolar and on capillary membrane secondary to meconium aspiration syndrome, as evidenced by weak peripheral pulses, peripheral edema, and inadequate urine output.ĭesired Outcome: The infant will establish increased perfusion as evidenced by strong peripheral pulses, warm and dry skin, stable vital signs, absence of edema, and adequate urine output. Meconium Aspiration Syndrome Nursing Care Plan 3 Monitor the urine output and its specific gravity.Īdminister intravenous fluid replacement as prescribed. To provide adequate oral care and skin care to the infant. Moisten the lip and provide daily tepid sponge bath. To check for any effects of fluid volume deficit due to increased body temperature. Monitor the vital signs and inform the healthcare team for any alterations. Nursing Diagnosis: Fluid volume deficit related to failure of regulatory mechanism secondary to meconium aspiration syndrome.ĭesired Outcome: Patient was able to establish a balance of fluid volume at a functional level as evidenced by adequate urinary output, urine with stable or normal specific gravity, stable vital signs, good skin turgor, moist mucous membranes, and prompt capillary refill and absence of edema. Meconium Aspiration Syndrome Nursing Care Plan 2 To reduce the risk of spreading any pathogens. To ensure the safety of the infant and reduce the risk for infection.Īvoid sharing equipment with other infants. Maintain sterility of the equipment that is used for the care of the infant. To help reduce the core body temperature. Provide a tepid sponge bath for the infant. Preventing meconium aspiration syndrome is centered in achieving a healthy pregnancy.ĭesired Outcome: The infant will be able to establish normal core temperature as evidenced by temperature and heart rate within normal range for age. An extracorporeal membrane oxygenation (ECMO) may be used.Also, in severe cases, nitic oxide (NO) can be given per inhalation to help gas exchange in the lungs and to improve blood flow.In severe cases, the newborn may need to be injected with surfactants to help their lungs breathe.The use of a warmer to maintain the newborn’s body temperature.Breathing issues sometimes prevents the newborn from feeding through the mouth, hence other forms of nutrition delivery needs to be put ion place. Intravenous nutritional support may also be given.Oxygen support may be given to keep the levels normal.Attachment to a ventilator may then be needed to assist breathing. Assistance with breathing if unable to do so on his/her own.Antibiotic treatment for possible infection.Other treatment methods can also be performed, such as:.The newborn may require stay in the intensive care unit to be watched closely. Air is pumped through the bag into the mask that is positioned on the newborn’s face covering the mouth and nose. The newborn will be ventilated using a bag-valve-mask. A low heart rate is usually noted in the presence of breathing issues as well. If there is an obvious sign of respiratory compromise, an effort to address the breathing problem will be made. If the newborn is not crying and is not active, then the following are commonly performed: A newborn’s cry and activity level are the usual indicators if the baby will need further help. However, if the breathing is compromised then a special team will need to look after the newborn. In some instances, babies who ingested and aspirated meconium are well enough that they do not need any treatment other than constant monitoring. Imaging – A chest xray may be performed as well to evaluate the lungs better.Blood gases can be performed and can show the following results:.Course and crackly breath sounds on auscultation when baby is born.Green-tinged amniotic fluid when bag of water breaks.Fetal monitor showing a slow or high fetal heart rate.
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |