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Pediatric Case Study Concept Map.docx - Patient’s Initials:...

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Use arrows to show relationships among the Nursing Diagnoses. Arrows can be drawn on or inserted from the “Shapes” option on Microsoft Word.Nursing Diagnosis #2:Imbalance nutrition, lessthan body requirements R/T blood disorderAEB 10thpercentile for height (114cm) andweight (15kg).Goal:Pt will identify nutritional requirementsby dischargeKey Assessments/Findings:Height 114cm; weight 15 kg; monitor VS,weight gain, hair distribution, skin conditionTherapies/Treatments:Dietary consultPossibly needing a feeding tube or evenPPN/TPNLab Values/Diagnostics:HBG: 10mg/dLTotal serum iron: 150mcg/LMedications:May require supplementation based on labresultsNursing Diagnosis #1:Ineffective tissueperfusion R/T reduced hemoglobin AEB pallor,fatigue, SOB, HGB of 10mg/dLGoal:Pt will demonstrate adequate tissueperfusion AEB palpable pulses, warm and dryskin, adequate urine output (1ml/kg/hr or19ml/hr), and absence of respiratory distressby discharge.Key Assessments/Findings:Pallor, SOB, lack of energy, 15kg and 114cm(10thpercentile for age); monitoring VS, pulseox, capillary refill, I&OTherapies/Treatments:PRBC transfusion every 1-2 monthsChelation therapyLab Values/Diagnostics:HGB 10mg/dLTotal serum iron: 150mcg/LMedications:Deferoxamine mesylate 1g IM and then 400mgsubQ daily for 5 daysNursing Diagnosis #3:Risk for infection R/Tmultiple blood transfusions, decreasedhemoglobin, and malnutritionGoal:Pt will remain free from signs of infectionthroughout hospitalization.Key Assessments/Findings:Assessing for fever, increased fatigue, increasedpain, swollen lymph nodes, increased WBC,increased heart rate, chills, sweating, alteredLOC.Closely monitor after blood transfusions.

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Term
Fall
Professor
NoProfessor
Tags
Respiratory distress, Malnutrition, blood disorder

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