NURS 3122 Study Guide - Final Guide: Palivizumab, Tachypnea, Nasogastric Intubation
1 May 2017
School
Department
Course
Professor
Document Summary
Astute observation skills are important to ensure timely interventions for worsening respiratory symptoms and prevention of respiratory failure. A decreased oxygen saturation level below 90% is the best indicator of severe disease. Assess the child"s skin and mucous membranes for hydration status. Weigh the child daily, and monitor the intake and output. Rsv bronchiolitis often increases in severity before beginning to resolve. Stay alert for signs of increased respiratory distress and a greater need for oxygen. Signs of life-threatening illness in the infant with bronchiolitis include central cyanosis, respiratory rate greater than 70 breaths per minute, listlessness, and apneic episodes. The chest is hyperinflated, and air exchange is so poor that breath sounds are very diminished on auscultation. Children and their parents should be observed for signs of fear and anxiety. The unfamiliar hospital environment and procedures can increase stress. Parents" questions, as well as their nonverbal cues, help direct nursing interventions during admission and throughout hospitalization.
