Nursing 3920A/B Chapter Notes - Chapter 4: Diastolic Heart Failure, Congenital Heart Defect, Pulse Oximetry
3 Feb 2018
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Hawkins, l. e. & rempel, g. r. (2013). Nursing care of the child with a cardiovascular disorder. In j. chow, c. a. ateah, s. d. scott, s. s. ricci, & t. kyle, canadian maternity and pediatric nursing (pp. Infants will show very subtle signs, such as difficulty feeding or tiring easily: parent may report episodes of rapid breathing and grunting, the child"s current and past medial history also provides additional clues. Inspect skin colour: look for pallor or cyanosis. Inspect face, hands, lower extremities for edema: observe for increased work of breathing. Promoting oxygenation: position the pt in a semi-upright position to decrease work of breathing and lessen pulmonary congestion, suction prn, chest physiotherapy may be beneficial, administer supplemental oxygen as order, and monitor o2 sats via pulse oximetry. Infant may require as much as 150 calories/kg/day: older children will require more calories than kids their age.
