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    colored concept map

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    52 views2 pages

    Colored Concept Map

    Uploaded by

    api-544878035

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 2

    1.

    Ineffective Airway clearance r/t


    increased production of thick
    mucus

    -Respiratory Rate: 56 2. Imbalance Nutrition: less than 3. Risk for Infection r/t thick,
    -SpO2: 91 body requirements r/t decreased tenacious mucus conductive to
    -Breath Sounds: Crackles/ Diminished absorption and the need for harboring bacterial organisms
    -Dyspnea increased calories to meet
    -Excess Sputum growth and metabolic demands -Stasis of Secretions
    -Persistent Cough -Persistent, Non-Productive Cough
    -Clubbing of the Nails -Height and Weight: < 20% ideal -Malnutrition
    -Substernal Retractions -Height: 2nd Percentile -Cefepime: q8h
    -Albuterol qid -Weight: 5th Percentile -Linezolid: q8h
    -Continuous Oxygen: 2L -High Calorie Diet -CXR: Internal patchy consolidation
    -Airway Clearance Vest: qid -Patient eats PO and Tube Fed -Order for Respiratory Culture
    - Incentive Spirometry -Gastronomy Tube -Airway clearance device: Vest
    -Nasopharyngeal Suctioning: PRN -Pancrelipase w/ meals and snacks -Nasopharyngeal Suctioning
    -CXR: internal patchy consolidation

    4. Activity Intolerance r/t 5. Risk for Compromised


    imbalance between oxygen
    supply and demand Cystic Fibrosis Family Coping
    -Dyspnea
    -Persistent Cough/ Wheeze -6 other siblings at home
    -Exertional Discomfort -Prolonged hospital stay
    -Exertional Dyspnea -Abdominal Pain
    -Poor Growth/ Weight Gain removes a parent from the
    -Verbal Report of Fatigue home
    - Steatorrhea
    -Frequent Lung Infections - Invasive/ time-consuming
    medical regimen of child
    -Possible Financial Stress

    6. Irregular Bowel Movements r/t 7. Risk for Anxiety r/t disease 8. Risk for Disturbed Body
    Pancreatic Insufficiency process and hospitalization Image

    -Abdominal X-Ray: Moderate to -Repetitive Statements of “I -Gastronomy Tube


    large amount of fecal material in want to go home” -Portacath: Left Subclavian
    cecum -Looking to mother in times of -Surgical site: Umbilicus
    -Constipation uncertainty -Clubbing of the Nails
    -Pancrelipase w/meals and snacks -Expressed fear relating to -Oxygen Tank/Nasal Cannula
    -Possible Steatorrhea procedure -Airway Clearance Vest qid
    -Recurrent Abdominal Pain -Shyness
    -Frequent hospitalization
    - Terminal illness

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