Name: Jetajobe, Bryan A.

Area: NICU

Year/Section: 2nd year N202

Assessment Diagnosis Planning Intervention Rationale Evaluation

Subjective Risk for After 8 hours Assess - Meconium The exhibit a

Data: Aspiration of nursing respiratory aspiration can normal and
Mother’s as intervention, status: result in varying effective way
report of evidenced the patient -Rate Effort degrees of respiratory
yellow/gree by green will show no (retractions, respiratory pattern as
n discharge discharge signs of pale grunting) distress for the evidenced by:
skin color, -Oxygen infant adequate
Objective expiratory saturation breathing with
Data: grunting, -Auscultate - to clear the respiratory
-Pale skin cyanosis, for rales or airway rate and
color retraction, rhonchi oxygen
-Expiratory nasal flaring, -Bulb suction - Fluid and saturation
grunting tachypnea and mouth and meconium in the within the
-Cyanosis will maintain a nose or use lungs can initiate normal range
-Retractions newborn endotracheal an inflammatory
-Nasal airway with suction to process that can
flaring breath sounds remove lead to severe
-Tachypnea clearing; secretions respiratory
-Dyspnea absence of - Monitor for distress,
dyspnea after signs of Acute requiring
keeping the Respiratory mechanical
patient’s Distress ventilation and
airway and Syndrome other invasive
effectively (Arterial interventions for
clearing Blood Gases) the newborn.
secretion