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  • NE Discussion Based On Case of Group

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    Idns Sasapu
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    This document summarizes a case study involving a 5-year-old child named M who is being treated for pneumonia in the pediatric ward. The child presents with cough, fever, lack of appetite, fussiness, difficulty sleeping, thick sputum, and abnormal lung sounds. Vital signs include a respiratory rate of 30 breaths per minute, pulse rate of 90 beats per minute, and temperature of 37.9 degrees Celsius. One nursing diagnosis is ineffective airway clearance related to excessive mucus. The goal is for the child to have effective airway clearance within 48-72 hours. Planned interventions include chest physiotherapy, monitoring respiration and vital signs, and assessing sputum.

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    NE Discussion based on Case of Group

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    This document summarizes a case study involving a 5-year-old child named M who is being treated for pneumonia in the pediatric ward. The child presents with cough, fever, lack of appetite, fussiness, difficulty sleeping, thick sputum, and abnormal lung sounds. Vital signs include a respiratory rate of 30 breaths per minute, pulse rate of 90 beats per minute, and temperature of 37.9 degrees Celsius. One nursing diagnosis is ineffective airway clearance related to excessive mucus. The goal is for the child to have effective airway clearance within 48-72 hours. Planned interventions include chest physiotherapy, monitoring respiration and vital signs, and assessing sputum.

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    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
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    10 views6 pages

    NE Discussion Based On Case of Group

    Uploaded by

    Idns Sasapu
    This document summarizes a case study involving a 5-year-old child named M who is being treated for pneumonia in the pediatric ward. The child presents with cough, fever, lack of appetite, fussiness, difficulty sleeping, thick sputum, and abnormal lung sounds. Vital signs include a respiratory rate of 30 breaths per minute, pulse rate of 90 beats per minute, and temperature of 37.9 degrees Celsius. One nursing diagnosis is ineffective airway clearance related to excessive mucus. The goal is for the child to have effective airway clearance within 48-72 hours. Planned interventions include chest physiotherapy, monitoring respiration and vital signs, and assessing sputum.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
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    of 6

    DISCUSSION BASED ON

    CASE OF GROUP
    Esme Anggeriyane, Ns., M. Kep
    NAMA KELOMPOK
    • AKHMAD BADRIANSYAH 1814201110004
    • BERLIAN WIDYANTY DWI PUTRI 1814201110013
    • FAUZI RAHMAN 1814201110022
    • HASNIATI MIRADIAH 1814201110027
    • MERY LESTARY 1814201110037
    • MUSRIFAH 1814201110041
    CASE 5
    • Child M, 5 years old, being treated in
    pediatric ward with complaints of
    cough and fever. assessment results:
    no appetite, fussy, difficulty
    sleeping at night, thick sputum,
    sound of Ronchi in both lung lobes,
    respiratory rate is 30 breaths /
    minute, pulse rate is 90 beats/
    minute, temperature is 37.9 degrees
    Celsius.
    FORMAT
    Patient’s Name: child M
    Age : 5 years old
    Medical diagnose : Pneumonia
    No Data Problem Etiology
    1. Subjective Data: Ineffective airway Excessive mucus
    • the patient's mother said her child was clearance
    coughing
    • the patient's mother said her child had fever

    Objective Data:
    • Fussy
    • Thick sputum
    • Sound of Ronchi in both lung lobes
    • Respiratory rate is 30 breaths/minute
    • Pulse rate is 90 beats/minute
    • Temperature is 37,9 degrees celcius
    CONTINUE
    No Nursing Diagnosis Goals Intervention Rationale
    1 Ineffective airway The patient will have • Explain the goals and • The patient knows
    clearance related to effective airway clearance procedures for chest the goals of chest
    excessive mucus within 48-72 hours: physiotherapy physiotherapy
    • Lungs clear to procedures to the • To determine the
    auscultation (vesicular) patient patency of the airway
    • Respirations 20-25 • Respiration status and the presence or
    breaths/minute, Pulse monitor and cardiology absence of additional
    70-120 beats/minute (eg, pulse and pulse breath sounds
    • Sputum becomes runny rhythm , sound and • To determine the
    breath depth) thickness and amount
    • monitor the amount and of sputum
    characteristics of the • to know the patient's
    sputum progress at the time
    • monitor the patient's of the procedure
    ability before and after
    the procedure
    THANK YOU

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