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Hospitalized child

Hospitalized Child By Lucy

QuestionAnswer
Vital Signs NB: HR 12-160, R 30-60 PS: HR 80-120, R 20-30 SA: HR 70-110, R 16-22 Ad: HR 60-100, R 14-20
Fluid Requirements/Day <10 kg = 1000 mL/kg 10-20 kg = 1000 mL + 50 mL/kg >20 kg = 1500 + 20 mL/kg
Nutritional Requirements/Day 50-100 kcal/kg/day Fat:30% of calories 1gm fat=9 kcal 1-3 g protein/kg/day Vitamins/minerals:5 serving fruits/veggies.
Output: 1-2 mL/kg/hr urine. 1g=1mL. Determine U/O range for Pt. Subtract dry wt. of diaper from gross=net U/O. Divide net U/O by # hr. compare.
Hospitalized Neonate Anticipate: hungry,wet,tired. Sucking, swaddling. stimulation/not, consistent caregivers, modeling for parent, parental involvement, and rooming in.
Hospitalized Infant Regression (bed wetting), security objects, and parent's involved in procedures.
Hospitalized Toddler Home routines and objects, pain control, and self-care.
Hospitalized Preschooler Concrete, brief explanations just prior to action; demo on stuffed animal. Give them two choices. consistency, home routines. Play. Encourage independence.
Hospitalized School-Aged Limits. Involvement in planning. Explanations allow for questions. Privacy. Home routines include clean-up. Contact with friends. Homework.
Hospitalized Adolescent Privacy. Respect/independence. Encourage questions. Peers. recreation/games. Favorite foods.
Hospitalized Child: General Concerns Separation from parents. Loss of control. Bodily injury and pain.
Separation Especially at 16-30 months. Stages: Protest,despair, detachment. Interventions:family centered care, try to use consistent caregivers, prolonged goodbyes DO NOT help the child. Sneaking out can strengthen the fear.
Loss of Control Issue for older than infants. Toddlers:Change in routine. Preschoolers:fantasy,sense of power. School age:vulnerable r/t striving for independence. Adolescents:Illness poses threat to identity.
Interventions for Loss of Control Keeping child's routine. Allow movement. Encourage independence. Explain.
Bodily Injury/Pain (Infants) Younger little memory, older will physically resist.
Bodily Injury/Pain (Toddlers) Poorly defined boundaries, react strongly to any intervention.
Bodily Injury/Pain (Preschoolers) Vulnerable r/t magical thinking, fear of mutilation.
Bodily Injury/Pain (School Age) Fearful of death and of disability than pain. Aware of their bodies, ask many questions about procedures.
Bodily Injury/Pain (Adolescents) Concern about how illness impacts on fitting in with peers.
Interventions for Bodily Injury/Pain Use of Band-aids, stickers, and use of age appropriate explanations.
Created by: tiniekittie12
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