Care Plan Bronchitis

:Nursing DX Nursing intervention Rationale Evaluation
DX(1): Ineffective Assess respiratory status a Changes in breathing pattern The child returns to
Breathing Pattern related minimum of every 2–4 hours or may respiratory
more often as indicated for a occur quickly as the child’s baseline within 48–72
to increased work of
decreasing respiratory rate and energy hours.
breathing and decreased episodes of apnea. reserves are depleted. The child’s respiratory
energy (fatigue) Cardiorespiratory monitor and pulse Assessment effort eases.
oximeter attached with alarms set, and monitoring baseline reveal Pulse oximetry reading
if ordered. Record and report rate remains
changes promptly to physician. and quality of air exchange. 94%
■ Frequent assessment and oxygen saturation during
Administer humidified oxygen via monitoring provides objective treatment.
mask, hood, or tent. evidence of changes in the The child tolerates
■
quality therapeutic
Note child’s response to ordered
of respiratory effort, enabling measures with no
medications (nebulizer treatments).
■ prompt and effective adverse effects.
Position head of bed up or place intervention. The child rests quietly in
■ position of
child in position of comfort on
Humidified oxygen loosens comfort
parent’s lap, if crying or struggling
secretions and helps maintain
oxygenation status and ease
respiratory distress.
■
Medications act systemically
and
locally (on respiratory tissue) to
improve oxygenation and
decrease
inflammation.
■
Position facilitates improved
aeration and promotes decrease
in
anxiety (especially in toddlers)
and
energy expenditure
DX(2) : . Risk for Fluid NIC Priority Intervention: Previous fluid loss may require NOC Suggested
Fluid immediate replacement. Outcome:
Volume Deficit related to ■
management: Hydration:
inability to meet body Promotion of fluid Monitoring proves objective Amount of water in
requirements and balance and prevention of evidence of fluid loss and intracellular and
complications resulting from ongoing extracellular
increased metabolic hydration status.
abnormal or undesired fluid levels. compartments of body.
demand. ■ Child’s hydration status
Evaluate need for intravenous is maintained
fluids. during acute phase of
Maintain IV, if ordered. illness.
■
Child takes adequate
Maintain strict intake and output
oral fluids after
monitoring and evaluate specific
24–48 hours to maintain
gravity at least every 8 hours
hydration.
Encourage parents to express fears Provides opportunity to vent NOC Suggested

DX(3): Anxiety
and ask questions; provide direct feelings and receive timely, Outcome:
(Child and answers and discuss care, relevant Anxiety
procedures, and condition changes. information. Helps reduce control:
Parent) related ■ parents’ Ability to eliminate or
Incorporate parents in the child’s
care. Encourage parents to bring anxiety and increase trust in reduce feelings of
to acute illness, familiar objects from home. Ask nursing apprehension and
hospitalization, about and incorporate in care plan staff. tension from an
the home routines for feeding and ■ unidentifiable source.
uncertain sleeping. Familiar people, routines, and Parents and child show
objects decrease the child’s
course of illness ■
Explain symptoms, treatment, and anxiety
decreasing
anxiety and decreasing
and treatment, home care of bronchiolitis.
■
and increase parents’ sense of fear as
control over unexpected, symptoms improve and
and home care Provide written instructions for uncertain as child and
follow-up care arrangements As
needs needed.
situation.
■
parents feel more
secure in hospital
Anticipate potential for
environment.
recurrence.
Parent
Assist family to be prepared
freely asks questions
should
and
respiratory symptoms recur after
participates in the child’s
discharge.
■ care. The
W child
ritten and oral instructions cries less and allows
reinforce knowledge. Parents staff to hold
may and/or touch him or her.
not “hear” and remember the Parent accurately
particulars of home care if describes respiratory
presented only orally symptoms and initial
home care
Faculty of nursing and health Science
MEDICAL SURGICA334\335
Care plan
subject:care plan of Bronchitis
.Prepared by:saja fareed ayyash
.Presented to:Hala Kasbari
.Student No:1202190
Semester:Spring 2014

Care Plan Bronchitis

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:Nursing DX Nursing intervention Rationale Evaluation

Encourage parents to express fears Provides opportunity to vent NOC Suggested

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