Maternal and Child health nursing
chapter 38 nursing care of a family
when child needs medication
administration or IV therapy
6. competencies of quality and safety education for nurses QSEN - ANSWER 1.
Patient centered care
2. teamwork and collaboration
3. evidence-based practice EBP
4. quality improvement QI
5. safety
6. informatics
Osteomyelitis - ANSWER A bone infection
Liquid or meltaway form of medication - ANSWER -Children do not have enough
coordinations to swallow tablets or pills until they are 6 or 7 years of age
- liquid or meltaway form of medication is better for anyone under that age
Weight based dosage system - ANSWER Because children range in sizes from as
small as one town to more than 200 pounds using wait to determine dosage is used
for medication
Assessment for child needing medication - ANSWER -Weight in kilograms/for
weight-based dosing
-height and weight required for medication for chemotherapy dosing
-developmental age
- chronological age and cognitive level
-past experience with taking medication
-family's financial means/to determine if medication is affordable
2020 national health goals include - ANSWER - Reduce emergency department
visits from medication overdose among children less than five years of age
- reduce the proportion of adolescence reporting the use of alcohol
- reduce the past year nonmedical use of any psychotherapeutic drugs including pain
relievers tranquilizers stimulants and Sedatives
Nursing care planning based on
2020 national health goals - ANSWER Educate parents about
-safe drug storage
-pharmacology ways to relieve stress or anxiety to help reduce drug dependency
Nursing diagnosis related to medicine administration examples - ANSWER -
disturbed sleep pattern r/t q4h timing of medication administration
, -deficient knowledge R/T action and side effects of medication
-discomfort R /T side effects of medicine
-Health seeking behaviors my parents R/T desire to learn more about different types
of medicine available for child's illness
Outcome and planning administration of medicine for children - ANSWER -right
form , right route of medicine such as: liquid, capsule, oral or IM
-determining the accurate dose for size of child
-scheduling for administration must be not only one that is effective for drugs action
but also one that will not interfere with school activities eating or sleep
- age-appropriate level of explanation to the children about effects that can be
expected from any medicine
Implementation - ANSWER -Teaching parents and children how to continue to take
the medicine one at home or at school
-help parents fill out administration schedule to post in it readily visible location such
as on the refrigerator bathroom mirror or leaving reminder messages on their smart
phones/ can help ensure dosage of medicine will be given
Outcome
-with medication administration should ensure that a child receives the medicine as
prescribed and that the medicine as desired effect
examples of outcomes achievements: - ANSWER -child states she understand she
must continue to take thyroid hormone for a lifetime
-parent list the adverse effects of prescribed drug and state the telephone number
they will call if adverse symptoms occur
- parent demonstrates the correct dose using the medication delivery device (oral
syringe ) that they will use at home
Different routes of medication administration for children - ANSWER - Orally
- intranasally
-intradermally
-topical
- rectally
-injection ( subq, intradermal, IM, IV , intraosseous, epidural )
- inhalation
Pharmacokinetic - ANSWER The way drugs are:
-absorbed
- distributed throughout the body
- metabolized
-excreted
Absorption
- the transfer of drugs from its point of entry in the body into the bloodstream -
ANSWER Influenced by :
-the route of administration
- concentration and acidity of the drug
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