Acceso usuarios
María Elena Camelo Gomes
Este artículo trata de un plan de cuidados de enfermería basado en una lactante de 2 meses y 10 días que acude al servicio de urgencias por aumento de tiraje intercostal de 5 horas de evolución. El diagnóstico médico es polipnea, con presencia de leve tiraje intercostal, rinorrea y cierta irritabilidad.
Se realiza la entrevista de enfermería a la madre, en la que se analizan las 14 necesidades de Virginia Henderson. Se desarrollan los diagnósticos de enfermería siguiendo la taxonomía NANDA-NIC-NOC, entre ellos, patrón respiratorio ineficaz, limpieza ineficaz de vías aéreas y deprivación de sueño. Los objetivos se proponen durante su estancia en la sala de observación de urgencias, así como las intervenciones a seguir durante su estancia en el hospital y posteriores cuidados en el domicilio.
This article deals with a nursing care plan based on an infant aged 2 months and 10 days who comes to the Emergency Department for increased intercostal tugging of 5 hours of evolution. The medical diagnosis was polypnoea, with the presence of mild intercostal retractions, rhinorrhoea and some irritability.
A nursing interview was conducted with the mother, in which the 14 needs of Virginia Henderson were analyzed. Nursing diagnoses are developed following the NANDA-NIC-NOC taxonomy, including ineffective respiratory pattern, ineffective airway clearance and sleep deprivation. The objectives are proposed during their stay in the emergency observation room, as well as the interventions to be followed during their stay in hospital and subsequent care at home.
