Nursing Care Plan for VSD in Children
1. Decreased Cardiac Output related to cardiac malformations.
Goal: to improve cardiac output.
Outcomes: signs of improvement in cardiac output.
Intervention:
- Observe the quality and strength of the heartbeat, peripheral pulses, skin color and warmth.
- Assess the degree of cyanosis (mucous membranes, clubbing).
- Monitor signs of CHF (anxiety, tachycardia, tachipnea, shortness of breath, tired while drinking milk, periorbital edema, oliguria and hepatomegaly.
- Collaboration for the provision of drugs as indicated.
2. Impaired gas exchange related to pulmonary congestion.
Goal: improved gas exchange.
Outcomes: no signs of pulmonary vascular resistance.
Intervention:
- Monitor the quality and rhythm of breathing.
- Adjust the position of the child with Fowler position.
- Avoid child of an infected person.
- Give adequate rest.
- Give oxygen as indicated.
3. Activity intolerance related to imbalance between oxygen consumption by the body and oxygen supply to the cells.
Goal: client activity are met.
Outcomes: Children participate in activities according to ability.
Intervention:
- Allow the child frequent breaks and avoid disturbances during sleep.
- Suggest to do the game and light activity.
- Help children to choose activities appropriate to the age, condition and capacity of the child.
- Give the period of rest after activity.
- Avoid the ambient temperature is too hot or cold.
- Avoid things that cause fear / anxiety child.
4. Delayed Growth and Development related to an inadequate supply of oxygen and nutrients to tissues.
Goal: There is no change of growth and development.
Outcomes: Growth of children according to the growth curves of weight and height.
Intervention:
- Provide a balanced diet, high nutrients to achieve adequate growth.
- Monitor height and weight.
- Involve the family in providing nutrition to children.
5. Imbalanced Nutrition: less than body requirements related to fatigue at mealtime and increased caloric needs.
Goal: nutritional needs are met.
Outcomes: The child maintains food and beverage intake.
Intervention:
- Measure body weight each day with the same scales.
- Record intake and output correctly.
- Give small portions of food frequently.
- Give drink that much.
6. Risk for infection related to declining health status.
Goal: avoid infection.
Outcomes: no signs of infection.
Intervention:
- Monitor vital signs.
- Avoid contact with infected individuals.
- Give adequate rest.
- Provide optimal nutritional needs.
7. Parental Role Conflict related to hospitalization of children, fears of the disease.
Goal: There is a change in the role of parents.
Outcomes:
- Parents express their feelings.
- Parents are sure to have an important role in the success of the treatment.
- The motivation of parents to express their feelings in relation to the child.
- Discuss with parents about the treatment plan.
- Provide clear and accurate information.
- Involve parents in the care of the child while in hospital.
- The motivation to involve families in the care of other family members of children.
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