Take Actions (Implementation) Case Study 1: Part 4 Paolo is…
Take Actions (Implementation) Case Study 1: Part 4 Paolo is diagnosed with Hib. He is stabilized post nebulized epinephrine administration and no longer requires supplemental oxygenation. Vital signs now are as follows: Heart rate 117/minRespiratory rate 27/minOxygen saturation 94% on room airBlood pressure 89/47 mm HgTemperature 38.7º C (101.7º F) The nurse will first ensure the child’s head of bed is at the optimal height to aid in air flow and provide comfort to the child. Allowing the child to be in the position and placement of their choice (such as a parent’s lap) will be allowed if respiratory needs are being met. Allowing the child to feel safe and secure to minimize crying will also minimize stress on the airway and help prevent further swelling. Medications ordered by the health care provider will be administered, and may include corticosteroids, nebulized epinephrine, and potential pain or antipyretic medications. Antibiotics may be necessary if a bacterium, like Hib, is the causative agent. Educating the parent on medication administration at home—including frequency, measurement methods, dosing, whether to give with meals, and strategies to help with administration of oral medications—is essential for safe at-home medication administration. Education regarding needed immunizations and the importance of keeping immunizations up to date will also be provided to the parents at this time. Follow-up care will be important and needs to be emphasized to ensure Paulo returns to baseline and receives his vaccines. Now that Paolo is stabilized, which of the following interventions should the nurse complete?
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