Nursing homes and plans intraventrikular Bleeding

Nursing homes and plans intraventrikular Bleeding

Intraventrikular bleeding (intraventricular hemorrhage = ivh) aimed at the bleeding into the brain ventricles. This type of bleeding is only mempengaruhibayi premature; that less than 34 weeks of gestation which has a high risk of ivh. Physical signs of acute berentang are not visible until a non-observable signs.
Possible complications include increased intracranial (ICT), aniksia brain and brain damage, impaired child development, and even death. Treatment is usually supportive and includes anticonvulsan treatment, vitamin E, and steroid and ventilator support.
ASSESSMENT
Nerve supply
The signs and symptoms of acute

Convulsions (complete or focal)
Not respond to the stimulus
Front crown looks prominent and tense

The signs and symptoms that are less tangible

Less responds to stimuli

Breathing

Apnea

Cardiovascular

Hypotension

Musculoskeletal
The signs and symptoms of acute

Hypotonic

The signs and symptoms are less obvious

Mild hypotonic

Integumentary
The signs and symptoms of acute

Gray
Unstable body temperature

The signs and symptoms are less obvious
· Pale
Nursing Diagnosis
Risk of injury-related dengankelemahan on cerebral capillary blood vessels.
Expected results
Babies will not mengamlami perharahan sign marked with stable hemodynamic status, ICT normal, no seizures, and cerebral perfusion pressure above 50 mm Hg
Intervention
1. Monitor and maintain arterial oxygen partial pressure (PaO2), arterial partial pressure of carbon dioxide, oxygen saturation, and pH through the defense of the virgin roads remain free and use oxygen delivery devices such as oxygen hood, continuous positive airway pressure, or a mechanical ventilator.
2.Monitor baby's blood pressure every 4 hours
3. Assess the baby's neurological status every 2 to 4 hours, record the seizure activity or increased pressure in the crown. Note the crown front and head circumference every 4 to 8 hours, then every 24 hours.
4. Lowering the risk of hypothermia or hyperthermia,, do not get direct airflow, leave the child without entering ekdalam closed incubator or a warm desk, and use heat sensor patch and monitor body temperature.
5. If given sodium bicarbonate to cope with metabolic acidosis, give a solution of 1: 1 for 20 to 30 minutes.
6. hemoglobin and hematocrit levels examined every 1 to 2 days
7. Carefully monitor fluid intake and output.
8. Perform nursing care to help reduce stress in babies
9. Abgian Elevate the head of the bed or in an incubator at 15 to 30 degrees
1. aids do ultrasonography or CT scan if necessary
Rational
1. Memperetahankan baby's blood gas levels will prevent hypoxia, which can lead to circulatory failure and increased cerebral perfusion. Enhancement will increase the cerebral perfusion pressure in blood vessels can tear blood vessels.
2. Adequate cerebral blood flow bewrgantung at normal systemic blood pressure.
3. Seizure activity can result in decreased cerebral blood flow. The crown can m4njadi prominent and tense. Increased head circumference may indicate ivh.
4. Extreme body temperature changes that will increase stress on the cardiovascular system of infants, the possibility of ICT peningkaan
5. Liquids that are hiperosmolalitas can increase intravascular pressure, which can cause dilation of blood vessels and cause bleeding
6. Hemoglobin decrease suddenly and hematocrit levels may indicate ivh
7. Careful monitoring to help prevent excessive caioran or decrease fluid, which can interfere with the systemic pressure and cause bleeding.
8. Stress due to a stimulus can reduce levels of PaO2
9. Elevating the head of the bed will help prevent peningkatab blood flow and congestion of the brain.
2. Diagnostic test to help assess the condition of the baby.
Nursing Diagnosis
Lack of knowledge related to the baby's condition and care home
Results are expected
The parents will express their will pemahamannnya baby's condition and care instructions
home
Intervention
1. Assess understanding parent to child illness
2. Give an explanation of the infant medical conditions, procedures, and treatment received
3.Jelaskan purpose and use of medications, including dosage and possible description of the reaction.
1. Increase the normal development of children, informing parents to provide stimulation to the baby through a show of color, giving the game to increase its development, training muscles, and talk.
2. Teach parents to prevent seizures and what to do when seizures occur, including a baby lying position, maintaining respiratory status, prevent babies from possible injury and record seizure activity.
Rational
1. The assessment provides a basis to begin teaching.
2. This information will help parents understand the baby's condition and needs while in hospital and reduce his anxiety about the state of her baby.
3. This information will help parents give medication properly. An understanding of drug reactions that allow parents to seek help when needed.
4. Ivh can inhibit development and cause brain damage, infant needs stimulation to grow normally. On average 20% of infants with developmental disorders ivh experience
5. Parents need how to adjust to myself when facing infant who experienced seizures since ivh can increase the risk of seizures.
Check the documentation
During his stay in the hospital, noted:
· Overall status of infants and assessments undertaken during hospitalization
· Changes in health status of infants
· Pemerriksaan diagnostikyang laboratirum and tests performed
· Intake and output fluid
· Status grew kemang
· Monitoring ICT
· Use of ventilator
· Reaction of parents and infants in relation to the disease and stay in hospital
· Guidelines for health education for families
· Guide home plans

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