Implementation of nursing care, Biology

Implementation of Nursing Care 

Administration of Appropriate Drugs 

If  the surgery is not necessary or if  it is postponed for some time then diuretics and digoxin are administered with great caution for congestive heart failare. Care is taken to restrict fluid intake and monitor any side effect of digitalisation. 

Preoperative  and Postoperative Care 

The surgical treatment consists of  ligation of  the ductus or by division and suture of duct. The preoperative and postoperative care is same as in a child who has undergone open heart surgery. 

Assist in Pharmacologic Closure 

This is achieved in low birth weight babies with indomethacin. This inhibits prostaglandin synthesis. Improvement in left to right shunt can be seen within 12 to 18 hours after the medicine is given. Nurse's responsibility is to watch the child for any complication of the drug and reporting the same. This may cause hyperbilirubinemia, kidney dysfunction and hyponatremia.  

Posted Date: 10/26/2012 8:44:23 AM | Location : United States

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