Diagnosed with gestational diabetes

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Reference no: EM133990919

Problem Based Care Plan Worksheet in the NICU

A baby was born at 37 weeks 1d by a mother diagnosed with gestational diabetes. baby is 53 hours old, with a low sugar of 31 (the reference range per protocol should be 40 to 60).Wt 7lb 4oz, baby low BP 56/42, temp 98.3 F, pulse 135, Resp 60, HR 180, Ht 46.5cm, Head circumference 34cm, SpO2 94%,, BM15.22kg/m2, Head to toe assessment done. Baby is on DW 10 fluids dropping rate of 8 per minute, Enfamil feed 40ml every 3 hrs.

1. What assessment data does the nurse find as pertinent (Recognize Cues)?

2. What is the disease process causing these assessment findings (Analyze Cues)?

3. What is the main problem with the patient the nurse can treat (Prioritize Hypotheses)?

4. What is the goal for the patient (Generate Solutions and Take Action)? Create specific, measurable, achievable, realistic, and timetable (SMART) outcomes. Outcomes that can be achieved during shift.

5. What interventions will the nurse implement when caring for this patient (Generate Solutions and Take Action)? Include the evidence.

6. List Interventions In order of priority. Include Collaborative and Nurse-initiated Interventions.

7. What was the patient's response to the interventions?

8. What other problems could the nurse link to this patient's problem?

Reference no: EM133990919

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