It is somewhat lower in infants. Remove gloves, and wash hands. HERPES SIMPLEX VIRUS. (May use bath thermometer if available.) Teach hygiene practices to the parents as needed: frequency of bathing, shampooing hair, cleaning genitals, avoiding bubble bath (can cause vaginal irritation), and so on. Place in media culture. Arrange pillows and bedding for the patient’s comfort. Apply urine collection device (infant) or have child void. It should feel comfortably warm. 5. Once nurses understand the stressors that affect hospitalized children, the effect of these stressors can be minimized with providing atraumatic care. 16. Explain the procedure (allays anxiety). 4. 2. The nurse might say, “I know this must be embarrassing for you. 12. Wash hands; glove; apply mask and goggles (if necessary). Always wash hands before and after any procedure performed. Toddlers can be given brief, simple explanations just before the procedure and may need to be restrained while the procedure is performed. Many children will be reluctant to void into a specimen container; have the parents assist as much as possible. Preschoolers engage in “magical thinking” and believe they have all-powerful thoughts. Describe oxygen therapy related to children, 13. A clean technique is generally used. Record in nurse’s notes. However, if sterile catheters are not always available, additional guidelines may be recommended by the physician. When performed, the sponge bath may be given in a tub or in the child’s bed (Skill 3-3). • Assess color and pulse frequently. Explain the procedure to the patient and family (allays anxiety). • Record temperature before and 30 minutes after the procedure. Equipment Documentation of the procedure, including child’s reactions, is also done. It is also difficult to keep the awake child still for catheter insertion, which increases the risk of contamination. Skills Checklist Position infant. Older children can help with collection of their own specimens; collection bags are required for infants and small children. Wash hands; wear gloves (ensures that standard precautions are followed). Disposable lumbar puncture sets are available. Document: Time procedure began, length of time administered, untoward reactions, patient’s vital signs before and after procedure. (May use bath thermometer if available.) Pat dry; regown. child permission to express them without being critical. Label all specimens clearly, and attach the proper laboratory slip. Bathe remainder of body. Children who can voluntarily void can assist in obtaining a clean-catch specimen. Explain the necessary safety precautions when bathing an infant They may feel responsible for bad thoughts that coincide with events and need to be reassured that their thoughts did not cause the event and that a procedure is not a punishment. Blood specimens are generally collected by the laboratory technician or a specially trained nurse. The heel is often used in infants (Figure 3-2). It is also difficult to keep the awake child still for catheter insertion, which increases the risk of contamination. The nurse always provides comfort after the procedure. so a lady walked towards me telling me why I'm so sad and I open everything by telling her my problem, she told me she could help me, she introduced me to a doctor who uses herbal medicines to cure the SIMPLEX HERPES VIRUS and gave me your email, so I sent you an email. 5. 2. Turn the patient and repeat the procedure, beginning with the neck, and then going to the shoulders, the back, and so forth. Home Care Guidelines for Intermittent Catheterization Using a “Clean” Technique Parents may want to be there during the procedure to provide comfort but should not be viewed as the restrainer. The nurse might say, “I know this must be embarrassing for you. Teach hygiene practices to the parents as needed: frequency of bathing, shampooing hair, cleaning genitals, avoiding bubble bath (can cause vaginal irritation), and so on. Method (Rationale) You can contact him onhis Email: [email protected] call me+2348159922297 or whatsapp me +2348159922297 and get all your problem solved.1)Sickness of any kind2)Help to CURE Hepatitis B, HIV/AIDs CANCER and BIPOLAR3)Divorce, Breakup problem and To Re-unit4)Pregnancy problem5)Financial problem and Job promotion6)To get a good and rich life partner7)To Lose your wath8)to enlargement of pennis9. Remove gloves and wash hands. Sensations during a lumbar puncture include a cool feeling when the skin is cleansed and a feeling of pressure when the needle is inserted. All urine specimens need to be labeled and sent to the lab immediately because bacteria accumulate at room temperature. Remember that child life specialists not only provide education before procedures, but often help children through procedures as well by providing distraction and other assistance. The child’s metabolic rate will increase 10% for every 1° C increase. Explain procedure to child or parent (allays anxiety). This involves instillation of sterile saline, followed by aspiration of the contents (Hockenberry and Wilson, 2009). 3. Remember, however, that the cream needs to be in place approximately 60 minutes before the blood sample is taken (if LMX or lidocaine cream is used, allow 30 minutes). Explain procedure to child or parent (allays anxiety). Bulb Suctioning • Never add alcohol to water. Ibuprofen should only be used for children older than 6 months of age. Monitor closely for urine output. If a child has a central venous catheter or port, specially trained nurses can obtain the blood specimen by following hospital procedure. An example would be if the patient were taking a urine specimen that was obtained at home, to a laboratory. 8. Safety Issues (Rationale) COPD (chronic obstructive pulmonary disease), Am here to appreciate Dr Oliha for using his herbal medicine to cure my Herpes virus. • Wash hands. Be sure the toddler does not view this as punishment. Immobilize the child well, but avoid restraints if at The nurse can acknowledge these feelings by giving the child permission to express them without being critical. Blood specimens are generally collected by the laboratory technician or a specially trained nurse. Remove patient’s gown. A bulb syringe is used when it is necessary to provide an open airway by removing secretions from an infant’s mouth and nose (Skill 3-2). How to Start an IV? Assemble the equipment at the bedside. Assemble equipment. 4. 4. Prepare basin, check temperature. Figure 3-2 Sites for heel punctures on an infant. Apply shampoo, and rinse. 10. Compare and contrast gastrostomy button and gavage feedings with infants and children Check the temperature by submerging your wrist in the water or placing drops on the inside surface of your forearm. Skill 3-2 Suctioning with a Bulb Syringe. It is for grown-ups, too, but we need this because …” The nurse then clasps hands together at the front of the child and leans forward, gently placing his or her chest against him or her (Figure 3-3). Infants may be supported in the sitting position with their backs curved and head flexed forward. Toddlers can be given brief, simple explanations just before the procedure and may need to be restrained while the procedure is performed. Rinse bulb syringe with water, or take it apart and clean if applicable. Towels 7. Remove gloves, and wash hands (ensures that standard precautions are followed). 16. 3. 9. azotemia (p. 50) (ă-zō-TĒ-mē-ă; p. 50) Describe oxygen therapy related to children Drape patient (if done in the bed) An adequate specimen may be obtained using a suction device such as a mucus trap with a catheter inserted into the trachea. 2. Skill 3-6 Obtaining a Throat Culture There should be no sign of respiratory distress. terms that the young child understands, such as “pee-pee” or “tinkle” when describing what the child is to do. Fever with temperatures less than 39° C (102.2° F) does not require treatment if the child is generally healthy (Kliegman et al., 2007). The specimen is labeled properly, and the laboratory slip is attached. If the child has a diagnosis suspicious of epiglottitis, the throat culture should not be done because the airway may become edematous (swollen) and occlude (block air movement) from the trauma of specimen collection.