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Most drugs in children are dosed according to body weight (mg/kg) or body surface area (BSA) (mg/m2). Care must be taken to properly convert body weight from pounds to kilograms (1 kg= 2.2 lb) before calculating doses based on body weight. Doses are often expressed as mg/kg/day or mg/kg/dose, therefore orders written "mg/kg/d," which is confusing, require further clarification from the prescriber.
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Most drugs in children are dosed according to body weight (mg/kg) or body surface area (BSA) (mg/m2). Care must be taken to properly convert body weight from pounds to kilograms (1 kg= 2.2 lb) before calculating doses based on body weight. Doses are often expressed as mg/kg/day or mg/kg/dose, therefore orders written "mg/kg/d," which is confusing, require further clarification from the prescriber.
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Community Health Planning 1 Community Health Planning 8 Community Health Planning Yodaisy lLORENTE Florida National University Prof. Eddie Cruz RN MSN Community Nursing Class 12/02/2018 BSN Program Diabetes mellitus type 1: Assessment: History: When collecting data, ask the caregiver about: - The child’s symptoms leading up to the present illness - Ask about the child’s appetite. -Weight loss or gain. - Evidence of polyuria or enuresis in a previously toilet-trained child, - Polydipsia. - Dehydration. - Irritability and fatigue. Include the child in the interview and encourage him or her to contribute information. Physical exam: - Measure the height and weight and examine the skin for evidence of dryness or slowly healing sores. - Note signs of hyperglycemia. - Record vital signs, and collect a urine specimen. - Perform a blood glucose level determination using a bedside glucose monitor. -Urine dipstick test. For ketones in the urine, the child should be tested using urine dipstick test. Diagnosis: 1-Deficient Knowledge related to absence or deficiency of cognitive information as evidence by new diagnosis of IDDM 2-Compromised Family Coping related to Inadequate or inaccurate information as evidence by Anxiety and guilt 3-Risk for Injury as evidence by sweating, shakiness, nervousness, lightheadedness, weakness, nausea, moodiness, pale skin, loss of consciousness 4- Imbalanced nutrition: less than body requirements related to insufficient caloric intake to meet growth and development needs as evidence by patient BMI of 16. Planning: The major nursing care planning goals for diabetes mellitus type 1 the child. - Client will verbalize understanding of IDDM. - Client and parents will demonstrate appropriate blood-glucose monitoring insulin administration, dietary management, and exercise plan. - Client and parents will identify signs and symptoms of hypoglycemia and hyperglycemia and correct response - Family will explore feelings regarding the child’s long-term needs. - Family will determine appropriate support systems and coping skills - Family will show learning about and managing hypoglycemia and hyperglycemia, insulin administration, and exercise needs for the child. - Client’s blood glucose levels will maintain between 60 mg/dL and 120 mg/dL. - Client will maintain adequate nutrition. Nursing Interventions -The nurse will assess parents and child understanding of disease and ability to perform procedures and care, for educational level and learning capacity, and for developmental level. -The nurse will provide a quiet, comfortable environment; allow time for teaching small amounts at a time and for reinforcement, demonstrations and return demonstration; start educating one day following diagnosis and limit sessions to 30 to 60 min.
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1.
Safe Drug Administration
Nelia B. Perez RN, MSN Northeastern College – Nursing Department Santiago City, Philippines 3311
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Thank You... have
a nice day!
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