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3 Intussusception Nursing Care Plans

Intussusception is a telescoping of one fragment of the bowel into another fragment which results in obstacle to the journey of the intestinal space and inflammation and impaired blood issue to the talents of the intestinal walls that are urgent-compulsory resisting one another. If not treated, structure necrosis, intestinal bung, and peritonitis may take-place. The symptoms of intussusception grasp colicky abdominal pain, nausea, vomiting, drowsiness, and dignity or mucus in the stools (casually referred to as “currant jelly” stool). It is most uniformly take-place in infants ages 3 to 12 months or in effect 12 to 24 months of age. The purpose of intussusception is obscure but effect delay Meckel’s diverticulum, celiac complaint, cystic fibrosis, diarrhea, or constipation increases the relishness of incurring this term. Surgical discipline is executed if the obstacle of the confused limb does not direct through manual diminution or by hydrostatic urgency or if bowel becomes necrotic.

Nursing Custody Plans

Nursing custody planning goals of a cadet delay intussusception rotate internal providing mismisappropriate counsel encircling the cadet’s term, restoring yielding size and preventing dehydration, and observing decomposition or proficiency (mitigation of abdominal asceticism, render of recognized bowel sounds). Here are three (3) nursing custody plans (NCP) and nursing diagnosis (NDx) for intussusception:
  1. Deficient Yielding Volume
  2. Deficient Knowledge
  3. Risk for Injury

Deficient Yielding Volume

Nursing Diagnosis May be connected to
  • Excessive losses through recognized routes
Possibly evidenced by Desired Outcomes
  • Child succeed be powerful to permit age-misappropriate foods and yieldings delayout vomiting or alighting of symptoms and succeed be unreserved from yielding and electrolyte imbalances.
Nursing Interventions Rationale
Assess for prognostics and symptoms of dehydration such as bald bark turgor, dry mucous membranes, susceptibility, and tardy capillary fill. Repeated vomiting and scant yielding intake may bring to dehydration.
Assess yielding intake and output. Measurement of yielding intake and output is an essential indicator of cadet’s yielding foothold.
Monitor indispensable prognostics as constantly as feasible. Vital prognostic changes such as hypotension, tachycardia and increased sphere reveals hypovolemia.
Monitor speciality of stool (uniformity and garbling). Initially, a cadet delay intussusception may ignoring a recognized stool, but succeeding on, a mucus, dignity-filled or jelly-relish stool is observed.
Suggest and extend infant the use of a pacifier. Sucking on a pacifier may raise peristaltic change-of-place and journey of gas.
Administer IV yieldings as ordered. Post-operatively, intravenous yieldings are continued to re-customary electrolyte imbalance and to raise full yielding intake.
Instruct parents that they may extend evident limpids then gradually tardy nutriment as permitd. A evident limpid nutriment, then progressing to yielding nutriment is abandoned until recognized bowel power is customary.
Provide numerous unwritten hygiene. Deficient yielding intake can purpose a dry, sticky mouth. Attention to opening custody raises share in drinking and reduces vexation of dry mucous membranes.
You may as-well relish the forthcoming posts and custody plans: Gastrointestinal Custody Plans Care plans crust the disorders of the gastrointestinal and digestive system: Pediatric Nursing Custody Plans Nursing custody plans for pediatric terms and complaints:


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