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5 Hydrocephalus Nursing Care Plans

Hydrocephalus Nursing Prevention Plans|Hydrocephalus is an abundance accumulation of cerebrospinal smooth in the ventricular order resulting in the extension of the intracranial concavity. This occurs from an nonconformity in the evolution and parching of the smooth which causes an extension in intracranial urgency as the smooth builds up. Hydrocephalus can be classified as communicating or noncommunicating. Communicating occurs when there is an mixed resorption of cerebrospinal smooth, usually at the raze of the arachnoid villi. Noncommunicating hydrocephalus is caused by an hinderance among the ventricular order. As the culmination heave to an irregular bulk, the infant experiences changes in raze of intelligence, sensibility, acute cry, inferior conclusion spasticity and opisthotonus and, if the hydrocephalus is know-againd to growth, the infant experiences difficulty in sucking and sustentation, emesis, seizures, sunset eyes, and cardiopulmonary complications as inferior brainstem and cortical business are disrupted or destroyed. In the child, extensiond intracranial urgency (ICP) focal manifestations are accustomed cognate to room occupying focal lesions and embrace culminationache, emesis, ataxia, sensibility, drowsiness, and confusion.Hydrocephalus Nursing Prevention Plans.

Nursing Prevention Plans

The nursing goals for a client after a while hydrocephalus may embrace fit cerebral tissue perfusion, reducing anxiety, preventing reward, and the omission of complications. Here are five (5) nursing prevention plans (NCP) and nursing diagnosis (NDx) for hydrocephalus:
  1. Ineffective Cerebral Tissue Perfusion
  2. Anxiety
  3. Risk for Reward (Preoperative)
  4. Risk for Reward (Postoperative)
  5. Risk for Infection

Ineffective Cerebral Tissue Perfusion

Nursing Diagnosis May be cognate to
  • Decreased venous or arterial blood flow
  • Increased intracranial urgency
Possibly evidenced by
  • Decreased pulse or respirations
  • High pitched cry
  • Irritability, Restlessness
  • Impaired brain lineage flow
  • Lethargy

Desired Outcomes

  • Child/Infant conciliate reveal reformd brain business as evidenced by ordinary inseparable signs, progress of alertness and cry, and no prefer reward in the raze of intelligence.
Nursing Interventions Rationale
Assess inseparable signs hourly, noting for any nonconformity in brisk and nature rate and rhythm and appraise the pulse urgency. Monitoring inseparable signs air-tight to know-again present signs of extensiond intracranial urgency (such as fitful lineage urgency, tachycardia, and svolatile brisk) or Cushing’s triad (bradycardia, apnea, and widening pulse urgency).
Assess neurological standing (such as unsubstantial standing, motor, and adjust, reflexes (for newborns and infant), and cranial strengths. These assessments conciliate enumerate changes in child neurological provisions associated after a while ICP.
Examine the pupils by noting its bulk, figure, balance, and posture of the pupils, and their rejoinder to volatile. Pupil reaction which is inferior by the cranial strength III (Oculomotor strength) is salutary for assessing brain stem business.
Note the tendency and character when manifestation cry A elevated pitched cry may specify extensiond intracranial urgency.
Measure the client’s culmination periphery and show of antecedent fontanelle. Head periphery, if increasing, or a firm bulging fontanelle reveals CSF accumulation.
Provide a non-stimulating environment and ample quiet periods. Continual courage and stimulation may extension intracranial urgency.
Elevate the culmination of the bed spiritual encircling 15-45 degrees as specifyd. Maintain the client’s culmination in impartial posture. This posture conciliate weaken arterial urgency by promoting venous drainage and repair cerebral perfusion.Hydrocephalus Nursing Prevention Plans.
Provide oxygen therapy as needed. Suppleunsubstantial oxygen decreases hypoxemia levels which may reform cerebral vasodilation and lineage book.
Administer diuretics, carbonic hydrase, corticosteroids as ordered. Acetazolamide (Diamox) and furosemide (Lasix) may govern communicating hydrocephalus by reducing evolution of cerebrospinal smooth; Corticosteroids weaken inflammation.

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Pediatric Nursing Prevention Plans

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