In neonatal tetanus, symptoms usually appear from 4 to 14 days after birth, averaging about 7 days. The fatality rate for infants has been estimated as 70% to 100%; death usually occurs by the age of 2 weeks. On the basis of clinical findings, four different forms of tetanus have been described. The time from exposure to symptoms may be up to several months.
Nursing Diagnosis for Neonatal Tetanus
- Ineffective breathing pattern related to respiratory muscle fatigue
- Imbalanced nutrition, Less than body requirements related to the baby's sucking reflex is inadequate.
Nursing Intervention for Neonatal Tetanus
Nursing Diagnosis I
Ineffective breathing pattern related to respiratory muscle fatigue
Nursing Intervention:
- Assess the frequency and pattern of breath
- Note the presence of apnea, the frequency change of heart, muscle tone and skin color.
- Perform cardiac and respiratory monitoring continuously.
- Suction airway as needed.
- Give the tactile stimulation immediately after apnea.
- Monitor laboratory tests as indicated.
- Give oxygenation as indicated.
- Give medications as indicated.
Nursing Diagnosis II
Imbalanced nutrition, Less than body requirements related to the baby's sucking reflex is inadequate.
Nursing Intervention:
- Assess the maturity of the reflex with respect to feeding, sucking, swallowing and coughing.
- Auscultation bowel sounds.
- Review the signs of hypoglycemia.
- Give appropriate medication electrolyte supplements.
- Give parenteral nutrition.
- Monitor laboratory tests as indicated.
- Make provision of drinking according to tolerance.
Related Articles :
- Neonatal Tetanus : Definition, Causes and Prevention
- Nursing Care Plan for Neonatal Tetanus
Source : http://nanda-nursing.blogspot.com/2011/04/nursing-diagnosis-and-nursing_20.html
