What is the nursing intervention for patient with hemorrhagic disease of newborn?

Answer 1

Monitor for bleeding

Vital signs every 15 min (for post op)

Monitor color, skin and dressing Monitor for bleeding

Vital signs every 15 min (for post op)

Monitor color, skin and dressing

Answer 2

Non Life threatening:

Nursing staff must implement resuscitative techniques as so:

* Oxygen therapy should be started, and maintained at a prescribed rate. * Vital signs checked regularly (Blood pressure, Pulse, Respirations) as signs of worsening haemorrhage. * CVP (central venous pressure) monitoring may also be started * Vomit should be assessed (if any), for signs of blood, and the type that there is (fresh or "coffee ground" appearance) * If bleeding is severe and vomiting is continuous, an NG (nasogastric) tube may be inserted to determine the amount. * Stools should be observed for melaena * Pain usually requires opiate analgesic relief (such as morphine, fentanyl). - Response to the pain relief should be rechecked and monitored, for signs of respiratory depression, and effectiveness. * Urine output must be monitored, as hypotension (low blood pressure) caused by the bleeding can impair renal output. * Fluid should be topped up, either plasma protein substitutes or full blood products should be given to maintain a circulating volume. * The patient should also be talked to and reassured, trying to keep the patient calm is important. * When/If the patients situation has stabilised preparations can be made for surgery. If conservative treatment has worked however, there should be no need.