University:
West Coast University
Course:
NURS 110 | Introduction to Professional Nursing
Academic year:

2020
Views:

371

Pages:

1
Author:

Leilani Contreras

Signs and Symptoms Pathophysiology *Viral Lower Respiratory Tract Infection *Inflammation of the bronchioles *Obstruction of small airways *Increased mucus production *Edema of the epithelial cells lining the small airways *Runny nose *Increased respiratory effort *Wheezing *Coughing and sneezing *Copious secretions *Otitis media or conjunctivitis *Tachypnea *Poor feeding *Excessive sleepiness Respiratory Syncytial Virus (Bronchiolitis) Patient teaching Nursing Implications *Educate family or parent about symptoms of deterioration especially in feeding and behavior *Teach parent good hygiene habits like proper hand-washing *Instruct parent about administration of medication via proper route *Assess airway for patency *Monitor vital signals *Auscultate lung sounds *Maintain Fluid intake *Provide adequate nutrition *Monitor Intake and Output *Encourage oral fluids *Administer nebulizer hypertonic solution Diagnostic Tests *Social and Family history of the patient *Physical examination for any signs of chest retractions *Chest X-ray *Nasopharyngeal aspirate(NPA) Treatment medication *Treatment of symptoms like fever and pain relief *Palivizumab *Short-acting Beta Agonist Bronchodilators *Ribavirin Other Priority Nursing Diagnosis *Young kids under 2 years old and premature babies are more prone to develop RSV( bronchiolitis) *Administration of supplemental oxygen *Fluid replacement *Contact precautions. *Impaired gas exchange *Impaired breathing pattern *Fluid volume deficit *Hyperthermia.