The nursing care plan aims to address ineffective thermoregulation in a newborn infant through close monitoring and maintaining a thermally neutral environment. Interventions include monitoring the infant's axillary temperature every 3 hours, keeping the infant in an incubator or under a radiant warmer, and ensuring the skin is dry. The goal is to minimize heat loss and maintain the infant's stable body temperature within an acceptable thermal range through warming, drying, and avoiding cold exposure. Regular temperature monitoring will help evaluate the effectiveness of the interventions.
The nursing care plan aims to address ineffective thermoregulation in a newborn infant through close monitoring and maintaining a thermally neutral environment. Interventions include monitoring the infant's axillary temperature every 3 hours, keeping the infant in an incubator or under a radiant warmer, and ensuring the skin is dry. The goal is to minimize heat loss and maintain the infant's stable body temperature within an acceptable thermal range through warming, drying, and avoiding cold exposure. Regular temperature monitoring will help evaluate the effectiveness of the interventions.
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The nursing care plan aims to address ineffective thermoregulation in a newborn infant through close monitoring and maintaining a thermally neutral environment. Interventions include monitoring the infant's axillary temperature every 3 hours, keeping the infant in an incubator or under a radiant warmer, and ensuring the skin is dry. The goal is to minimize heat loss and maintain the infant's stable body temperature within an acceptable thermal range through warming, drying, and avoiding cold exposure. Regular temperature monitoring will help evaluate the effectiveness of the interventions.
Copyright:
Attribution Non-Commercial (BY-NC)
Available Formats
Download as DOC, PDF, TXT or read online from Scribd
PLAN ASSESSMENT NURSING PLANNING INTERVENTION RATIONALE EVALUATION DIAGNOSIS
Objectives; Ineffective Within 90 mins. of • Monitor • Regular After 30 mins. of
thermoregulation r/t mummifying the axillary temperature mummifying the • acrocyanosis decrease infant, maintaining temperature at monitoring will infant, maintaining • Capillary refill subcutaneous body thermal neutral least every 3 identify adequate thermal neutral time of 3 hours or as or inadequate fat 20 newborn environment such environment such seconds. necessary. thermoregulation. hypothermia as turning off the Axillary as turning off the • Apnea air-conditioned, temperature is air-conditioned, • cool pale extremities monitoring the good indicator of monitoring the • dry skin axillary newborn’s axillary temperature temperature as surface as necessary the • Temperature: necessary body will temperature body minimize heat 35.5 C • Dyspnea minimize heat loss, loss, warm, and dry • To warm the • RR:68 bpm warm, and dry skin • Provide skin newborn and heat/warm the adequately newborn using maintain incubators, accepted thermal radiant warmer, range and skin-to-skin contact. • To maintain stable body • Maintain temperature of thermal neutral the newborn and environment and decrease the avoid situations possibility of heat that might loss through predispose the conduction, infant to heat convection, loss, such as radiation, & cool air, drafts, evaporation bathing, and cold bedding. • Drying • Dry newborn quickly and thoroughly and placing and quickly and placing on a discard the wet warm, dry blanket. Place surface prevent the infant under heat loss from a pre warmed evaporation. radiant warmer.