16. The femoral vein may be used when other sites have been exhausted. Tepid sponge bathing in warm water may be ordered to reduce hyperthermia (Hockenberry and Wilson, 2009). Record temperature, pulse, respirations. Apply lotion as needed (provides moisturizing and hydration). ), Begin by removing secretions from the child’s eyes with cotton ball immersed in plain water. Sensations during a lumbar puncture include a cool feeling when the skin is cleansed and a feeling of pressure when the needle is inserted. Also record pulse and respirations (report changes to charge nurse as patient’s condition may be changing). Remember to wash from front to back, Dress in clean clothing. How to Start an IV? Always perform procedures in the treatment room.  Towels Regardless of the location used to obtain the blood specimen, the nurse charts the site used, the name of the blood test, and any untoward developments. Method (Rationale) 5. Assemble equipment. Arrange pillows and bedding for the patient’s comfort. Method (Rationale) Check frequently under the diaper as leakage from the bag may occur. Suction nares carefully if necessary in same manner (suctioning the mouth first ensures that nasal secretions are not placed in the mouth). The child should not be permitted to shiver because shivering causes vasoconstriction and increased metabolism and can lead to a rise in temperature. However, if sterile catheters are not always available, additional guidelines may be recommended by the physician. i am not a stupid woman that i will come out to the public and start saying what someone have not done for me and i know that there are some people out there who are really suffering and hurting their family just because of these diseases so you can to mail him on [email protected] [email protected] or WHATSAPP +2347030465649 he also told me that he has cure for these diseases listed below . COPD (chronic obstructive pulmonary disease), i want to inform the public how i was cured of HERPES Simplex Virus by aDoctor called Dr.IRABOR. Figure 3-3 The nurse holds the child in a side-lying position with the head flexed and the knees drawn upward toward the chest during a lumbar puncture. Remember that child life specialists not only provide education before procedures, but often help children through procedures as well by providing distraction and other assistance. HERPES SIMPLEX VIRUS. The adolescent generally needs no restraint, only clear explanations and praise for cooperation. There should be no sign of respiratory distress. 6. Place in media culture. 8. Preschoolers need simple explanations and should be allowed to touch and handle equipment if possible. Cover the patient with a bath blanket or sheet. Describe the collection of urine and stool specimens with infants and children 7. Have the child look up, dip the swab tip into saline, and with the wire bent, insert the swab to the back of the nares and into the nasopharyngeal area. I was infected with HERPES SIMPLEX VIRUS in 2011, I went to many hospitals to heal myself but there was no solution, so I was thinking how I can get a solution so that my body can be well. Rub the skin dry. • Wear gloves because of contact with body fluids. 4. 5. Use a sterile container, or apply a urine collection device. This pediatric procedures book provides the student and professional nurse with a quick reference to essential nursing procedures and standards for practice. Dress in clean clothing.  Pen light if necessary Never use baby powder after the bath because the powder can be inhaled and cause breathing problems. Explain the procedure to the patient and family. When applying newborn and pediatric urine collectors, the skin must be clean and perfectly dry. The nurse then clasps hands together at the front of the child and leans forward, gently placing his or her chest against him or her (Figure 3-3). 12. 6. School-age children may be able to perform stress-reducing techniques such as visualization during the procedure. Be sure parents or nurse comfort child (provides reassurance once procedure is over). Cried briefly but consoled easily by parents. (e.g., bath performed per hospital policy. Special sterile containers are available for clean-catch specimens; follow the directions of the manufacturer. Be sure to check any allergies the child may have. Some children require frequent catheterization such as those with spina bifida. If a child has a central venous catheter or port, specially trained nurses can obtain the blood specimen by following hospital procedure. If the child has a diagnosis suspicious of epiglottitis, the throat culture should not be done because the airway may become edematous (swollen) and occlude (block air movement) from the trauma of specimen collection. Obtaining a 24-Hour Urine Specimen nt, only clear explanations and praise for cooperation. End with the perineal area. Fever with temperatures less than 39° C (102.2° F) does not require treatment if the child is generally healthy (Kliegman et al., 2007). The child may need to be temporarily restrained when a throat specimen is obtained. These specialists are helpful in the hospital and clinic setting. loose, brown stool specimen obtained for culture and sent to lab~signature). 2. Wash hands. Have child stick out tongue and say “ah” (helps visualize throat area for swabbing). The heel is often used in infants (Figure 3-2). EMLA (eutectic mixture of lidocaine and prilocaine) cream can be used to lessen the pain. The child lies on the side with the back parallel to the side of the treatment table. Toddlers can be given brief, simple explanations just before the procedure and may need to be restrained while the procedure is performed. Turn the patient and repeat the procedure, beginning with the neck, and then going to the shoulders, the back, and so forth. 17. Parents may want to be there during the procedure to provide comfort but should not be viewed as the restrainer. Discuss how to collect blood, throat, and nasopharyngeal specimens with infants and children 6. Alcohol should never be added to the water because it reduces the heat too rapidly and can be absorbed (leading to brain damage or even death in infants). Immobilize the child well, but avoid restraints if at Label all specimens clearly, and attach the proper laboratory slip. Label all specimens clearly, and attach the proper laboratory slip. 6. If the temperature has not started to go down, check to see whether the procedure should be repeated. Discard tissues, or place washcloth with soiled linen. An exception would be therapeutic holding done by the parent. Preparation of the child for a procedure is one of the most important tasks of the nurse.  Three washcloths, towel(s) Click to share on Twitter (Opens in new window), Click to share on Facebook (Opens in new window), Click to share on Google+ (Opens in new window), Discuss preparation techniques for the different developmental stages, Explain the necessary safety precautions when bathing an infant, Describe the collection of urine and stool specimens with infants and children, Discuss how to collect blood, throat, and nasopharyngeal specimens with infants and children, Describe the pediatric implications of assisting with a lumbar puncture, Contrast the administration of medicines to children and adults, Describe the preferred sites for intramuscular injections in infants and small children, Discuss precautions necessary when a child is receiving parenteral fluids and the rationale for each precaution, Compare and contrast gastrostomy button and gavage feedings with infants and children, Discuss care of the child with a tracheostomy, Describe oxygen therapy related to children, Explain how to measure an infant’s or child’s height, weight, and head circumference, Discuss how to obtain pediatric vital signs, With infants, the parents are given the explanation and will want to comfort the infant after the procedure. Suction nares carefully if necessary in same manner (suctioning the mouth first ensures that nasal secretions are not placed in the mouth). Depress anterior half of tongue with tongue depressor if necessary (use caution as this may elicit the gag reflex). evolve.elsevier.com/Price/pediatric/ This involves instillation of sterile saline, followed by aspiration of the contents (Hockenberry and Wilson, 2009). • Sponge bath should take approximately 20 minutes. Fever is defined as body temperature above 38° C (100.4° F) rectally. Wash hands. EMLA cream should be applied to the site at least 1 hour previous to the lumbar puncture. Contrast the administration of medicines to children and adults, 8. Repeat twice and follow with sterile water to prevent contamination of the specimen. Always assess the condition of the child after suctioning. • Cleansing the area when finished. Label, send to laboratory. This pediatric procedures book provides the student and professional nurse with a quick reference to essential nursing procedures and standards for practice. A nasopharyngeal culture may be ordered to rule out certain respiratory infections such as pertussis in children. Disposable lumbar puncture sets are available.