Question

A 17 year old mother brought her 9 month old infant son in for a health maintenance check up. You note the baby appears a little pale, capillary refill is greater than 5seconds and his conjunctiva are pale? You ask mom how the baby is eating and what she is feeding him. a) What are you trying to ascertain, in other words, what are some of the medical diagnosis that come to mind? b) what nursing care should you implement? c) What are some of your outcomes?

Answer 1

Capillary refill should be brisk less than 2 seconds.prolonged refill may be associated with poor systemic perfusion or a cool ambient tempreature.in this case little pale capillary refill is greater than 5 second.

A,lack of nutrition.

Peripheral artery diseases.

Dehydration

Iron deficiency anemia

Hypoxia

Meningitis

Sepsis

B,. *. Providing diet rich in protein and iron according to food preference and availability.

* . Giving small amount frequent feed.

* Encouraging the child for positive attempt to take food.

*. Administering anthelmintics drugs as prescribed.

* Giving iron supplementation in between meals with fruit juices.

* Informing about side effects of iron therapy.

* Assessment of hydration status.

* Check vital signs

* Maintenance of intake and output record.

* Capillary refill time and senorium should be monitored every one hourly.

*. Urine output to be measured every one hourly.

*. Positioning the child in upright posture.

* Ensuring adequate dietary intake and nutritional rehabilitation.

C,. In this case infant have iron deficiency anemia, dehydration, hypoxia,lack of nutrition.so the infants little pale, capillary refill is greater than 5 second. And conjunctiva are tpale.