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A mother has brought her 4-year-old daughter to the emergency department. She didn't realize her husband...

A mother has brought her 4-year-old daughter to the emergency department. She didn't realize her husband had sprayed the lawn with a pesticide and allowed their daughter to play in the yard. She now comes in with complaints of nausea, vomiting, difficulty breathing, and confusion.

A. How would you respond? What are you initial interventions? B. How can you help the family? C. What are some nursing diagnoses that would be appropriate for this situation?

Solutions

Expert Solution

A)Respiratory exposure is particularly hazardous because pesticide particles can be rapidly absorbed by the lungs into the bloodstream. pesticides cancause serious damage to nose, throat, and lung tissue if inhaled in sufficient amounts. Vapors and very small particles pose the most serious risks.The child needs immediate treatment and act fast to prevention further complications  Administer oxygen ,Supportive care, decontamination, and treatment with atropine and pralodoxime

B)Explain the condition of the child and give psychological support.

C)Ineffective airway clearance related to excessive secretions

Ineffective breathing pattern related to neuromuscular impairment

Decreased cardiac output related to the cholinergic effects of OP poisoning (arrhythmia, bradycardia and hypokalaemia)
Deficient fluid volume related to fluid loss due to vomiting, loose stools, diaphoresis and excessive secretions
Risk for injury related to seizure activity secondary to OP poisoning

Compromised family coping related to the critically ill family member

Nightingale answered 1 year ago
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