Ventricular Septal Defects - 7 Nursing Diagnosis and Interventions

Nursing Care Plan for VSD in Children

1. Decreased Cardiac Output related to cardiac malformations.

Goal: to improve cardiac output.

Outcomes: signs of improvement in cardiac output.

Intervention:

• Observe the quality and strength of the heartbeat, peripheral pulses, skin color and warmth.
• Assess the degree of cyanosis (mucous membranes, clubbing).
• Monitor signs of CHF (anxiety, tachycardia, tachipnea, shortness of breath, tired while drinking milk, periorbital edema, oliguria and hepatomegaly.
• Collaboration for the provision of drugs as indicated.

2. Impaired gas exchange related to pulmonary congestion.

Goal: improved gas exchange.

Outcomes: no signs of pulmonary vascular resistance.

Intervention:

• Monitor the quality and rhythm of breathing.
• Adjust the position of the child with Fowler position.
• Avoid child of an infected person.
• Give adequate rest.
• Give oxygen as indicated.

3. Activity intolerance related to imbalance between oxygen consumption by the body and oxygen supply to the cells.

Goal: client activity are met.

Outcomes: Children participate in activities according to ability.

Intervention:

• Allow the child frequent breaks and avoid disturbances during sleep.
• Suggest to do the game and light activity.
• Help children to choose activities appropriate to the age, condition and capacity of the child.
• Give the period of rest after activity.
• Avoid the ambient temperature is too hot or cold.
• Avoid things that cause fear / anxiety child.

4. Delayed Growth and Development related to an inadequate supply of oxygen and nutrients to tissues.

Goal: There is no change of growth and development.

Outcomes: Growth of children according to the growth curves of weight and height.

Intervention:

• Provide a balanced diet, high nutrients to achieve adequate growth.
• Monitor height and weight.
• Involve the family in providing nutrition to children.

5. Imbalanced Nutrition: less than body requirements related to fatigue at mealtime and increased caloric needs.

Goal: nutritional needs are met.

Outcomes: The child maintains food and beverage intake.

Intervention:

• Measure body weight each day with the same scales.
• Record intake and output correctly.
• Give small portions of food frequently.
• Give drink that much.

6. Risk for infection related to declining health status.

Goal: avoid infection.

Outcomes: no signs of infection.

Intervention:

• Monitor vital signs.
• Avoid contact with infected individuals.
• Give adequate rest.
• Provide optimal nutritional needs.

7. Parental Role Conflict related to hospitalization of children, fears of the disease.

Goal: There is a change in the role of parents.

Outcomes:

• Parents express their feelings.
• Parents are sure to have an important role in the success of the treatment.

Intervention:

• The motivation of parents to express their feelings in relation to the child.
• Discuss with parents about the treatment plan.
• Provide clear and accurate information.
• Involve parents in the care of the child while in hospital.
• The motivation to involve families in the care of other family members of children.

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