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Nursing Actions |
Rationale |
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1. Explain purpose of tent to parents and child; stress it is temporary, to make breathing easier.
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1. Relieves anxiety
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2. Inspect tent for cracks, tears. Repair or replace prn.
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2. Leaks will allow oxygen to escape
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3. Place unit at head of bed.
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3. Child’s upper torso and head must be inside tent
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4. Cover bed with rubber/plastic sheet.
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4. Keeps mattress dry
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5. Apply extra linen to bed under tent.
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5. Absorbs extra dampness, wetness
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6. Secure metal frame to bedspring, and fasten tent to frame.
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6. Prevents collapse of tent and keeps it open
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7. Select “cool mode” by using the control switch.
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7. Provides
cool air
to reduce swelling and edema
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8. Close zippers and tuck in edges tightly.
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8. Prevents loss of oxygen
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9. “Flood” tent with oxygen for 5 min (flow rate = 15 L/min).
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9. Raises oxygen concentration
centration at least q2h.
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10. Adjust flow rate per physician's order.
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10. Usual flow rate is 8-10 L/min to maintain 35-40% oxygen concentration
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11. Monitor pulse oximetry or use oxygen analyzer to check con-
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11. Achieves desired therapeutic O, levels
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12. Place child in tent—stay with child.
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12. Relieves anxiety
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13. Place folded towel/blanket around child’s head; stockinette cap
for infant’s head.
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13. Keeps child dry and prevents heat loss
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14. Cover child with blanket.
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14. Avoids chilling
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15. Selection of toys:
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Nonflammable.
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Items that can be wiped dry.
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15.
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Oxygen is highly combustible
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Avoids bacterial growth
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16. Change child’s clothes and bed linens frequently (q4h or pm).
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16. High humidity in tent will cause moisture to collect on these items
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