การพยาบาลทารกที่มีภาวะความดันเลือดในปอดสูงในทารกแรกเกิดและได้รับการรักษาด้วยการสูดดมก๊าซไนตริกออกไซด์: กรณีศึกษา

Abstract

Background : Persistent pulmonary hypertension of the newborn causes severe hypoxia, leads to respiratory failure and could cause mortality.

Objective : To study the main of nursing care in neonates diagnosed with persistent pulmonary hypertension of the newborn using inhaled nitric oxide.

Method : Case study with 2 cases of neonates diagnosed with persistent pulmonary hypertension of the newborn using inhaled nitric oxide were assessed by using Gordon's functional health patterns, identified the nursing diagnosis and nursing care.

Result : The main of nursing care in these 2 critically ill neonates included 1) impaired gaseous exchange 2) decrease cardiac output 3) ventilator associated pneumonia 4) inadequate nutrition, fluid and electrolyte imbalances 5) impaired parent-and-infant bonding 6) parental incompetence in adapting with stressful situation and 7) risk of developing pressure injury. These neonates recovered well and were discharge from the hospital.

Application : Key nursing care includes effective monitoring, continuous controlled of environment and temperature, minimize external stimuli. These findings should be integrated for further nursing care.