Nursing Care for Pediatric intracerebral hemorrhage and brain anoxia with Ventilator–Associated Pneumonia :VAP ): Case study 2 case

Abstract

Background: Intracerebral hemorrhage and brain anoxia. The patient needed to be on ventilators for a long time. The complication VAP causes patients to stay in hospital longer and increase healthcare cost. It is a significant factor associating with mortality.

Objective: The purpose of study to Nursing Care for Pediatric intracerebral hemorrhage and brain anoxia with VAP

Methods: This study was comparisons of two cases of patients intracerebral hemorrhage and brain anoxia with VAP. The data collection were from medical records, interview there relative and patient observation. The data analysis were compared function health pattern clinical, sign and symptom, treatment, and nursing diagnosis, nursing care of patients with critical period, continuing care and discharge planning

Results: Case 1:  was a boy aged 14 years and motorbike and car crash. He had seizure and became unconscious for 1 hour. He had bleeding at nose and both two ears. His face was scratched with bruised and swelling eyes. His legs were deformed and swollen. He received conservative treatment with endotracheal intubation and on ventilator to maintain. The length of stay (LOS) was 69 days. The diagnosis Temporal lobe hemorrhage, Closed Fracture Lt Femur, VAP การผ่าตัด Open Reduction and Internal Fixation (ORIF) with Dynamic Compression Plating (DCP) Lt Femur

Case 2:  Thai girl aged 11 year. She had history of falling off and the neck crashing into the iron platform, cardiac arrest for 6 minutes. She received conservative treatment with endotracheal intubation and on ventilator to maintain. LOS was 19 days. The diagnosis Blunt neck injury with post cardiac rest, Abscess neck, VAP  

Conclusion: This study revealed that patients with intracerebral hemorrhage and brain anoxia with VAP received conservative treatment with endotracheal intubation and on ventilator to maintain adequate respiration and the gas-exchange. The ventilator was on until the patient was conscious but still confused. Therefore, heath care providers need to develop knowledge and understand about VAP.

 Keywords: Pediatric intracerebral hemorrhage and brain anoxia with VAP