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Respiratory syncytial virus (RSV) Concept Map, Schemes and Mind Maps of Pediatrics

Comprehensive concept map for Respiratory syncytial virus (RSV), this includes the pathophysiology, secondary diagnosis, signs and symptoms, risk/predisposed factors, Assessment/vital signs, labs findings/diagnostics, nursing diagnosis, nursing interventions and expected outcome, continued evaluations, special considerations, medications, and evidenced-based practice articles.

Typology: Schemes and Mind Maps

2022/2023

Uploaded on 04/19/2023

larenn
larenn 🇺🇸

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Medication Dose Purpose/Action
Albuterol 5 mg Bronchodilator/dilates the airway
Prednisolone 5.61 mg Anti-inflammatory/decreases inflammation
Cholecalciferol 10 mcg Vitamin D3/Absorb calcium & phosphorus
Acetaminophen 83.84 mg Analgesic/block pain impulses
Vitals
T-38.2
P-108
R- 74
SpO2-100%
B/P- 93/72
Wgt-5.6 kg
Pneumonia
Pneumonia is an infection that inflames the
air sacs in one or both lungs. The air sacs
may fill with fluid or pus causing cough with
phlegm or pus, fever, chills, and difficulty
breathing. A variety of organisms, including
bacteria, viruses, and fungi, can cause
pneumonia.
Signs & Symptoms
-nasal flaring
-accessory muscles
-Abdominal breathing
retraction
-grunting at times
-prone position
-lethargic,
-Fatigued
Labs
WBC: 17.8, pH -7.37
RBC: 3.56, PCO2: 61
Hgb: 10.6, CO2: 36
HCT- 33.9, PO2: 63
Plat: 505
Monitor for changes in
patient level of
consciousness
Ineffective airway
clearance related to
pneumonia as evidence
by decreased energy
and fatigue
Dx test
-Chest X-ray
-Blood gases
-Culture nasal fluid
Oximetric reading
Provide oxygen
at a 2L per
minute via nasal
cannula as
directed.
Assess vital sign
every 15 minutes for
alteration in blood
pressure and heart
rate
Wean off
oxygen as
tolerated
-Patient will have appropriate gas
exchange as shown in their normal
mental condition, independent
breathing of 40 60 minutes,
oximeter with accepted value,
blood gases within expected range
and their standard heart rate
-Patient will not show sign of
negative respiratory distress
symptoms
Impaired gas
exchange related to
viral pneumonia as
evidence by irregular
breathing pattern,
cyanosis, and
uneasiness
Within 4 hours of nursing
intervention patient will
have a stabilized
temperature within normal
limit
Special consideration
-Assess caregiver’s
readiness to care for
patient at home
-No family culture
consideration
Continued Evaluation
Assess vital sign every 15
minutes for alteration in
blood pressure and heart rate
- Flow up blood and
respiratory culture
-
c
c
Respiratory syncytial virus
(RSV)
RSV is a respiratory virus that affects the lung
and breathing passages, leading to inflamed
and narrowed bronchioles that collect mucus,
restricting airflow. Micronutrient such as
Vitamin D has increasingly been examined for
the role in warding off infection. (Maxwell et
al., 2012)
Risks/Predisposing Factors
Age
Premature birth
Depressed immune system
Sick sibling
Other risk factors
Contact with toy/object that
may have been touch by an
infected person
Assess skin
color, body
temperature,
capillary refill,
and difference
between central
and peripheral
cyanosis.
Evaluate
respiratory status
if there is a decline
in breathing rate
or occurrence of
apnea
Administer
prescribed
antiviral and
antipyretic
Maintain adequate
hydration to aid in
mobilization and
expectoration of
secretion
Assess patient’s
vital signs at least
every hour until
become stable.
Provide
nutritional
support to meet
increased
energy demand
and high
metabolic rate√
Suction airway as
indicated to
stimulate cough
and clear airway
Patient to maintain a
patent airway with breath
sound clearing, absence of
dyspnea, cyanosis
Remove excessive
clothing, blanket,
and linen, adjust
room temperature
Hyperthermia
related to RSV infection
as evidence by
Temperature 38.2°C,
rapid and shallow
breathing. Flushed skin
Monitor oxygen
saturation using a
continue pulse
oximeter
Provide cooling
blanket when
needed.
Return to
respiratory
baseline
= 1st diagnosis
= 2nd diagnosis
= Assessment/vital signs/dx. test/Lab result.
= nursing diagnosis
= nursing intervention
= nursing outcome
= Continued Evaluation
= Cultural/development/Special consideration
= Evidence-Based Practice
= Risks/predisposing factors
= Medication
Evidence-Based Practice
Patients with respiratory syncytial virus
infection exhibit enhanced susceptibility to
subsequent pneumococcal infections.
However, the underlying mechanisms
involved in this increased susceptibility
remains unclear. We identified potentially
novel cellular and molecular cascades
triggered by RSV infection to exacerbate
secondary pneumococcal pneumonia
c
c
c
pf2

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Medication Dose Purpose/Action

Albuterol 5 mg Bronchodilator/dilates the airway

Prednisolone 5.61 mg Anti-inflammatory/decreases inflammation

Cholecalciferol 10 mcg Vitamin D3/Absorb calcium & phosphorus

Acetaminophen 83.84 mg Analgesic/block pain impulses

Vitals

T-38.

P-

R- 74

SpO

2

B/P- 93/

Wgt-5.6 kg

Pneumonia

Pneumonia is an infection that inflames the

air sacs in one or both lungs. The air sacs

may fill with fluid or pus causing cough with

phlegm or pus, fever, chills, and difficulty

breathing. A variety of organisms, including

bacteria, viruses, and fungi, can cause

pneumonia.

Signs & Symptoms

-nasal flaring

-accessory muscles

-Abdominal breathing

retraction

-grunting at times

-prone position

-lethargic,

-Fatigued

Labs

WBC: 17.8, pH -7.

RBC: 3.56, PCO

2

Hgb: 10.6, CO

2

HCT- 33.9, PO

2

Plat: 505

Monitor for changes in

patient level of

consciousness

Ineffective airway

clearance related to

pneumonia as evidence

by decreased energy

and fatigue

Dx test

-Chest X-ray

-Blood gases

-Culture nasal fluid

Oximetric reading

Provide oxygen

at a 2L per

minute via nasal

cannula as

directed.

Assess vital sign

every 15 minutes for

alteration in blood

pressure and heart

rate

Wean off

oxygen as

tolerated

-Patient will have appropriate gas

exchange as shown in their normal

mental condition, independent

breathing of 40 – 60 minutes,

oximeter with accepted value,

blood gases within expected range

and their standard heart rate

-Patient will not show sign of

negative respiratory distress

symptoms

Impaired gas

exchange related to

viral pneumonia as

evidence by irregular

breathing pattern,

cyanosis, and

uneasiness

Within 4 hours of nursing

intervention patient will

have a stabilized

temperature within normal

limit

Special consideration

-Assess caregiver’s

readiness to care for

patient at home

-No family culture

consideration

Continued Evaluation

Assess vital sign every 15

minutes for alteration in

blood pressure and heart rate

- Flow up blood and

respiratory culture

c

c

Respiratory syncytial virus

(RSV)

RSV is a respiratory virus that affects the lung

and breathing passages, leading to inflamed

and narrowed bronchioles that collect mucus,

restricting airflow. Micronutrient such as

Vitamin D has increasingly been examined for

the role in warding off infection. (Maxwell et

al., 2012)

Risks/Predisposing Factors

Age

Premature birth

Depressed immune system

Sick sibling

Other risk factors

Contact with toy/object that

may have been touch by an

infected person

Assess skin

color, body

temperature,

capillary refill,

and difference

between central

and peripheral

cyanosis.

Evaluate

respiratory status

if there is a decline

in breathing rate

or occurrence of

apnea

Administer

prescribed

antiviral and

antipyretic

Maintain adequate

hydration to aid in

mobilization and

expectoration of

secretion

Assess patient’s

vital signs at least

every hour until

become stable.

Provide

nutritional

support to meet

increased

energy demand

and high

metabolic rate√

Suction airway as

indicated to

stimulate cough

and clear airway

Patient to maintain a

patent airway with breath

sound clearing, absence of

dyspnea, cyanosis

Remove excessive

clothing, blanket,

and linen, adjust

room temperature

Hyperthermia

related to RSV infection

as evidence by

Temperature 38.2°C,

rapid and shallow

breathing. Flushed skin

Monitor oxygen

saturation using a

continue pulse

oximeter

Provide cooling

blanket when

needed. Return to

respiratory

baseline

st

diagnosis

nd

diagnosis

= Assessment/vital signs/dx. test/Lab result.

= nursing diagnosis

= nursing intervention

= nursing outcome

= Continued Evaluation

= Cultural/development/Special consideration

= Evidence-Based Practice

= Risks/predisposing factors

= Medication

Evidence-Based Practice

Patients with respiratory syncytial virus

infection exhibit enhanced susceptibility to

subsequent pneumococcal infections.

However, the underlying mechanisms

involved in this increased susceptibility

remains unclear. We identified potentially

novel cellular and molecular cascades

triggered by RSV infection to exacerbate

secondary pneumococcal pneumonia

c

c

c

Reference

Maxwell, C. S., Carbone, E. T., & Wood, R. J. (2012). Better newborn vitamin D status lowers RSV-associated bronchiolitis in infants. Nutrition Reviews ,

70 (9), 548–552. https://doi.org/10.1111/j.1753-4887.2012.00517.x

Shibata, T., Makino, A., Ogata, R., Nakamura, S., Ito, T., Nagata, K., Terauchi, Y., Oishi, T., Fujieda, M., Takahashi, Y., & Ato, M. (2020). Respiratory syncytial

virus infection exacerbates pneumococcal pneumonia via gas6/AXL-mediated macrophage polarization. Journal of Clinical Investigation , 130 (6),

3021–3037. https://doi.org/10.1172/jci

Anna C. RN, B. S. N. (2022, October 27). Respiratory syncytial virus RSV nursing diagnosis and nursing care plan. NurseStudy.Net. Retrieved November 20,

2022, from https://nursestudy.net/rsv-nursing-diagnosis/