Hydrocephalus

Prpared by sheeba k issacStaff nurse

NICU

OBJECTIVES OF THE STUDY

• Identify the risk factors of hydrocephalus .• Be able to provide Nursing care for an easy

recovery of the client .• Be able to discuss the management of the

condition .• To device and implement a Nursing care plan

appropriate to a client.

Nursing care plan for Hydrocephalus

• Nursing Assessment (problem)• Nursing Diagnosis• Mesaurable Goals • Nursing intervention• Evaluation

Nursing Diagnosis

1.Ineffective cerebral tissue perfusion related to decreased arterial or venous blood flow

Measurable goal After 8 hours of nursing intervention the we

should assess the client activity and colour haemodynamic status to avoid complication

such as increased ICP

NURSING INTERVENTION

• Assessed the condition of the baby • Monitored vital signs of the baby • monitored head circumference of the baby

to assess whether increasing intra cranial

pressure • Neutral position maintained avoid increase

intra cranial pressure (immobility)

Evaluation

• After 8 hours of Nursing intervention babies hemodynamic status is improved

Nursing diagnosis

2 Alteration in thermoregulation ,hyperthermia related to increase vascular resistence

Measurable goal To maintain temperature in anormal range

within 4 hours

Intervention

• Assessed the general condition , colour of the baby

• Monitored vital signs , Hemodynamic status • Administered Antipyretics as advised By

doctors • Provided calm and quiet environment • Monitored skin turgor and mucous membrane

to maintain fluid and electrolyte balance

Evaluation

• Based on the intervention , goal babies condition improved and temperature maintaining within normal limits

In effective breathing pattern Due to Respiratory distress

Measurable Goal

To maintain Normal Breathing Pattern Within # Days

Intervention

• Assessed the geneal condition of the baby • Tried to decrease the oxygen consumption

which will help to reduce intra cranial pressure

• Administered Diuretics as adviced By doctors to reduce cerebral congestion

Evaluation

• After all these measures Discontinued continues oxgygen Requirement

Patient Family Education

• Instructed the parents about the use of medications • Adviced the parents to maintain hygiene , and avoid skin break

down to avoid infection • make the Parents to understand about the measures to avoid

increasing intra cranial pressure • Parenteral teaching gven how to give bottle feed and gavage

feeding• Instructed the parents about newborn cues,