Failure to thrive:
Initials: Age: 4.5 months
Race: Caucasian Allergies: NKDA
DX: Eagle-Barrett Syndrome
“ Prune Belly”
Patho: Prune belly syndrome is a
group of birth defects that involve
three main problems:
• Poor development of the
abdominal muscles, causing
the skin of the belly area to
wrinkle like a prune
• Undescended testicles
(cryptorchidism)
• Urinary tract problems
Past medical History:
Patient has had frequent UTI’s, pneumonia, and has
had a history of trouble finishing his formula.
• Assess for irritability and any other underlying
Safety Precautions:
problems: Low weight has a high mortatlity
Patient will need extra care
rate for infants
• Assess for signs of dehydration: Commonly a when around his abd., do not
F & E imbalance occurs palpate also to ensure that he
• Provide a calming environment so infant consumes enough breast milk
consumes more and medications.
Outcome: Maintain or gain weight in 3- 4 months
Nutrition: less than body requirements imbalanced
• Monitor for food intake; record percentage of
food that is eaten
• Observe clients ability to eat: Research Patient Medications:
demonstrates it takes at least 35 minutes to feed Rantidine, Spirolactone, Cefepime, Viagra,
the client who is willing to eat Multivitamin
• Weigh the client daily
Outcome: Maintain nutritional status or improve in
2weeks- 1 month
Risk for impaired skin integrity
• Monitor skin conditions at least once a day for
any changes: systemic inspections can identify
impending problems early
Infant
• Implement a written prevention plan; reduces Trust vs Mistrust
cost and incidence and skin breakdown Needs maximum comfort with minimal uncertainty
• Avoid harsh cleaning agents or extreme fiction: to trust himself/herself, others, and the environment
Outcome: Infant is not used to being held by others and is in a strange
Skin breakdown is prevented once plan is implemented environment.
Labs:
Urine was cloudy
with bacteria
WBC: Slightly
elevated Evaluation:
Patient’s nutritional status will hopefully
improve, if nutritional status does not
improve patient’s plan should be
reevaluated.