Page Content
- What are the nursing interventions for galactosemia?
- What action should the nurse implement for a low birth weight infant requires a neutral thermal environment?
- What is a priority nursing diagnosis for a child in the subacute stage of Kawasaki disease?
- Which intervention performed at the time of diagnosis for a child with Kawasaki disease?
- Is breastfeeding contraindicated in infants with galactosemia?
- Which intervention should the nurse implement for a newborn diagnosed with galactosemia?
- What can be used as an intervention for low birth weight infants?
- Which dietary instruction does the nurse give to the parents of a child with phenylketonuria?
- How do you treat galactosemia in newborns?
- Which nursing diagnosis should be the priority for a child hospitalized in sickle cell crisis?
Understanding Galactosemia in Newborns
Galactosemia is a rare but serious metabolic disorder that affects a newborn’s ability to metabolize galactose, a sugar found in milk. When a newborn who is breastfeeding is diagnosed with galactosemia, immediate and decisive action is required to prevent potentially severe health complications.
Immediate Nursing Actions
The primary action a nurse should implement upon diagnosing a breastfeeding newborn with galactosemia is to stop breastfeeding immediately. This is crucial because breast milk contains lactose, which is broken down into glucose and galactose. In infants with galactosemia, the accumulation of galactose can lead to toxic effects, including liver damage, cataracts, and intellectual disabilities if not managed properly.
Instead of breastfeeding, the nurse should substitute the infant’s diet with a lactose-free and galactose-free formula. This dietary change is essential to prevent the buildup of galactose in the body, which can occur rapidly in newborns. The management of galactosemia revolves around strict dietary restrictions, ensuring that all sources of galactose are eliminated from the infant’s diet.
Educating Parents
In addition to dietary changes, the nurse should also provide education to the parents about the condition. This includes explaining the importance of avoiding breastfeeding and the need for a specialized formula. Parents should be informed about the long-term management of galactosemia, which involves lifelong dietary restrictions to prevent complications.
Conclusion
In summary, when a newborn diagnosed with galactosemia is breastfeeding, the nurse’s immediate action should be to halt breastfeeding and switch to a suitable formula that does not contain lactose or galactose. This intervention is critical for the infant’s health and development, and proper education for the parents is equally important to ensure ongoing management of the condition.
What are the nursing interventions for galactosemia?
Nursing interventions for a child with galactosemia include: Milk substitution. A soy-based formula, meat-based formula, Nutramigen, or another soy-based formula that contains no galactose should be substituted into the infant’s diet. Dietary restrictions.
What action should the nurse implement for a low birth weight infant requires a neutral thermal environment?
Final answer: A nurse should maintain a high-humidly environment, typically achieved through the use of humidity-controlled incubators in neonatal units, to prevent heat loss and provide a neutral thermal environment for a low birth weight infant.
What is a priority nursing diagnosis for a child in the subacute stage of Kawasaki disease?
What is a priority nursing diagnosis for a child in the subacute stage of Kawasaki disease? Alterations in skin integrity.
Which intervention performed at the time of diagnosis for a child with Kawasaki disease?
Your child will have an electrocardiogram (to assess the electrical system of the heart) and an echocardiogram (ultrasound of the heart). Even if these studies are normal, your child will receive treatment based on clinical symptoms and lab work.
Is breastfeeding contraindicated in infants with galactosemia?
Mothers should not breastfeed or feed expressed breast milk to their infants if: Their infant is diagnosed with classic galactosemia, a rare genetic metabolic disorder.
Which intervention should the nurse implement for a newborn diagnosed with galactosemia?
Babies born with galactosemia need to be put on a special lactose-free diet shortly after birth in order to prevent serious multiorgan involvement including death.
What can be used as an intervention for low birth weight infants?
Treatment for low birth weight often includes:
- Care in the neonatal intensive care unit (NICU)
- Temperature-controlled bed.
- Special feedings. Sometimes these are given through a tube into the stomach if a baby cannot suck. Or they are given through an IV (intravenous) line.
Which dietary instruction does the nurse give to the parents of a child with phenylketonuria?
A child with PKU should not eat milk, fish, cheese, nuts, beans, or meat. A child with PKU can eat many foods low in protein, such as vegetables, fruits, and some cereals. Your child may also need to take mineral and vitamin supplements to make up for nutrients missing from the diet.
How do you treat galactosemia in newborns?
Untreated galactosemia can lead to liver damage, kidney failure, and intellectual disabilities. So doctors will put babies with galactosemia on a soy formula (which doesn’t contain lactose) as soon as possible. Babies must drink soy-based formula instead of breast milk or a cow’s milk-based formula.
Which nursing diagnosis should be the priority for a child hospitalized in sickle cell crisis?
Nursing Diagnoses
Nursing priorities for clients with sickle cell anemia include promoting adequate oxygenation and pain relief, decreasing incidences of vaso-occlusive crises, preventing complications, and helping the client self-manage the disease and effectively cope with it.
