Treatment
Administer Dextrose IV for hypoglycemia.
Place patient on mechanical ventilation, if comatose.
Monitor electrolytes, blood chemistry, and blood pH.Nursing Intervention
Assess the level of consciousness and report changes immediately to the
health-care provider.
Monitor signs of increased cranial pressure as a result of cerebral edema.
Monitor vital signs.
Monitor for dehydration.
Strict intake and output.
Explain to the family the nature of the disorder and the treatment plan.(^212) Pediatric Nursing Demystified
A parent called saying that her child has flulike symptoms and an upset stomach. What
should you tell the parent?
a. Give the child an aspirin.
b. Give the child acetaminophen.
c. Give the child Children’s Alka Seltzer.
d. Give the child Anacin.
Answer:
✔ ROUTINE CHECKUP 2
Neural Tube Defects
What Went Wrong?
The neural tube develops into the brain and the spinal cord. A neural tube
defect is the failure of the neural tube to close within 28 days after conception
in an area of the neural tube or the entire length of the neural tube resulting in
a neurologic disorder in the fetus.
The cause of neural tube defects is unknown; however, there is a link
between inadequate intake of folic acid prior to pregnancy and during the first
trimester. The most common neural tube defects are as follows:
Spinal bifida occulta:This is the incomplete closure without the spinal
cord or meninges protruding. This patient usually doesn’t experience
neurologic dysfunction, although there might be bladder or bowel dis-
turbances or weakness in the foot.5