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Develop a discharge teaching plan for a post-op appendectomy pediatric client who is being discharged to home with mom. Include the following in your teaching:
● Objectives (What do you want the client to learn?)
● Content (What specific topics will you teach?)
● Methods and materials (How will you teach the content? What materials will you use to reinforce teaching?)
● Evaluation (How would the nurse evaluate client understanding?)
Anesthesia discharge instructions (what information is important to know about caring for a patient who recently received general anesthesia?)
What are some complications of anesthesia?
What type of diet is recommended?
What type of activity is recommended?
What to do if any complications arise?
Post-operative care for open appendectomy (What information is important to know about caring for a patient who recently underwent an open appendectomy?)
Wound care (the patient has steri-strips which are covered by an occlusive gauze dressing).
Possible complications of wound site
Bathing instructions
Medications (ALL DRUG INFORMATION INCLUDED BELOW)
Ibuprofen 290mg PO Q 6 hours PRN Pain/Fever (100mg/5mL)
Acetaminophen 435mg PO Q 4 hours PRN Pain/Fever (160mg/5mL)
Amoxicillin 385mg PO Q 8 hours x 3 doses (Amoxicillin 250mg/5mL)
Diet
Activities At Home (any activity restrictions)
Driving/Operation of Heavy Machinery
School (gym/sports)
Notify your physician if any of these occur:
List complications
What to do in case of emergency
DRUG INFORMATION
Ibuprofen- Infants, Children, and Adolescents (eg, Children’s Advil, Children’s Motrin) analgesic and antipyretic dosing. When possible, calculate ibuprofen dose based on weight using 4-10 mg/kg/dose. Give PO every 6-8 hours. Maximum single dose is 400 mg/dose, and maximum daily dose is 40 mg/kg/day up to 1200 mg/day.
Acetaminophen- Infants, Children, and Adolescents (eg, Children’s Tylenol)
When possible, dose acetaminophen based on a child’s weight, using 10-15 mg/kg/dose. Give PO every 4-6 hours and do not exceed more than 5 doses (2.6 g) in 24 hours.
Amoxicillin- Infants, Children, and Adolescents (eg, Amoxil)
When possible, dose amoxicillin based on a child’s weight, using 40mg/kg/day divided doses every 8 hours for mild to moderate infections. Give PO every 8 houluvrs and do not exceed 500 mg/dose.
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