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  • Patient's Name: Date of Admission: Age: Physician: Religion: Diagnosis: Nationality: Diet: Room and Bed No.

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    rammyestella
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    Patient's mother verbalized: "nil alagnat kasi sya, eh mahirap na baka dengue na, kaya inadmit na dito" Abnormal Blood Profile suggests possibility of fluid volume deficit due to risk for bleeding episodes. After nursing intervention, the client should be able to maintain usual / improved motor function.

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    dengue_ncp (2)

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    Patient's mother verbalized: "nil alagnat kasi sya, eh mahirap na baka dengue na, kaya inadmit na dito" Abnormal Blood Profile suggests possibility of fluid volume deficit due to risk for bleeding episodes. After nursing intervention, the client should be able to maintain usual / improved motor function.

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    Attribution Non-Commercial (BY-NC)
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    3K tayangan4 halaman

    Patient's Name: Date of Admission: Age: Physician: Religion: Diagnosis: Nationality: Diet: Room and Bed No.

    Diunggah oleh

    rammyestella
    Patient's mother verbalized: "nil alagnat kasi sya, eh mahirap na baka dengue na, kaya inadmit na dito" Abnormal Blood Profile suggests possibility of fluid volume deficit due to risk for bleeding episodes. After nursing intervention, the client should be able to maintain usual / improved motor function.

    Hak Cipta:

    Attribution Non-Commercial (BY-NC)
    Unduh sebagai RTF, PDF, TXT atau baca online dari Scribd
    Tandai sebagai konten tidak pantas
    dari 4

    NURSING CARE PLAN

    Patient’s name: X Date of Admission: September 17, 2006


    Age: 7 years old Physician: Dr. G
    Religion: Catholic Diagnosis: Systemic Viral Infection,
    Mild Dehydration
    Nationality: Filipino Diet: Diet as Tolerated
    Except Dark Colored Foods
    Room and Bed No.: 348 B

    GOALS &
    CUES HEALTH PROBLEM ANALYSIS INTERVENTION RA
    OBJECTIVES

    SUBJECTIVE : Risk for bleeding r/t IMMEDIATE CAUSE : GOAL : Collaborative


    ineffective protection Ineffective protection After nursing
    The patient’s mother as evidenced by intervention, the client
    verbalized: hematology results INTERMEDIATE should be able to
     “nilal (thrombocytopenia) CAUSE : maintain usual /
    agnat kasi Abnormal Blood improved motor
    sya, eh Profile function.
    mahirap na (Thrombocytopenia)
    baka kasi
    dengue na, ROOT CAUSE :
    kaya inadmit Presence of Dengue OBJECTIVES :
    na namin sya Hemorrhagic Fever Independent
    dito” (Grade 1)
    1.
     “yun 1. Obtain the condition i. Monitor Pulse and i. An in
    kasing HEALTH of the client & Blood Pressure with de
    panganay ko IMPLICATION: routinely. and CV
    kakalabas Abnormal blood profile loss of
    lang din dito suggests possibility of circula
    sa hospital, fluid volume deficit requirin
    tapos pati due to risk for bleeding evalua
    yung episodes. When the Care P
    sinundan nya platelet counts drops, Guidel
    nagkalagnat excessively bleeding, individu
    din tapos sya potentially fatal central care, 6
    naman…” nervous or Doeng
    gastrointestinal Mooreh
     “sinisipon din hemorrhage can Geissle
    sya at occur.
    inuubo, ii. Monitor platelet ii. Supp
    masakit din (Nurse’s Pocket count & clotting factors platelet
    daw ang ulo Guide: Diagnoses, inadequ
    nya, nung interventions and factor II
    pinapakain rationales 9th edition, clotting
    namin sya Doenges, Moorhouse bleedin
    sabi nya & Geissler – Murr, p. (Nursin
    nahihilo daw 412) Guidel
    sya…” individu
    (Brunner & Suddarth’s care, 6
    OBJECTIVE : textbook of Medical & Doeng
     Skin Surgical Nursing Vol. Mooreh
    warm to 1, 10th edition by Geissle
    touch Smeltzer & Bare, p.
    912) iii. Observe for oozing iii. Ble
    Facial from venipuncture occur
    grimace sites, bleeding / of cap
    ecchmotic areas altered
    With cough following slight functio
    and cold trauma, petechiae, cause
    joint swelling or (Nursin
    M: mucus membrane Guidel
    involvement individu
     Platelet count (epistaxis, care, 6
     104 hematemesis, Doeng
    x 10 g/L melena, etc.) Mooreh
     100 Geissle
    x 10 /L
    g

     96 x 2.
    10 g/L 2. Maintain & attain i. Administer IVF for i. Volu
     90 x body’s homeostasis fluid replacement as is nee
    10 g/L while maintaining the ordered. expan
     92 x client’s comfort plasm
    10 /L
    g
    rehydr
     100 (Nursin
    x 10 g/L Guidel
    (thrombocytopenia) individu
    care, 6
    Temperature Doeng
     38.8 Mooreh
    C Geissle

    ii. Administer ii. redu


    medications as pain
    indicated (analgesic)

    iii. Recommend iii. prolo


    avoidance of Aspirin coagula
    – containing risk of h
    products.

    iv. Administer iv. Repl


    vitamins as ordered mineral
    resultin
    (Nursin
    Guidel
    individu
    care, 6
    Doeng
    Mooreh
    Geissle

    v. Avoid non irritating v. To av


    foods, such as too hot which m
    and spicy foods. bleedin

    vi.. Provide soft vi. Redu


    toothbrush, razor and bleedin
    apply prolonged formatio
    pressure following (Nursin
    injections / vascular Guidel
    punctures. individu
    care, 6
    Doeng
    Mooreh
    Geissle

    vii. Encourage rest vii. Prom


    and non- relaxati
    pharmacologic (Nursi
    measures Guidel
    individu
    care, 6
    Doeng
    Mooreh
    Geissle

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