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Nursing Care Plan

Nursing Care Plan

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Published by Xy-Za Roy Marie

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Categories:Types, Research, Science
Published by: Xy-Za Roy Marie on Sep 29, 2009
Copyright:Attribution Non-commercial

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01/17/2013

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NURSING CARE PLAN
ASSESSMENTNURSINGDIAGNOSISPLANNING INTERVENTION RATIONALENURSINGTHEORYNURSINGBEHAVIOREVALUATION
Objective:
VS taken as:BP=140/100mmHgCR=57 bpmRR=24 bpmPR=60 bpmT=37.2
O
CDecreasedcardiac output r/tvascular resistancesecondary tohypertensionThe patient willdemonstrateadequate cardiacoutput asevidenced by BPand pulse rateand rhythm withinnormal values.
Independent:
 Have pt. lie downor in acomfortablepositionMonitored intakeand ouputHave a patientuse a commodeor urinal.Provided a restfulenvironment byminimizingPositioning the ptpromotes proper and adequateventilationDecrease cardiacoutput results indecreasedperfusion of thekidneys, with aresultingdecrease in urineoutput.Getting out of bed to use acommode or urinal does notstress the heartany more thanstaying in bed totoilet.Rest helps lower arterial pressureand reduce theFlorenceNightingale’sEnvironmentalNursing theoryLydia Hall’s Care,Core, CureErnestineWeidenbach’sPrescriptivetheoryChanging or manipulating theenvironment tofacilitate health.Helping thepatient towardsome goals.Goal partially met.BP=120/90mmHGAR=61 bpmPR=59bpmRR=24bpm
 
controllablestressors andunnecessarydisturbances.
Dependent:
AdministeredAmlodipine, 5mg;as ordered by thephysician.workload of themyocardium bydiminishing therequirement for cardiac output.Amlodipine is anantihypertensivedrug which lowersBP.
 
ASSESSMENTNURSINGDIAGNOSISPLANNING INTERVENTION RATIONALENURSINGTHEORYNURSINGBEHAVIOREVALUATION
Subjectives:
Di ko katakod mag tindog kag maghulag 
,” asverbalized.
Objectives:
VS taken as:BP=140/100mmHgCR=57 bpmRR=24 bpmPR=60 bpmT=37.2
O
C
HgB=46
Weak and paleappearanceAlteredperipheral tissueperfusion r/tdecreasecirculatinghemoglobinPatient will
alteredperipheraltissueperfusion r/tdecreasecirculatinghemoglobin
Independent:
Slow the pace of care. Allow the pt.extra time tocarry outactivities.ProvidedpeacefulenvironmentEncouraged toeat serve meals
Collaborative:
Transfused Bloodas ordered by thephysician.Monitor post BTreactions.Promoteshealthy rest.Food providesenergyWeakness iscause by low O
2
in the blood.To asses anyadverse effectsto transfusion.Lydia Hall’sCare, Core,CureErnestineWeidenbach’sPrescriptiveTheoryHelping theperson towardsome goal.Goal not met.Patient is stillweak.

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