OCAMPO, Maria Cecilia R.

BSN 3d2 – 8i / MS Nursing Care Plan related to Hypercalcemia ASSESSMENT DIAGNOSIS PLANNING INTERVENTION RATIONALE EVALUATION

Evaluate individual’s injury and take increased response to violence in steps to correct neuromuscu surroundings situations lar If the client is excitability receiving intravenous and tetany. to verbalize enhance disregard 2. pati na rin ang aking labi”. calcium. sparse hair • Rough skin BT: 36. the client will be free from injury associated with calcium deficit. After 3 hours of 2. Short-Term Goal After 3 hours of nursing intervention.7 C PR: 65 bpm RR: 18 cpm BP: 120/70 mmHg High Risk for Injury R/T increased neuromuscular irritability resulting from hypocalcemia Short-Term Goal Monitor peripheral 1. disease/condition that contribute to 4. the client verbalized understanding of individual factors that contribute to possibility of injury and take steps to correct situations. 4. nursing intervention. Goal was met Long-Term Goal After 7 days of nursing intervention. Goal was met . May client’s condition. Objective: • Anxious • Irritability • Dry. the risk factor. as evidenced by no falls or near falls and no pathologic fractures. possibility of for 3. Provide information understanding of for own/other’s Regarding individual factors safety. monitor. To check that may result in increased risk of injury. as verbalized by the patient.Subjective: “madalas mamanhid ang aking mga kamay at paa ko. baseline data. To assess pulses and vital signs. To assist especially client to reduce or the heart rate every hour nursing correct individual to every four hours intervention. 1. The serum calcium Long-Term Goal level should be closely After 7 days of monitored and changes reported. depending on the client will be able 3. the client had been free from injury associated with calcium deficit. as evidenced by no falls or near falls and no pathologic fractures.

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