Nursingcrib.com – Student hydrocephalus).

In consumption
Nurses’ Community the occur
NURSING CARE PLAN noncommunicating (especially with
ASSESSMENT DIAGNOSIS type, obstruction fever and
INFERENCE PLANNING may result from shivering),
INTERVENTION RATIONALE congenital defects, which can
EVALUATION infections, trauma, further
SUBJECTIVE: spontaneous increased ICP.
“Napansin ko na intracranial bleeding, Useful
hindi normal ang and neoplasms. In indicators of
laki ng ulo ng the communicating body water,
anak ko” (My type, faulty CSF which is an
son’s head is absorption may integral part of
abnormally large) as result from tissue
verbalized by the After 8 hours perfusion.
mother. of nursing Turning bed to
OBJECTIVE: interventions, one side
Restlessness the patient will compresses
Irritability demonstrate the jugular
Changes in improved vital veins and
vital signs signs and inhibits
V/S taken as absence of cerebral
follows: signs of venous
T: 37.5 increased ICP. drainage that
P: 90 INDEPENDENT: may cause
R: 22 Monitor After 8 hours of
Ineffective temperature. nursing
cerebral tissue Administer tepid interventions,
perfusion related sponge bath in the patient was
to decreased presence of able to
arterial or venous fever. demonstrate
blood flow. Monitor Intake improved vital
Hydrocephalus is and output. signs and
characterized by an Weigh as absence of
abnormal increase in indicated. Note signs of
cerebrospinal fluid skin turgor, increased ICP.
(CSF) volume within status, and
the intracranial mucous
cavity and by membrane.
enlargement of the Maintain head or
head in infancy. neck in midline or
Pressure from in neutral
increased fluid position, support
volume can damage with small towel
the brain tissue. rolls and pillows.
Hydrocephalus Avoid placing
results from two head on large
major causes: pillows.
obstruction of CSF Fever may
flow reflect damage
(noncommunicating to
hydrocephalus) or hypothalamus.
faulty CSF Increased
absorption or metabolic
overproduction of needs and
CSF (communicating oxygen