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Objective >Patient can be seen picking on the food served. >Patient’s loss of appetite is evident.
D Imbalanced nutrition, (less than body requirements) related to the lack of knowledge about postpartal needs.
P After an hour of appropriate nursing interventions, the patient will be able to acquire basic knowledge regarding her body’s nutritional requirements. The patient will be able to: • Verbalize understandings about the importance of proper nutrition. • Identify the various methods to promote a well balanced nutrition. • Perform and adapt the various methods to promote a well balanced nutrition to her daily life as well as her family’s.
I > Monitor or explore the patient’s attitudes toward eating and food. Rationale: Many psychological, psychosocial, and cultural factors: determine the type, amount, and appropriate-ness of food consumed. > Discuss the importance of maintaining adequate caloric intake and the four basic food groups, as well as the need for specific minerals and vitamins. Rationale: Patients may not understand what is involved in a balanced diet. They are better able to ask questions and seek assistance when they know basic information.
E After an hour of appropriate nursing interventions, the patient will be able to acquire basic knowledge regarding her body’s nutritional requirements. The patient is able to perform the following: • Verbalize understandings about the importance of proper nutrition. • Identify the various methods to promote a well balanced nutrition. • Perform and adapt the various methods to promote a well balanced nutrition to her daily life as well as her family’s.
. which are high in protein.> Encourage client to take foods. > Discourage beverages that are caffeinated or carbonated. Rationale: These may decrease appetite and lead to early satiety. >Encourage client to have an adequate supply of roughage. vitamins and minerals. Rationale: These nutrients are needed for good tissue repair. Rationale: It is important to help restore the peristaltic action of the bowel.
> Provide a therapeutic environment. P After 2 hours of providing proper nursing interventions. Rationale: To assist in the evaluation of the patient’s condition. E After 2 hours of providing proper nursing interventions. > Monitor vital signs Rationale: Vital signs are altered during episodes of acute pain. >Slow movement of the patient is also noted.A Subjective “Sumasakit yung tahi ko paminsan minsan” as vervalized by the patient. know different methods of alleviating pain. I > Build a rapport with the patient. Comfortably rest and sleep. comfortably rest and hopefully sleep. client will be able to: lessen the pain that she is feeling. guarding behavior. Rationale: To gain trust and full cooperation during the pain alleviation procedures. Objective >Facial grimacing and wincing is evident as the patient tries to move around. >Give pain medication as prescribed by the physician. know different methods of alleviating pain. . > Encourage verbalization of feelings and thoughts. client is able to lessen the pain that she is feeling. Rationale: To aid in the alleviation of pain as well as for the betterment of the patient. D Acute vaginal pain related to right median episiotomy as evidence by facial grimacing.
solving word puzzles or mind puzzles. etc. .Rationale: To provide immediate relief to the pain the client is experiencing. >Change the client’s position Rationale: To avoid putting much pressure on the area wherein pain is experienced. >Encourage client to do diversional activities such as reading books or magazines. Rationale: To keep the patient preoccupied so as to divert the feeling of pain.
I > Assess pain reports. E After 2 hours of implementing proper nursing interventions. patient’s body pain and discomfort will be alleviated. Rationale: For efficacy of comfort measures and medications that will be surely improved with prompt intervention. Rationale: This can reduce anxiety and fear thereby reducing the perception of pain and discomfort. P After 2 hours of implementing proper nursing interventions. Objective >Patient at bed rest most of the time noted. D Acute pain and discomfort related to tissue trauma secondary to normal spontaneous vaginal delivery. . Rationale: This will indicate need for effectiveness of various interventions and may signal possible complications. >Patient winces when she moves. patient’s body pain and discomfort is alleviated. >Encourage verbalizations of feeling and thoughts. noting the location. pain scale.A Subjective “Masakit yung katawan ko kaya eto hindi ako komportable dito" as verbalized by the patient. frequency and onset. >Encourage patient to report pain as it develops.
etc.> Perform palliative measures such as giving back rubs. solving word puzzles or mind puzzles. >Administer pain medications as prescribed by the physician. Rationale: To keep the patient preoccupied so as to divert the feeling of pain and discomfort. Rationale: Promotes relaxation and decreases muscle tension. . massage. >Encourage client to do diversional activities such as reading books or magazines. Rationale: To give immediate relief to the pain the client is experiencing and to make her feel at ease. etc. repositioning.
but only under full obstetric supervision. Hypotension. diarrhea. dyspnea.2 mg Route: Oral Frequency: TID for 3 days Form: Tablet Action > It is a synthetic drug related to ergonovine. water intoxication. leg cramps. Indication > Prevention and management of postpartum and post abortal hemorrhage by producing firm uterine contractions and decreasing uterine bleeding. tone. The uterus becomes more sensitive to the drug toward the end of pregnancy. transient chest pains. thrombophlebit is. It induces a rapid. CNS: Dizziness. Miscellaneous: Sweating. hematuria.Drug Generic Name: Methylergonovine maleate Brand Name: Methergine Classification: Oxytocic Drugs Dosage: 0. massage the fundus and check for relaxation. sustained tetanic uterotonic effect that shortens the third stage of labor and reduces blood loss. hypertension. >During the second stage of labor following delivery of the anterior shoulder. tinnitus. • Assess for fundal tone. hallucinations. • • • • • Contraindication Pregnancy toxemia. seizures. headache. • Nursing Responsibilities • Take blood pressure before administering. palpitation. Ergot hypersensitivity to induce labor or threatened spontaneous abortions administration before delivery of the placenta • Side Effects Hypertension associated with seizure or headache. foul taste. Notify physician if there is high blood pressure. . Acts directly on the uterine smooth muscle to stimulate the rate. • GI: N&V. and amplitude of uterine contractions. nasal congestion.
CHF. chest pain. nausea. Nursing Responsibilities > Give medication after meals. purpura. Dermatologic Rash. >Instruct patient to report the following symptoms to health care provider: rash. treatment of primary dysmenorrhea. vomiting. >Inform patient not to use drug for longer than 1 wk. weight gain. dry mouth. >Instruct patient . > Advise patient to discontinue medication if rash develops and to contact health care provider. urticaria. glossitis. bradycardia. tachycardia. dyspepsia. vertigo. active ulceration or chronic inflammation of GI tract. or any NSAID has caused allergictype reactions.Drug Generic Name: Ibuprofen Brand Name: Mefenamic Acid Classification: NSAID Dosage: 500 mg Route: Oral Frequency: PRN Form: Tablet Action It exhibits antiinflammatory. iodides. decreased urinary output. Contraindication Patients in whom aspirin. insomnia. abdominal pain. and antipyretic activities. tinnitus. analgesic. EENT Blurred vision. Similar to other NSAIDs. mefenamic acid inhibits prostaglandin synthetase. dark stools. drowsiness. palpitations. dizziness. altered BP. Side Effects Cardiovascular Edema. CNS Headache. GI Diarrhea. GI bleeding. Indication Relief of moderate pain lasting less than 1 wk. persistent headache or stomach pain and unusual bruising or bleeding. visual problems. salivation. preexisting renal disease.
pharyngitis. dysuria. proteinuria. flatulence. dyspnea. Genitourinary Hematuria. including aspirin and ibuprofen or other prescription drugs. shortness of breath. thrombocytopenia. neutropenia. laryngeal edema. eosinophilia. without consulting health care provider Drug Action Indication Contraindication Side Effects Nursing . pancytopenia. rhinitis. renal failure. bleeding. Respiratory Bronchospasm. leukopenia. not to take OTC medications. Hematologic Decreased hematocrit. hemoptysis.constipation.
Miscellaneous Teeth staining with liquid formulation. dark stool. hemosiderosis. irritation. constipation. > Administer 1 hour before or 2 hours after a meal. vomiting. diary products. may be minimized by taking with food so give medication after meals. adequate amounts of which are necessary for effective erythropoiesis and the resultant oxygen transport capacity of the blood. > Separate administration of iron supplements and antacids. hemolytic anemia. nausea.Generic Name: Feosol Brand Name: Ferrous Sulfate Classification: Vitamins & Minerals (Pre & Post Natal) / Antianemics Dosage: 325 mg Route: Oral Frequency: OD • Iron is an essential component in the physiological formation of hemoglobin. and vomiting are the most common adverse reactions. GI Anorexia. hemochromatosis. Instruct patient to notify health care provider if any • Form: Tablet . Responsibilities > Discomfort. A similar function is provided by iron in myoglobin production. >Hypersensitivity to any ingredient. diarrhea. or antibiotics by at least 2 hours. constipation. stomach irritation. nausea. diarrhea. Prevention and treatment of iron deficiency and iron-deficiency anemias. such as nausea. > Advise patient or caregiver stomach pain.
. occur and are intolerable. > Caution parent or caregiver accidental overdose of ironcontaining products is a leading cause of fatal poisoning in children and to take precautions to keep ironcontaining products out of the reach of children. including cytochromes that are involved in electron transport. > Advise patient or caregiver iron supplements may cause the stools to turn black and this is normal and of no consequence.• Iron also serves as a cofactor of several essential enzymes.
DRUG study Monique Christianne E. Paul University Manila . Rubian BSN 2B St.
Nursing care plans Monique Christianne E. Paul University Manila . Rubian BSN 2B St.