1.

High blood pressure

2. High uric acid
3. High fasting blood sugar
4. High cholesterol level
5. Abnormal body max index

Name of Patient: Mang Ping

Age: 62 Sex: M Room/Bed #: ____________
Medical
Diagnosis: ____________________________ Date: 7/20/21 Shift: ______
Prepared by: Dela Cruz, Christine V. Section: BSN 115 Supervisor/CI: Baylon, Vicente III

Cues Nursing Analysis Plan of Care Intervention Rationale Evaluation

Diagnosis
Subjective Problem: SCIENTIFIC Long-term
cues: Metabolic ANALYSIS: Goals:
The client used Imbalance According to To attain a The client will
to smoke one Syndrome Mayo Clinic balanced be able to attain
pack of cigarette (2018), metabolic state balanced
a day for five metabolic after two months metabolic state
years but he RT: syndrome is a of nursing after two
finishes 5-7 unhealthy group of intervention. months of
sticks per day at lifestyle symptoms that nursing
present. occur at the same intervention.
time and raise / Yes
Objective cues: AEB: your risk of heart No
Vital Signs: 5-7 sticks or disease, stroke,
BP:130/90 cigarettes per and type 2
mmHg day, high diabetes.
RR: 17 cpm cholesterol, high Increased blood 1. The client 1. Dependent: - To lower 1. The client
PR: 81 bpm fasting blood pressure, will be able to Administer blood was able to
Temp.: 37.0 sugar, high uric excessive blood manifest medication such as pressure manifest
BMI: 27.8 acid, BP of sugar, excess decreased level Lisinopril to which would decreased level
130/90 and BMI body fat around of blood decrease blood prevent of blood
-normal of 27.8. the waist, and pressure after 24 pressure. possible heart pressure after 24
complete blood abnormal hours of nursing attack, stroke. hours of nursing
count cholesterol or intervention. and kidney intervention.
-high cholesterol triglyceride problem
-high fasting levels are all (University of / Yes
blood sugar examples of Illinois- No
-high uric acid these disorders. Chicago,
-normal 2018).
urinalysis and SITUATIONAL
feaclysis ANALYSIS:
2. Independent: - To promote
The client is Provide relaxation
living an comfortable and which would
unhealthy relaxing place for result in the
lifestyle for five the client. relaxation of
years, smoking sympathetic
one pack of simulation
cigarettes per (Vera, 2020).
day, but smokes
5-7 packs per
day at present,
with occasional 3. Collaborative: - To ensure
drinking and Coordinate with a that the foods
stress, resulting hospital to be eaten by
in high blood nutritionist for the client
pressure, high provision of food would not
blood sugar, high that would help worsen the
cholesterol, high decrease levels of pressure level
uric acid, and blood pressure. of the client
being (Nsiah-
overweight. Asamoah,
2017).

2. The client 1. Dependent: - To lower the 2. The client

will be able to Administer possibility of was able to
attain normal medication such as developing a attain normal
levels of atorvastatin and heart disease levels of
cholesterol and Allopurinol to and high cholesterol and
uric acid after normalize the level blood uric acid after
two weeks of of cholesterol and pressure two weeks of
uric acid. which could
nursing further nursing
intervention. worsen the intervention.
state of the / Yes
client (marcin, No
2018).

2. Independent: - To ensure
Provide client with that the client
information that is well-aware
would discuss of the food
which foods to that he is
take and not to consuming,
take in order to whether it is
maintain a normal good for him
cholesterol and or not
uric acid. (American
Heart
Association,
2020).

3. Collaborative: - To ensure
Coordinate with that the
the laboratory for cholesterol
proper monitoring level and
of the levels of blood sugar
cholesterol and level are
uric acid, as well tested and
as blood sugar measured
level. appropriately
in the
laboratory
(U.S. National
Library of
medicine,
2020).
3. The client 1. Dependent: - To promote 3. The client
will be able to Administer desired was able to
attain decreased appetite- outcome, attain decreased
weight and a suppressant drugs keeping weight and a
BMI that falls to encourage caution and BMI that falls
within the decreased supervision within the
normal range consumption. from the normal range
after five weeks physician after five weeks
of nursing (Vera, 2020). of nursing
intervention. intervention.
/ Yes
No

2. Independent: - To identify
Review the past patterns that
daily food intake requires
of the patient for change or
proper monitoring. modification
in order to
achieve the
set goal
(Vera, 2020).

3. Collaborative: - To ensure
Coordinate with a that the foods
dietician to craft a consumed by
proper food menu the client are
for the patient sufficient with
while on the the
process of loosing requirement
weight. of the client.