NURSING CARE PLAN

Student Name: Daniella M. Mel BSN-4B

Patient Data: Abalos, Carlos Age: 63 Gender: Male Birthday: 03-08-1960

Admitting Diagnosis: CKD secondary to Diabetes Mellitus

Assessment Nursing Planning/Goals Intervention Rationale Evaluation

Diagnosis
Date: June 20, 2023 Risk for Within 2-4 hours of After 2-4 hours of
Subjective: unstable blood nursing intervention - Regularly - High blood nursing intervention,
“nagtaas akon BP pressure related the client will be able measure the pressure often the Goal was FULLY
bah,” As verbalized to chronic to: patient’s blood has no MET as evidenced by:
by the patient. kidney disease 1. Maintain blood pressure, symptoms or
secondary to pressure within noting trends warnings. 1. Changes in blood
Objective: diabetes normal limits. and sudden Regular pressure from
- Patient mellitus and as 2. Remain changes using monitoring is 170/90 to
pale an adverse asymptomatic the correct necessary to 130/70 at the
- Shivering effect of with elevations in equipment and prevent or end of the
- Body treatment such blood pressure. proper detect session.
Malaise as hemodialysis 3. Adhere to their positioning of hypertension. 2. No signs of any
Vital Signs: treatment. antihypertensive the patient. complications in
BP: 170/90 medications to relation to blood
HR: 79 prevent unstable - Teach the - Educate on the pressure levels.
RR: 20 blood pressure. importance of importance of 3. Clients’
Temp: 36.4 treatment adhering to significant
SPO2: 99 adherence. blood pressure other assisted
medication the client in
regimens. taking the
Uncontrolled antihypertensive
blood pressure medication.
is the common
 cause of a
hypertensive
crisis: a BP of
180/120 or
higher.
-Administer - Administering
prescribed prescribed
medications medications to
treat
underlying
conditions such
as diabetes,
renal failure,
and
hypertension.