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This document contains a concept map and nursing diagnoses for a patient with several medical conditions:
1) Hypertension leading to decreased cardiac output and altered peripheral tissue perfusion. Treatments include medications and monitoring of vital signs and intake/output.
2) Inadequate nutrition due to lack of appetite. Interventions include positioning, relaxing environment, encouraging favorite foods, and assistance with eating.
3) Sleep disturbances from medical treatments. Interventions include quiet environment, grouping care, adjusted lighting and rest.
This document contains a concept map and nursing diagnoses for a patient with several medical conditions:
1) Hypertension leading to decreased cardiac output and altered peripheral tissue perfusion. Treatments include medications and monitoring of vital signs and intake/output.
2) Inadequate nutrition due to lack of appetite. Interventions include positioning, relaxing environment, encouraging favorite foods, and assistance with eating.
3) Sleep disturbances from medical treatments. Interventions include quiet environment, grouping care, adjusted lighting and rest.
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Attribution Non-Commercial (BY-NC)
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This document contains a concept map and nursing diagnoses for a patient with several medical conditions:
1) Hypertension leading to decreased cardiac output and altered peripheral tissue perfusion. Treatments include medications and monitoring of vital signs and intake/output.
2) Inadequate nutrition due to lack of appetite. Interventions include positioning, relaxing environment, encouraging favorite foods, and assistance with eating.
3) Sleep disturbances from medical treatments. Interventions include quiet environment, grouping care, adjusted lighting and rest.
Авторское право:
Attribution Non-Commercial (BY-NC)
Доступные форматы
Скачайте в формате DOC, PDF, TXT или читайте онлайн в Scribd
CONCEPT MAP Nsg. Dx: Imbalance nutrition: less than body
Nsg. Dx: requirement r/t inadequate food intake as evidenced Decreased cardiac output r/t vascular Nsg. Dx: by lack of appetite. resistance secondary to hyper ension Disturbed sleep pattern r/t fear of therapeutic Cues: Cues: regimen [blood transfusion] Lack of interest in foods; Weak and pale increased BP, RR and decreased AR and PR. Cues: Pale conjunctiva; Consumed ¼ of served meals Treatment: Amplodipine 5mg, Losartan 50 mg Dark-big eyebags; Weak and pale; Drowsy; Interventions: verbalized was not able to sleep the entire night Treatment: Heraclene 3 mg Interventions: - Have pt. lie down or in a comfortable position Interventions: - Position the pt in a comfortable position. -Monitored intake and output -Keep environment quiet for sleeping, eliminate -Provide relaxing environment while eating. -Have a patient use a commode or urinal. noise. -Allow patient to choose foods she likes. -Provided a restful environment by minimizing -Perform nursing procedures all at the same time if controllable stressors and unnecessary possible before patient to go to sleep. -Provide companionship or assist the pt while eating disturbances. to encourage nutritional intake -Adjust lighting by providing curtains.
C/C: Difficulty of Breathing
Admitting Dx: Chronic Renal Failure 2o Hypertensive Nephrosceloris Nsg. Dx: Nsg. Dx: Altered peripheral tissue perfusion Impaired urinary elimination r/t r/t decrease circulating hemoglobin Nsg. Dx: Cues:increased BP, RR and decreased AR urinary retention Impaired gas exchange r/t ventilation- Cues: and PR. HgB=46 perfusion imbalance. Urine volume/fluid output= 100 cc within 8 Laboratories: Hematology Cues:increased BP, RR and decreased AR hours; + edema noted on both cheeks Treatment: Blood transfusion and PR. HgB=46 Verbalized difficulty in voiding Interventions: Treatment: Furosemide, 60 mg and - Slow the pace of care. Allow the pt. extra time Laboratories:Hematology Rowatinex 2 caps to carry out activities. Interventions: Interventions: -Provided peaceful environment - Position pt in Semi-fowler’s position Provide an environment that encourages -Encouraged increased fluid intake toileting; and administer meds as ordered. -Encouraged to eat serve meals -Encouraged/Assisted the pt. to eat small meals -Monitor post BT reactions. frequently. -Provided and encourage peaceful environment to rest and sleep.