Name Of Patient: Dennis Tubali cc: pallor, dizziness

Age: 30 y.o Medical diagnosis: Dengue Hemorrhagic Fever Stage II; Typhoid Ileitis
Sex: Male
 Assessment Nursing Nursing Nursing
Rationale Justification Evaluation
Data Diagnosis Objectives: Intervention
Actual/Abnorma After 32 hours
l cues: Ineffective Typhoid Ileitis & of nursing
Tissue Perfusion DHF intervention, my 1.
Subjective: r/t Decreased client will be able 2. 1. a.) Encourage 1. a.)To help
• Dizziness hemoglobin patient to take iron elevate
to:
supplements and hemoglobin and
• Abdominal pain concentration in Viral infection 1. Demonstrate eat foods rich in hematocrit levels
• Muscle blood AEB low different ways iron. b.) To promote
weakness hemoglobin to improve b.) Elevate head of circulation and
concentration, Decreased CBC blood bed to about 10 venous drainage.
Objective: pallor and & platelet count oxygenation degrees. c.)To avoid
• Pallor dizziness, and and circulation. c.) Discourage increased oxygen
muscle strenuous demand.
• Hemoglobin =
weakness. Decreased level activities.
63 g/L
of hemoglobin 2. a.) To help client
• Hematocrit = 2. a.) Provide health understand his
0.19 L/L and hematocrit
teaching regarding health condition.
2. Verbalize
Definition: DHF and Typhoid b.)To maintain
understanding Ilietis compliance to
Decrease in Decreased blood of condition b.) Provide health meds.
oxygen resulting oxygenation and teaching on drugs
in the failure to importance of being taken. 3. a.)Serve as
nourish the treatment 3. basis for any
tissues at the pallor, dizziness, regimen. a.) Monitor vital signs. alteration in system
capillary level muscle b.) Encourage early functions.
[Tissue weakness 3. Demonstrate ambulation when b.) Enhances venous
perfusion increased possible. return.
problems can tissue
exist without Collaborative: • Help
Ineffective perfusion.
decreased • Administer control/alleviate
tissue perfusion
cardiac output; medications as symptoms
ordered • Maintain hydration
however there
• Administer and and help wash away
may be a
regulate IVF as toxins
relationship ordered • Packed RBC’s are
between cardiac • Administer packed adequate for stable
output and RBC’s patients with
tissue subacute/chronic
perfusion.] bleeding to increase
oxygen carrying
capability.
Source: • Monitor lab studies • Aids in establishing
Nurse’s Pocket ( Hb,Hct, RBC count) blood replacement
Guide Ninth Edition needs & monitorinf
Source: effectiveness of
Nursing Care Plan