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After 8 hours of nursing intervention, the client will be able to: Demonstrate different ways to improve blood oxygenation and circulation. Verbalize understandi ng of condition and importance of treatment regimen. Demonstrat e increased tissue perfusion.
After 8 hours of nursing intervention, the client will be able to: Demonstrate different ways to improve blood oxygenation and circulation. Verbalize understandi ng of condition and importance of treatment regimen. Demonstrat e increased tissue perfusion.
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After 8 hours of nursing intervention, the client will be able to: Demonstrate different ways to improve blood oxygenation and circulation. Verbalize understandi ng of condition and importance of treatment regimen. Demonstrat e increased tissue perfusion.
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Attribution Non-Commercial (BY-NC)
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Скачайте в формате DOC, PDF, TXT или читайте онлайн в Scribd
Diagnosis Explanation Intervention After 8 hours of Subjective: Ineffective Typhoid Ileitis & DHF nursing After 8 hours of ‘Inaantok at Tissue intervention, the nursing nanghihina po Perfusion r/t client will be able intervention, the ako.’’ As Decreased Viral infection to: client was be Encourage patient To help elevate verbalized by hemoglobin to take iron hemoglobin and able to: the patient. concentration Demonstrate supplements and hematocrit levels in blood AEB eat foods rich in To promote Demonstrat Decreased CBC & different iron. circulation and Objective: low platelet count ways to venous drainage. e different hemoglobin improve Elevate head of To avoid increased ways to • Pallor concentration, blood bed to about 10 oxygen demand. improve degrees. To help client • Hemoglobin pallor and Decreased level of oxygenation blood understand his = 63 g/L dizziness, and hemoglobin and and Discourage health condition. oxygenation • Hematocrit = muscle hematocrit circulation. strenuous activities. and 0.19 L/L weakness. circulation. • Muscle weakness on Decreased blood Verbalize To maintain both oxygenation Provide health compliance to understandi extremeties teaching meds. ng of • Patient Verbalize regarding DHF condition and Typhoid Ilietis Serve as basis for shows sign pallor, dizziness, understandin and any alteration in of dizziness muscle weakness g of condition Provide health system functions. importance and teaching on drugs of being taken. Enhances venous importance of treatment return. Ineffective tissue treatment regimen. perfusion regimen. Monitor vital signs. Demonstrat Help Demonstrate control/alleviate e increased increased Encourage early symptoms tissue ambulation when tissue possible. perfusion. Maintain hydration perfusion. and help wash away Collaborative: toxins Administer medications as Packed RBC’s are ordered adequate for stable Administer and patients with Reference: regulate IVF as subacute/chronic http://en.wikipedia.org/ ordered bleeding to increase wiki/Dengue Administer packed oxygen carrying RBC’s capability. Monitor lab studies ( Hb,Hct, Aids in establishing RBC count) blood replacement needs & monitorinf Nursing Scientific Nursing Assessment Planning Rationale Evaluation Diagnosis Explanation Intervention After 2 hours of After 2 hours Subjective: Hyperthermia Typhoid Ileitis & nursing of nursing ‘Nilalagnat po related to DHF interventions, the interventions, ako’’ As underlying patient will be able the patient verbalized by disease process to: was be able to: the patient. Monitor patient’s Serves as baseline Viral infection vital signs. data for future manifest comparison.To manifest Objective: reduction of reductio promote Increse WBC core temperature Note circulation and n of • Skin warm to from 39.2 to a chronological and venous drainage. core touch normal range of developmental Assess for temperature Elevated 36.5 C- 37.5 C age of client causative/ from 39.2 to a • Flushed skin temperature contributing normal range Note presence/ factor. of 36.5 C- 37.5 • Dry, cracked absence of C lips sweating. To assess degree Initiate tepid of hyperthermia. sponge bath. Facilitates heat Promotes surface through cooling through conduction and undressing or evaporation. removing extra linens. Facilitates heat loss by radiation Encourage adequate fluid intake. To promote heat Encourage loss and adequate bed hydration. rest. Reference: http://en.wikipedia. To reduce org/wiki/Dengue Instruct patient metabolic and SO to report consumption and signs and oxygen demands. symptoms of hyperthermia like To promote flushed wellness skin, increasing respiratory rate and body temperature.