OBJECTIVE:Clinical jaundice evident within 24 hour of birth | Risk for fluid volume deficit related to phototherapy | Phototherapy enhances the excretion of unconjugated bilirubin through the bowel. | The infant will exhibit no signs of dehydration‚ clear amber urine output of 1-3 mL/kg/hr‚ and will display appropriate weight gain. | 6. Initiate early feedings and offer feedings ever 2-3 hours.2. Monitor urine specific gravity.3. Administer fluid intake that is 25% above normal requirements. 4. Assess
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| | | | | | | | |SUBJECTIVE: |Fluid volume deficit related to |SHORT TERM GOAL: |>Establish rapport. |>To gain the pt’s trust |SHORT TERM GOAL: | |“Sumusuka siya ng 3 beses at |excessive vomiting and loose |After the shift‚ the patient
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Analysis Paper: Fluid Volume Deficit “Fluid volume is a term that describes the balancing of input and output of fluid in the body” (Welch 2010). This balance can be affected by many factors: inadequate intake‚ shock‚ vomiting‚ diarrhea‚ or too much output. It can also be caused by third spacing. Fluid volume balance is very important to monitor patients because it can affect every body system and can easily be altered. Fluid volume deficit is more commonly referred to as dehydration. Euvolamia
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Nursing Care Plan Nursing Diagnosis Goal Nursing Intervention Rationale Evaluation Self-Care Deficit related to musculoskeletal impairment as claimed by the client that she experiences difficulty in performing simple tasks such as combing of hair‚ brushing of teeth and putting on of gown and as evidenced by stiffness in the joints of the wrist and fingers and reddened and edematous bilateral knees‚ right ankle‚ right hand and fingers. Within 3 days of nursing intervention‚ client will be
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Contents [hide] * 1 Definition * 2 Nursing Care Plans * 2.1 Risk for Injury * 2.2 Deficient Fluid Volume * 2.3 Excess Fluid Volume In hemodialysis (HD)‚ blood is shunted through an artificial kidney (dialyzer) for removal of toxins/excess fluid and then returned to the venous circulation. Hemodialysis is a fast and efficient method for removing urea and other toxic products and correcting fluid and electrolyte imbalances but requires permanent arteriovenous access. Procedure
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ASSESSMENT | NURSING DIAGNOSIS | NURSING INTERFERENCE | NURSING GOAL | NURSING INTERVENTION | NURSING EVALUATION | SUBJECTIVE:The mother of the patient verbalized “nabara toy anak ko ken sangit nga sangit”OBJECTIVE: v/s taken as follows:RR: 42 BPMPR: 144 BPMTemp: 38.6°CWBC: 8.81^10>skin warm to touch>loud cry | Hyperthermia related to inflammatory process or hypermetabolic state as evidenced by increase in body temperature of 38.6 °C‚ elevated WBC of 8.81^ 10 ‚mild jaundice ‚crying
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stool will be softened through increase in fluid intake and eating foods that are rich in fiber. Long term: After 5 days the patient will return to normal pattern of bowel movement . With normal characteristic of stool. Independent: Determine the pattern of defecation for clients and train clients to do so. Set the time is right for clients such as defecation after meals. Provide coverage of nutritional fiber according to the indication. Give fluids if not contraindicated 2-3 liters per day
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Benign Prostatic Hyperplasia – NCP for Urinary Retention Assessment | Nursing Diagnosis | Inference | Planning | Intervention | Rationale | Evaluation | Subjective:“Nahihirapan akong umihi”Objective:•Bladder Distention•Small‚ frequent voiding or absence of urine output | Urinary Retention related to mechanical obstruction; enlarged prostate | BPH is the enlargement of the prostate gland thus causing mechanical obstruction in the passageway of urine. | * * •After 8 hours of NI client be
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ASSIGNMENT A new International cricket stadium to be constructed outside a mega city over a piece of land in 16 months. We have to provide following facilities- 1. Capacity of spectators- 800000 2. Day/ Night play facility 3. TV camera platforms in six directions 4. Safety of players from spectators 5. Pavilion for VIPs to sit 300 6. Parking (adequate space for all above) The time available is 16 months including monsoon. Cost of construction to be recovered in 5
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ASSESSMENT DIAGNOSIS SCIENTIFI BASIS PLANNING INTERVENTION EVALUATION Objective cues: • Breast tenderness • Temperature is elevated (38.3 degree celcius) • Body malaise • Scant amount of breast milk • Headache Subjective cues: “Sakit kaayo akong totoy day. Lain jud kaayo siya” Altered comfort: Acute pain related to mastitis Mastitis refers to the parenchymatous inflammation of the mammary glands. Causative organism is usually staphylococcus aureus from the neonate’s throat
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