Nursing Care Plan Template NSG 1705
Student Resuscitation status full code
Age 1/28/1988 Gender male Surgery Date & Type Unit 4th floor
Weight and Height 61kg 67cm Primary Language English Date 2/26/2012
Admitting Diagnosis & Date 10/30/2012 shortness of breath and fever Religion no spiritual needs Culture American
Admission History: (This should be a summary in the student’s own words of why the client came to the hospital now. Include a list of the client’s allergies, other medical problems. Do not just copy down the physician’s history and physical.)
This patient was admitted for shortness of breath, fever and chills. He has a history of cystic fibrosis, with secondary diabetes. …show more content…
For example, if the client was admitted for altered mental status or weakness the student needs to peruse the medical chart and discover what medical diagnosis caused these symptoms. Pathophysiology should be on a cellular level and a source should be sited.)
This patient has cystic fibrosis. cystic fibrosis is an inherited chronic disease that affects the lungs and digestive system it is usually caused by a defective gene and its protein product cause the body to produce unusually thick, sticky mucus that clogs the lungs and leads to life threatening lung infections and obstructs the pancreas and stops natural enzymes from helping the body break down and absorb food. The mutated gene is the protein cystic fibrosis transmembrane conductance regulator (CFTR). This gene is required to regulate the components of sweat, digestive juices, and mucus. Although most people without CF have two working copies of the CFTR gene, only one is needed to prevent cystic fibrosis. CF develops when neither gene works normally and therefore has autosomal recessive …show more content…
May cause false negative result on allergy sin testing.
May cause dizziness or drowsiness. condition necessitates
ondansetron
4mg, PO, TAB, Q8hr, prn n/v
Blocks the effects of serotonin at 5-HT3 – receptor sites located in the vagal nerve terminals and the chemoreceptor trigger zone in the CNS. Therapeutic effects: decreases severity of nausea and vomiting following chemotherapy or surgery.
Prn Nausea/Vomiting
Assess patient for nausea and vomiting,
Assess patient for abdominal distention, and bowel sounds prior to and following administration.
Monitor patients for extrapyramidal effects (involuntary movements, facial grimacing, rigidity, shuffling walk, trembling hands) periodically throughout