Risk for ineffective airway clearance related to obstruction of the trachea, swelling, bleeding and laryngeal spasmscharacterized by:
Subjective data: pain swallowing, painful wound.
Objective data: breathing fast and deep, there is a discharge / thick mucus...
Activity Intolerance - Pneumonia
Activity Intolerance Nursing Diagnosis and Interventions - Pneumonia
Activity Intolerance related to imbalance between oxygen supply and demand, general weakness.Goal: Report / show increased tolerance to activity.Expected outcomes: No dipsnea, excessive weakness...
Nursing Interventions Deficient Fluid and Electrolyte Volume - DHF
Nursing Diagnosis Care Plan for DHF: Deficient Fluid and Electrolyte Volume related to increased capillary permebilitas, bleedingGoal: After nursing actions, balanced electrolyte fluid volumeExpected outcomes:
Showed improved fluid balance, evidenced by adequate...
Nursing Management for Diarrhea
Nursing Management for DiarrheaDiarrhea is often caused an extraordinary event, such as the number of cholera patients a lot in a short time. But with the management of diarrhea fast, precise and quality, mortality can be reduced to a minimum.Problem Formulation
What...
Pathophysiology and Clinical Manifestation of Appendicitis
Pathophysiology of Appendicitis
Appendix inflamed and had edema as a result of congestion, possibly by fecalith (hard mass of feces), tumor or a foreign object. Inflammatory process, increased intraluminal pressure that will impede lymph flow resulting in edema,...
Nursing Diagnosis Decreased Cardiac Output for Hyperthyroidism
Decreased Cardiac Output related to uncontrolled hyperthyroidism, hypermetabolism, increased cardiac workload.
Patients objective / evaluation criteria;
Maintain adequate cardiac output according to the needs of the body
characterized by:
Stable vital signs,
normal...
Meningitis Definition, Etiology and Clinical Manifestations
Definition of Meningitis
Meningitis is inflammation of the meninges (the membranes that surround the brain and spinal cord) and is caused by a virus, bacteria or fungus organs (Smeltzer, 2001).
Meningitis is an infection of the fluid of the brain with inflammatory...
Risk for Injury - Nursing Care Plan Meningitis
Nursing Diagnosis for Meningitis: Risk for Injury related to general weakness.
The expected outcomes / evaluation criteria pediatric patients: No seizures or comorbidities or other injury.
intervention
a. Monitor the spasms / twitching of the hands, feet and...
Retropharyngeal Abscess Prevention and Treatment
Retropharyngeal abscess Prevention and Treatment
Definition of retropharyngeal abscess
Retrofaringeal abscess is a pus accumulation in the back of the throat tissues.
Cause of retropharyngeal abscess
Abscesses are usually caused by streptococcal infection from...
Physical Examination, Laboratory, and Radiology for Acute Appendicitis
There are several tests that can be performed by a medical team to determine and diagnose the presence of Appendicitis by patients. Among them is the physical examination, laboratory tests and radiology examinations:
1. Physical Examination of Acute Appendicitis
In...
Risk for Infection - Nursing Care Plan for Appendicitis
Nursing Diagnosis Interventions for Appendicitis: Risk for Infection
Risk factors include:
Inadequate primary defense, perforation / rupture of the appendix; peritonitis; abscess formation.
Invasive procedures, surgical incisions.
Intervention:
Independent:
Monitor...
Clinical Manifestations of Appendicitis
Clinical Manifestations of Appendicitis
Right lower quadrant pain felt and is usually accompanied by mild fever, nausea, vomiting, and loss of appetite.
Local tenderness at the point Mc.burney, when done pressure.
Tenderness may be encountered off.
The degree...
Clinical Manifestations of Acute Gastritis and Chronic Gastritis
Clinical Manifestations of Acute Gastritis and Chronic Gastritis
Acute Gastritis
Acute Gastritis is very varied, ranging from very mild, asymptomatic, up to very heavy, which can lead to death. In the case of very heavy, very prominent symptoms are:
Hematemetis...
Pathophysiology of Chronic Gastritis
Chronic gastritis can be classified as type A or type B.
Type A (often referred to as autoimmune gastritis) resulting from changes in parietal cells, leading to atrophy and cell infiltration. It is associated with autoimmune diseases, such as pernicious anemia...
Acute Pain related to Constipation
Nursing Diagnosis for Constipation : Acute Pain related to the accumulation of hard stool in the abdomen
Goal:
Show the pain has diminished
Expected outcomes are:
Shows relaxation techniques, individually effective to achieve comfort.
Maintain the level of...
Imbalanced Nutrition Less Than Body Requirements related to Loss of Appetite
Nursing Care Plan
Imbalanced Nutrition Less Than Body Requirements related to loss of appetite
Goal:
Showed good nutritional status.
Expected outcomes are:
Tolerance to dietary needs.
Retain lean body mass and body weight within normal limits.
Laboratory values...
Constipation related to the irregular pattern of defecation
Constipation related to the irregular pattern of defecation
Objectives:
Patients can defecate regularly (every day)
Expected outcomes are:
Defecation can be done once a day.
The consistency of soft stool.
Elimination of excess stool without straining.
Intervention:
Independent:
Determine...
2 Nursing Diagnosis and Interventions for Abdominal Typhoid
Nursing Care Plan for Abdominal Typhoid : 2 Nursing Diagnosis and Interventions
1. Imbalanced Nutrition Less Than Body Requirements related to no appetite, nausea and bloating.
Purpose: Improve the nutritional and fluid needs.
Nursing Interventions:
Assess...
Nursing Management of Varicella
Nursing Management of Varicella
Patients should be isolated from others, as well as for their daily needs. such as:
Isolation to prevent transmission.
Nutritious diet (high in calories and protein).
If a high fever, compress with warm water.
Strive to avoid...
Nursing Diagnosis for Pharyngitis
Pharyngitis
Pharyngitis is the commonest cause of simple "sore throat". It may be due to infective or other causes. Viral infections include coryza, influenza, adenovirus, herpes simplex, measles, rubella, chickenpox, Coxsackie and echoviruses. Bacterial pathogens...
Pathophysiology of Pharyngitis
Pathophysiology of Pharyngitis
Transmission is by droplet. Germs infiltrate the epithelial layer, then the epithelium is eroded, then the superficial lymphoid tissue inflammatory reaction occurs with the damming of polymorphonuclear leukocyte infiltration. In...
NCP Stroke: Ineffective Cerebral Tissue Perfusion related to interruption of blood flow
NCP Stroke: Ineffective Cerebral Tissue Perfusion related to interruption of blood flow
Ineffective Cerebral Tissue Perfusion related to interruption of blood flow: occlusive disease, hemorrhage, cerebral vascular spasm, cerebral edema.
Expected outcomes are:
Maintained...
Medical Management of Scoliosis
Medical Management of Scoliosis
Treatment depends on the cause, degree and location of the curve and the stage of bone growth.
If the curvature is less than 20%, usually require no treatment, but patients should perform regular checks every 6 months.
In children...
Pathophysiology of Scoliosis
Pathophysiology of Scoliosis
Deformity of the spine called scoliosis, originated from the nerves of weak or even paralyzed attractive segments of the spine. This serves to keep the pull of the vertebrae are in the normal lines of its shape like a ruler or straight....
Nursing Assessment for Scoliosis
Nursing Care Plan for Scoliosis : Nursing Assessment for Scoliosis
The physical examination includes:
a. Assessing the body's skeletal
The presence of deformity and alignment. Abnormal bone growth due to bone tumors. Shortening of the extremities, amputation...
9 Tips to overcome nausea and vomiting during pregnancy
Tips to overcome nausea and vomiting during pregnancy
Some tips to help you cope with "morning sickness" or nausea-vomiting during early pregnancy:
A. Eat small amounts, but often, do not eat in large quantities or portions, will only make you grow sick. Try...
Nursing Diagnosis for Impetigo
Nursing Diagnosis for Impetigo
Impetigo is a highly contagious bacterial skin infection most common among pre-school children. People who play close contact sports such as rugby, American football and wrestling are also susceptible, regardless of age. Impetigo...
Nursing Diagnosis for Congenital Dislocation Of The Hip
Nursing Care Plan for Congenital Dislocation Of The Hip - Nursing Diagnosis for Congenital Dislocation Of The Hip
Congenital dislocation or subluxation of the hip (congenital acetabular dysplasia) is a complete or partial displacement of the femoral head out...
4 Nursing Diagnosis for Scoliosis
Nursing Diagnosis for Scoliosis
Scoliosis affects 2% of women and 0.5% of men in the general population. There are many Causes of scoliosis, congenital spine deformities Including, genetic conditions, neuromuscular problems and limb length inequality. Other...
Impaired Physical Mobility Nursing Care Plan Scoliosis
Impaired Physical Mobility Nanda Definition: a nursing diagnosis approved by the North American Nursing Diagnosis Association, defined as the state in the which an individual has a Limitation in independent, purposeful physical movement of the body or of one...
Nursing Diagnosis Risk for Infection - Tuberculosis NCP
Nursing Care Plan for Tuberculosis
Nursing Diagnosis : Risk for Infection related to lack of knowledge in order to avoid exposure of pathogens.
Expected outcomes are:
Lowers the risk of spreading infection
Nursing Interventions Risk for Infection - Tuberculosis...
Knowledge Deficit related to Tuberculosis
Nursing Diagnosis and Interventions - Knowledge Deficit related to Tuberculosis
Nursing Diagnosis for TB Tuberculosis: Knowledge Deficit: about the conditions, actions, and prevention related to inaccurate and incomplete information.
Expected outcomes are:
Said...
Ineffective Airway Clearance related to Tuberculosis
Ineffective Airway Clearance related to Tuberculosis
Nursing Diagnosis for TB Tuberculosis: Ineffective airway clearance related to thick secretions or blood secretions.
Expected outcomes are:
Maintain the patient's airway
Removing secretions without help
Nursing...
Prevention of Vaginal Discharge in Women
Prevention of Vaginal Discharge in Women
Vaginal discharge is a problem that has long been a problem for women. Not many women who know what a vaginal discharge, and sometimes underestimate the problem of vaginal discharge. Though Vaginal discharge can not...
Common Causes of Vaginal Discharge
Common Causes of Vaginal Discharge
Vaginal discharge is term given to biological fluids contained within or expelled from the vagina.
While most discharge is normal and can reflect the various stages of a woman's cycle, some discharge can be a result of an...
Nursing Care Plan for Acute Otitis Media
Nursing Diagnosis for Acute Otitis Media and Nursing Interventions for Acute Otitis Media
Nursing Assessment for Acute Otitis Media
Assess the presence of pain behaviors: verbal and non-verbal.
Assess the increase in temperature (an indication of the infection...
Pathophysiology of Acute Otitis Media
Pathophysiology of Acute Otitis Media
Acute otitis media is often preceded by respiratory tract infections such as sore throats / colds that spread to the middle ear through the eustachian channel.
When the bacteria through the eustachian, the bacteria can cause...
Nursing Care Plan for Osteomyelitis
Nursing Care Plan for Osteomyelitis : Nursing Diagnosis for Osteomyelitis and Nursing Interventions for Osteomyelitis
Osteomyelitis is an infection of the bone. It can be caused by a variety of microbial agents (most common in staphylococcus aureus) and situations,...
5 Nursing Diagnosis for Tonsillitis
Nursing Care Plan for Tonsillitis - Nursing Diagnosis for Tonsillitis
Tonsillitis refers to inflammation of the pharyngeal tonsils.The inflammation may involve other areas of the back of the throat including the adenoids and the lingual tonsils.The tonsils are...
Nursing Diagnosis and Interventions Anxiety related to CHF
Nursing Diagnosis and Interventions Anxiety related to CHF
Nursing Care Plan for CHF
Nursing Diagnosis: Anxiety related to fear of cardiovascular death, decreased health status, a crisis situation, health changes.
Goal:
Overcome anxiety
Expected outcomes...
Nursing Intervention for Osteoporosis
Nanda Nursing Diagnosis for Osteoporosis
Chronic pain
Disturbed body image
Self-care deficit
Imbalanced nutrition: Less than body requirements
Impaired physical mobility
Risk for impaired skin integrity
Risk for injury
Source : http://nandanursingdiagnoses.blogspot.com...
Deficient Fluid Volume related to Peritonitis
Nursing Diagnosis : Deficient Fluid Volume - Nursing Care Plan for Peritonitis
Deficient Fluid Volume NANDA Definition: Decreased intravascular, interstitial, and/or intracellular fluid. This refers to dehydration, water loss alone without change in sodium
Peritonitis...
Subscribe to:
Posts (Atom)