Acute coronary syndrome (ACS) refers to a group of conditions due to decreased blood flow in the coronary arteries such that part of the heart muscle is unable to function properly or dies. The most common symptom is chest pain, often radiating to the left arm or angle of the jaw, pressure-like in character, and associated...
Wednesday, December 10, 2014
Saturday, December 6, 2014
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Nursing Care Plan for Leukemia
Nursing Diagnosis for Leukemia : Activity Intolerance related to general weakness, increased metabolic rate.
Goal:
The client is able to tolerate the activity.
Expected outcomes:
Increased tolerance activity can be measured.
Participate in activities that can be measured.
Shows signs...
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Nursing Diagnosis for Leukemia: Pain (acute / chronic) related to physical agents such as enlargement of organs / lymph nodes, bone marrow which is packed with leukemia cells: anti-leukemic treatment chemical agents.
Goal:
Pain resolved.
Expected outcomes:
Assess pain.
Monitor vital signs, notice of non-verbal instructions...
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Nursing Care Plan for Leukemia
Nursing Diagnosis : Risk for Fluid Volume Deficit related to excessive loss: vomiting, bleeding, diarrhea. Decreased fluid intake: nausea, anorexia. Increased fluid requirements: fever, hypermetabolic.
Goal:
Fluid volume are met.
Expected outcomes:
Adequate fluid volume.
Mucosa moist.
Stable...
Friday, December 5, 2014
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Nursing Diagnosis for Leukemia: Risk for infection related to the decline in the body's defense system, the secondary; white blood cell maturation disorders, increased number of immature lymphocytes, imonosupresi, bone marrow suppression.
Goal:
The patient is free from infection.
Expected outcomes:
Normotermia.
Culture...
Monday, December 1, 2014
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Nursing Care Plan for Glomerulonephritis
Nursing Diagnosis : Ineffective breathing pattern related to the inflammatory process.
characterized by : the patient complained of shortness of breath.
Expected outcomes :
Demonstrate effective breathing patterns, shortness of reduced or lost.
Intervention and Rationale :
1....
Sunday, November 30, 2014
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Nursing Diagnosis for Anaphylactic Shock : Impaired Gas Exchange
Anaphylactic shock is a hypersensitivity response mediated by immunoglobulin E (hypersensitivity type I) is characterized by cardiac output and arterial pressure decreased great. This is caused by the presence of an antigen-antibody reaction which arises...
Friday, October 10, 2014
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Nursing Diagnosis for Encephalitis : Acute Pain related to irritation of the brain lining.
Goal :
Patients seen decreases pain / pain control.
Outcomes :
Patients can sleep.
Saying decrease pain.
Interventions :
1. Try to create a safe and quiet environment.
Rationale : Lowering the reaction to external stimuli or...
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Nursing Care Plan for Encephalitis
Nursing Diagnosis : Ineffective Cerebral Tissue Perfusion related to increased intracranial pressure.
Goal :
Neurologic status returned to the state before the illness.
Increased awareness and sensory function.
Outcomes :
Vital signs within normal limits.
Headache is reduced.
Increased...
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Nursing Care Plan for Malaria
Imbalanced Nutrition Less Than Body Requirements related to inadequate food intake ; anorexia ; nausea / vomiting.
Goal :
Nutrients are met.
Outcomes :
Increased nutrient intake.
Intervention :
1. Assess the nutritional history, including the preferred food . Observation and record food...
Wednesday, October 8, 2014
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Nursing Diagnosis for Osteoarthritis : Disturbed Sleep Pattern related to pain
Outcomes :
Clients can meet the needs of rest or sleep.
Independent:
Determine the normal and usual sleep habits and the changes that occur.
Provide a comfortable bed.
Create a new bedtime routine that is included in the old patterns and...
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Nursing Care Plan for Osteoarthritis
Disturbed Body Image related to changes in the ability to perform common tasks.
Outcomes :
Expressing increased confidence in ability to cope with illness, lifestyle changes and possible limitations.
Interventions :
Independent:
Encourage disclosure about problems regarding the...
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Nursing Care Plan for Osteoarthritis
Nursing Diagnosis for Osteoarthritis : Activity Intolerance related to changes in muscle.
Outcomes :
Clients are able to participate in the desired activity.
Interventions :
Maintain bed rest / sit down if necessary.
Help move with minimal assistance.
Encourage clients maintain...
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Nursing Care Plan for Osteoarthritis
Pain (acute / chronic) related to tissue distension by accumulation of fluid / inflammation, joint destruction.
Outocomes :
Showed pain control.
The client looks relaxed, can sleep / rest and participate in activities.
Following therapy program.
Combining the skills of relaxation...
Monday, October 6, 2014
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Nursing Care plan for Hypertensive Heart Disease
Nursing Diagnosis : Acute Pain : headache related to an increase in cerebral vascular pressure.
Goal : Pain is reduced
Outcomes :
Client reported pain / discomfort disappeared / controlled.
Interventions :
Maintaining bed rest during the acute phase.
Give non-pharmacological...
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Nursing Diagnosis for Hypertensive Heart Disease : Activity Intolerance related to general weakness, imbalance between supply and demand of oxygen.
Goal : The client is able to perform the activity is tolerated.
Outcomes :
Participate in activities desired / required.
Reported an increase in tolerance activity can...
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Nursing Care Plan for Hypertensive Heart Disease
Nursing Diagnosis : Risk for Decrease Cardiac Output related to increased afterload, vasoconstriction, myocardial ischemia, ventricular hypertrophy.
Goal : Want to participate in activities that lower blood pressure / cardiac workload.
Outcomes :
Blood pressure within...
Sunday, October 5, 2014
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Nursing Care Plan for Epilepsy (Seizures)
Nursing Diagnosis : Low Self-Esteem / personal identity related to stigma in terms of conditions, perceptions about uncontrolled.
characterized by expression of a lifestyle change, fear of rejection ; negative feelings about the body.
Goal : Identify feelings and methods for...
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Nursing Care Plan for Epilepsy (Seizures)
Nursing Diagnosis for Epilepsy (Seizures) : Risk for Injury related to changes in consciousness, cognitive damage, seizures or damages for personal protection.
Goal : Reduce the risk of injury to patients.
Interventions :
1. Assess the characteristics of seizures.
Rationale...
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Nursing Care Plan for Epilepsy (Seizures)
Nursing Diagnosis for Epilepsy (Seizures) : Ineffective breathing pattern related to neuromuscular damage, increased mucus secretion
Goal : Maintain effective breathing pattern with a patent airway.
Interventions :
1. Encourage clients to vacate the mouth of objects / substances...
Friday, October 3, 2014
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Assessment
1. Activity / Rest
Symptoms : Insomnia, increased sensitivity ; muscle weakness, impaired coordination ; Severe fatigue.
Signs : muscle atrophy.
2. Circulation
Symptoms : Palpitations, chest pain (angina).
Signs : dysrhythmias (atrial fibrillation), gallop rhythm, murmurs ; Increased blood pressure with a...
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Hyperthyroidism is a condition in which an overactive thyroid gland produces an excessive amount of thyroid hormones that circulate in the blood . Thyrotoxicosis is a toxic condition caused by an excess of thyroid hormones from any cause. Thyrotoxicosis can be caused by an excessive intake of thyroid hormones or by the...
Sunday, September 28, 2014
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Pleural Effusion
Definition
Pleural effusion is a condition where there is a buildup of fluid in the pleural cavity between the parietal pleura and visceral pleura can be fluid transudate or exudate fluid.
Etiology
Based on the type of fluid that is formed, divided into the pleural fluid transudate, exudate and...
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Nursing Diagnosis for for Pleural Effusion : Activity Intolerance related to fatigue ( poor physical state ) .
Goal : Patient is able to carry out activities as optimal as possible .
Outcomes :
Fulfillment optimal activity , the patient looks fresh and vibrant , personal hygiene patient enough .
Interventionas :
1...
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Nursing Care Plan for Pleural Effusion
The gravity of the pleural effusion is determined by the amount of fluid, the rate of formation fluids and pressure levels in the lungs. If large effusion, lung expansion will be disrupted and the patient will experience shortness of breath, chest pain, non- productive cough even...
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Pleural effusion is a clinical manifestation that can be found in approximately 50-60 % of patients with primary pleural malignancies. While 95 % of cases of mesothelioma ( pleural primary malignancies) can be accompanied by pleural effusion and approximately 50 % of breast cancer patients will eventually experience pleural...
Tuesday, September 23, 2014
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Nursing Care Plan for Anemia
Nursing Diagnosis : Risk for Infection
Definition : Increased risk of entry of pathogenic organisms.
Risk factors :
Invasive procedures.
Insufficient awareness to avoid exposure to pathogens.
Trauma.
Tissue damage and increased environmental exposure.
Rupture of amniotic membranes.
Pharmaceutical...
Monday, September 22, 2014
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Anemia Definition
Anemia is characterized by levels of hemoglobin (Hb) and red blood cells (erythrocytes) is lower than normal. If the hemoglobin level is less than 14 g / dl and erythrocyte less than 41 % in men, then a man is said to be anemic. Similarly in women, women with hemoglobin levels less than 12 g / dl and...
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Nursing Care Plan for Lower Back Pain (LBP)
Low Back Pain is chronic pain in the lumbar, usually caused by a recessive the vertebral muscles, herniation and regeneration of the nucleus pulposus, osteoarthritis of the lumbar sacral spine (Brunner, 1999).
Causes
Changes in posture usually because primary and secondary...
Saturday, September 20, 2014
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Nursing Care Plan for Asthma
Nursing Diagnosis : Impaired Gas Exchange related to changes in capillary membrane - alveolar
Goal :
Clients are able to :
Respiratory Status: Ventilation.
Respiratory status : Airway patency.
Vital sign status.
Outcomes :
Demonstrate effective cough and breath sounds were clean, no cyanosis...
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The most frequent cause of dementia is Alzheimer's disease. The cause of Alzheimer's disease is unknown , but is thought to involve genetic factors, because the disease seems to be found in some families and is caused or influenced by some specific gene abnormality. In Alzheimer's disease, some parts of the brain decline,...
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Nursing Care Plan for Dementia
One of the degenerative disease is dementia, ie which have insidious onset and progressive in general, be getting worse. Overview of various aspects of specialty include loss of intellectual abilities such as memory, judgment, abstract thought, and other higher cortical functions , as well...
Friday, September 19, 2014
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Imbalanced Nutrition Less Than Body Requirements
related to :
Decreased oral intake, discomfort in the mouth, nausea, vomiting.
Decreased absorption of nutrients.
Vomiting, anorexia, impaired digestion.
Depression, stress, social isolation.
Outcomes : The client will :
consume the daily nutritional needs in accordance...
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Constipation is a common digestive problem. Usually characterized by constipation bear or irregular bowel movements. In addition to people who suffer from constipation often experience bowel movement, and a knotted stomach ache. People who experience constipation defecate normally only 3 times a week or even less.
Usually...
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Causes of Constipation In Pregnancy
1. Increased Progesterone.
Progesterone plays a role in the process of relaxation of the smooth muscle work. Increased hormone (progesterone), resulting in movement or mobility of the digestive organs become relaxed or be slow. As a result, the process so much longer gastric emptying...
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Acute Lymphoblastic Leukemia
Acute Myocardial Infarction
Acute Pain - Nursing Care Plan for Acute Coronary Syndrome
Alzheimer's Disease
Anemia
Asthma
Atherosclerosis
Atrial Septal Defect
Bronchitis
CVA
Cheiloschisis
Constipation
Dementia
Diabetes Mellitus
Dissociative Disorders
Encephalitis
Epilepsy
Gastritis
Glomerulonephritis
Heart Failure
Hydatidiform Mole
Hypertension
Hypertensive Heart Disease
Hyperthyroidism
Hypoglycemia
Leptospirosis
Leukemia
Lower Back Pain
Malaria
Myocardial Infarction
Osteoarthritis
Ovarian Cysts
Palatoschisis
Pleural Effusion
Pneumonia
Rheumatic Heart Disease
Rheumatoid Arthritis
Schizophrenia
Seizures
Stroke
Tuberculosis
Uterine Fibroids (Myoma)
Vertigo