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...
Sunday, September 28, 2014
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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...
Wednesday, September 17, 2014
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Nursing Care Plan for Pneumonia
Nursing Diagnosis 1. Ineffective Airway Clearance related to excessive secretions secondary to infection.
Goal : demonstrate a patent airway with breath sounds clean.
Interventions :
1. Assess the frequency / depth of breathing and chest movement.
Rationale : tachypnea , shallow breathing...
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Nursing Care Plan for Pneumonia
Definition
Pneumonia is a breathing condition in which there is an infection of the lung. Pneumonia is a common lung infection caused by bacteria, a virus or fungi.
Causes
Pneumonia can be caused by many types of germs.
The most common type of bacterium is Streptococcus pneumoniae...
Tuesday, September 16, 2014
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Nursing Diagnosis and Interventions for Hypoglycemia
Ineffective Airway Clearance related to airway obstruction / increase in tracheobronchial secretions.
Defining characteristics :
Dyspnoea.
Orthopnea.
Cyanosis.
Crackles / crepitations.
Difficulty speaking.
Cough is ineffective or non-existent.
Eyes widened.
Increased...
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Nursing Care Plan for Diabetes Mellitus
Nursing Diagnosis : Acute Pain related to injury of biological agents (decreased peripheral tissue perfusion)
NOC :
level of pain
pain controlled
level of comfort
Clients can :
1 Controlling pain, with indicators :
Know the factors that cause.
Know the onset of pain.
Non-pharmacological...
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Nursing Care Plan for Acute Lymphoblastic Leukemia
Acute lymphoblastic leukemia (ALL) also called acute lymphocytic leukemia or acute lymphoid leukemia is a malignant (clonal) disease of the bone marrow in which early lymphoid precursors proliferate and replace the normal hematopoietic cells of the marrow.
Causes
Most...
Monday, September 15, 2014
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Nursing Care Plan for Schizophrenia
Nursing Diagnosis :
Social isolation related to low self-esteem
General objectives
Clients can engage social, gradually
Specific objectives 1.
Clients can build a trusting relationship.
Outcomes :
The client can express his feelings.
Friendly facial expression.
There is eye...
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Nursing Diagnosis and Interventions for Schizophrenia
Schizophrenia is a syndrome with various descriptions of the cause (many not yet known) and the course of the disease (not always a chronic or "deteriorating") wide, as well as a number of which depends on the balance due to the influence of genetic, physical, and...
Sunday, September 14, 2014
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Nursing Diagnosis and Interventions
Leptospirosis is a zoonotic disease caused by microorganisms, ie Leptospira that regardless of serotype -specific form. This disease can be passed on via the male or female of all ages. Mostly found in the tropics, and usually the disease is also known by various names such as mud...
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Nursing Care Plan for Ischialgia
Ischialgia is one manifestation of lower back pain is caused due to the clamping nervous ischiadicus.
Pain in the lumbar region can basically be:
Radicular pain ( often ) patients with radicular pain and low back pain showed radicular pain along the nerve ischiadicus.
Referred pain.
Pain...
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Nursing Care Plan for Acute Myocardial Infarction
The term myocardial infarction pathologically denotes the death of cardiac myocytes due to extended ischemia, which may be caused by an increase in perfusion demand or a decrease in blood flow. AMI falls in the spectrum of acute coronary syndromes (ACS), which includes...
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Nursing Diagnosis : Risk for Infection
Ovarian cysts are small fluid-filled sacs that develop in a woman's ovaries.
Risk factors :
Irregular menstrual cycles
History of previous ovarian cysts
Early menstruation (11 years or younger)
Increased upper body fat distribution
Infertility
Hypothyroidism
Infertility...
Saturday, September 13, 2014
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Nursing Care Plan for Vertigo
Vertigo is a sensation of motion or spinning that is often described as dizziness.
Vertigo is actually different from the dizzy in the head or headache. People with impaired vertigo feel as though they are actually spinning or moving, and the nature that is around them also began to spin.
The...
Wednesday, September 10, 2014
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Nursing Care Plan for Lower Back Pain
Nursing Diagnosis for Lower Back Pain : Acute pain related to the agent of injury (physical, musculo skeletal disorders and vascular nervous system).
Defining characteristics :
Verbal
Took a deep breath, moaning.
Complained of pain.
Motor
Grinning face.
Step struggling.
Rigid...
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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