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 of physiological decline intolerant.
- Evaluation reports weakness, note the inability to participate in activities.
- Implementation of energy saving techniques.
- Schedule eat about chemotherapy.
Collaboration:
- Give supplemental O2.
Nursing Diagnosis for Leukemia : Altered Tissue Perfusion related to cessation of blood flow, secondary; destruction of human existence.
Goal:
Adequate perfusion.
Expected outcomes:
- Balanced inputs and outputs.
- Urine output of 30 mL / h.
- Capillary refill less than 2 seconds.
- Stable vital signs.
- Strong peripheral pulses palpable.
Nursing Intervention:
- Monitor vital signs.
- Assess the skin to the cold, pale, humidity, capillary refill.
- Note the change in the level of consciousness.
- Maintain adequate fluid intake.
- Evaluation of edema.
- Supervise laboratory tests: blood gas analysis, AST / ALT, CPK, BUN.
- Serum electrolytes, provide a replacement as indicated.
- Give hypo osmolar fluid.
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