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. Assess respiratory frequency and depth of chest expansion.
R / : Frequency of breath usually increased, dyspnea and an increase in breath work. Limited chest expansion indicates the presence of chest pain.
2. Elevate the head position and aids in changing the position.
R / : higher head position enables lung expansion and ease breathing. Changing the position of improving charging different lung segments which improves the gas diffusion.
3. Helping patients overcome fear in breathing.
R / : Fear breathe increase occurs hypoxemia.
4. Collaboration in the provision of supplemental oxygen.
R / : Maximizing breathing and lower the breath work.
Nursing Diagnosis : Altered Urinary Elimination related to capacity or bladder irritation secondary to infection.
characterized by oliguria / anuria.
Expected outcomes :
Shows the continuous flow of urine with adequate urine output for individual situation.
Interventions and Rational
1. Record the complaint urine (slight decline / cessation of urine flow suddenly)
R / : Decrease sudden flow of urine may indicate obstruction / dysfunction.
2. Observe and record the color of urine, hematuria note.
R / : Urine can be a bit pink.
3. Keep an eye on vital signs.
R / : fluid balance indicator shows the level of hydration and fluid replacement therapy effectiveness.
4. Collaboration in the administration of intravenous fluids.
R / : Helps maintain hydration / circulation adequate volume and the flow of urine.
Ineffective Tissue Perfusion related to Glomerulonephritis
No comments:
Post a Comment