List of Nursing Diagnosis

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 of physiological decline intolerant.

Nursing Intervention:

• 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.

Collaboration:

• Supervise laboratory tests: blood gas analysis, AST / ALT, CPK, BUN.
• Serum electrolytes, provide a replacement as indicated.
• Give hypo osmolar fluid.

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 eg muscle tension, restlessness.
• Give a quiet environment and less stressful stimuli.
• Place in a comfortable position and chock joints, extremities with pillows.
• Change position periodically and gentle range of motion exercises help.
• Provide comfort measures.
• Review the comfort of the patient's own intervention.
• Evaluate and support the patient's coping mechanisms.
• Suggest to do pain management techniques.
• Help therapeutic activity, relaxation techniques.

Collaboration:
Monitor the state of uric acid.
Give medications as indicated.
Antianxiety agent.Pain (acute / chronic) related to Leukemia.

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 vital signs.
• Palpable pulse.
• Urine output: 30 ml / h.
• Capillary refill: less than 2 seconds.
• Nursing Intervention:
• Monitor input / output.
• Weigh weight per day.
• Monitor blood pressure and heart frequency.
• Evaluation tugor skin, capillary and conditions of mucous membranes.
• Give fluid intake of 3-4 liters / day.
• Inspection for ptekie skin, ecchymosis area, noticed bleeding gums, rust-colored blood, faeces and urine occult bleeding from the puncture invasive further.
• Implementation of measures to prevent tissue injury.
• Limit oral care to wash the mouth when indicated.
• Give refined diet.

Collaboration:

• Give IV fluids as indicated.
• Supervise laboratory tests.
• Give the red blood cells, platelets, clotting factors.
• Maintain a central vascular access device.
• Give medications as indicated.

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 results (-).
• Improved healing.

Nursing Intervention:

• Place in a special room, limit visitors.
• Wash hands for all personnel and visitors.
• Monitor temperature, consider the relationship between the increase in temperature with chemotherapy treatment.
• Prevent chills: increase fluid, give baths compress.
• Suggest to frequently change position, breath and cough.
• Auscultation of breath sounds, crackles, inspection secretion to change characteristics.
• Inspection skin to tender, erythematous.
• Inspection of oral mucous membranes.
• Improve the patient's perineal hygiene.
• Give uninterrupted rest period.
• Suggest to increase high in protein and fluid input.
• Avoid invasive procedures if possible.

Collaboration:

• Give medications as indicated.
• Avoid antipyretic containing aspirin.