NCPCM

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Nursing Diagnosis # 1: RISK FOR BLEEDING RELATED TO ALTERED CLOTTING FACTOR (LOW PLATELET COUNT OF 12000/UL) Objective Data:

T= 35 degrees Celsius HR= 70 bpm RR= 25 cpm BP=110/80mmHg Platelet count12000/ul History of bleeding at the posterior scalp Medical Diagnosis: DENGUE HEMORRHAGIC FEVER Priority Assessment: Vital Signs Laboratory results (CBC) Nutrition and Diet Activity Medications History of Present Illness Physical Examination Findings Intake and Output Nursing Diagnosis # 1: RISK FOR INJURY RELATED TO BODY WEAKNESS

Objective Data: T= 35 degrees Celsius HR= 70 bpm RR= 25 cpm BP=110/80mmHg Side rails down (+)restless Needs assistance from wife and nurse to perform daily routines

Nursing Diagnosis # 1: ACTIVITY INTOLERANCE RELATED TO BODY WEAKNESS AEB RESTLESSNESS Objective Data: T= 35 degrees Celsius HR= 70 bpm RR= 25 cpm BP=110/80mmHg (+)restless Needs assistance from wife and nurse to perform daily routines IV of 0.9 NaCl @ 360cc level @1200H infusing well

Patients Initials: B.D.L. Age: 42 years old Gender: Male Category: I Room No.:708

CONCEPT MAP Medical Diagnosis/Chief Complaint: DENGUE HEMORRHAGIC FEVER Basis for Prioritization: Maslows Hierarchy of Needs Date Admitted: November 3, 2012 Student Nurse: Antonio, Wilma Christie P.

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