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Assessment Diagnosis Scientific Explanation Objectives Interventions Rationale Expected Outcome
Assessment Diagnosis Scientific Explanation Objectives Interventions Rationale Expected Outcome
Assessment Diagnosis Scientific Explanation Objectives Interventions Rationale Expected Outcome
When the dengue virus Short Term: >Establish rapport -To gain pts trust Short Term: Volume r/t active penetrates the vessles and After 3-4 of and cooperation The patients So O > Patient fluid volume loss capillaries, they become Nursing shall have manifested: AEB vomiting and fragile and easily broken. Interventions, the >Assess patients -To assess for any verbalized -cold clammy skin elevated Hct level. When it breaks, fluid/blood patients So will general condition abnormalities understanding of -weakness escape from intravascular to verbalize causative factors - irritable and restless extravascular leading to a understanding of >Monitor and record -To obtain a baseline and purpose of -with pale palpebral blood/fluid volume in the causative factors and vital signs data individual conjunctiva body resulting to a decrease purpose of individual therapeutic -with pale nailbeds in perfusion of the tissues in therapeutic >Encourage to -To prevent cellular interventions and -with pale lips and the different parts of the interventions and increase oral fluid DHN and heat loss medications. mucous membranes body which can lead to medications. intake -unable to perform several manifestations like Long Term: ADLs pale conjunctiva and pale Long Term: >Provide enough rest -To decrease oxygen The patient shall -elevated Hct level of lips and gastric acid stasis in After 2 days of and metabolic have improved and 0.51 the stomach that causes the Nursing demand maintained fluid -vomiting patient to vomit which is an Interventions, the volume at a -decrease BP of 80/60 active loss of fluid that patient will improve >Note if fever is -Client could be at functional level could lead to and maintain fluid present risk of infection AEB absence of > Patient may hemoconcentration in the volume at a pallor manifest: body that may contribute to functional level AEB >Discuss with SO -To promote comfort -change in mental state the deficit of fluid. absence of pallor. some ways on how and prevent patient -decreased skin turgor they can assist the pt. from injury -weight loss >Stress the need for -To prevent stasis mobility and frequent and reduce risk for position changes tissue injury > Provide comfort - To provide comfort
measures such as and decrease stretching of bed chances of having linens, changing ulcerations clothing, and diaper >Keep the back dry patients -To provide comfort and prevent further complication
>Promote -To prevent medium maintenance of proper of causing infection hygiene >Provide safety -To prevent pt. from measures such as injury removing of sharp and unnecessary articles on the bed >Provide a safe -To gain pts trust environment by not and prevent from leaving the pt. alone injury >Encouraged SO -To fasten pts compliance with recovery period patients treatment regimen >Regulate ordered IVF as -To maintain pts hydration status
>Refer to dietician
-to provide more accurte health teachings to modify lifestyle changes faster