The nursing care plan addresses a patient with Tetralogy of Fallot. Over 4 hours of nursing intervention, the plan is to [1] improve the patient's cardiac output as evidenced by normal vital signs and [2] assess for signs of improved respiratory status like decreased dyspnea. Interventions include administering ordered cardiac drugs, monitoring vitals and respiratory status, avoiding prolonged crying which taxes the system, and maintaining warmth to aid tissue perfusion and oxygen exchange. The goal is for the baby's condition to improve.
Knowledge and Attitude Towards Pregnancy Induced Hypertension Among Pregnant Women Attending Antenatal at Kampala International University Teaching Hospital
The nursing care plan addresses a patient with Tetralogy of Fallot. Over 4 hours of nursing intervention, the plan is to [1] improve the patient's cardiac output as evidenced by normal vital signs and [2] assess for signs of improved respiratory status like decreased dyspnea. Interventions include administering ordered cardiac drugs, monitoring vitals and respiratory status, avoiding prolonged crying which taxes the system, and maintaining warmth to aid tissue perfusion and oxygen exchange. The goal is for the baby's condition to improve.
The nursing care plan addresses a patient with Tetralogy of Fallot. Over 4 hours of nursing intervention, the plan is to [1] improve the patient's cardiac output as evidenced by normal vital signs and [2] assess for signs of improved respiratory status like decreased dyspnea. Interventions include administering ordered cardiac drugs, monitoring vitals and respiratory status, avoiding prolonged crying which taxes the system, and maintaining warmth to aid tissue perfusion and oxygen exchange. The goal is for the baby's condition to improve.
The nursing care plan addresses a patient with Tetralogy of Fallot. Over 4 hours of nursing intervention, the plan is to [1] improve the patient's cardiac output as evidenced by normal vital signs and [2] assess for signs of improved respiratory status like decreased dyspnea. Interventions include administering ordered cardiac drugs, monitoring vitals and respiratory status, avoiding prolonged crying which taxes the system, and maintaining warmth to aid tissue perfusion and oxygen exchange. The goal is for the baby's condition to improve.
DIAGNOSES ANALYSIS Cyanosis Risk for Tetralogy fallot After 4 hours of nursing If the patient experience cardiac Assessed and record the vital sign. Objective evaluation: dyspnea Decreased cardiac results in low intervention the pt, will output he cardiac and respiratory rate Administered cardiac drugs as Baby's condition was delay in growth output related to oxygenation of have adequate cardiac will increase and bp will decrease. ordered. improved and development structural blood due to output as evidenced by Cardiac drugs are given to increase Assessed dypsnea,exertion skin blue anoxia abnormalities of mixing of cardiac rate within the strength of cardiac contractions. color during rest and when active. attacks the heart. oxygenated and normal range. Indicates hypoxia and increase Avoided allowing the infant to cry de oxygenated Assess and record the oxygen need. for a long period of time, use soft blood in the left vital sign. Conserves energy,cross cut nipple nipple when feeding. ventricle Administer cardiac requires less energy for infant to through the drugs as ordered. feed. VSD and Assess preferential low dypsnea,exertion skin of both color during rest and oxygenated and when active. deoxgenated Avoid allowing the blood from the infant to cry for a long ventricles period of time,use soft through the nipple when feeding aorta because of obstruction to flow through the pulmonary valve. ASSESSMENT NURSING SCIENTIFIC PLANNING RATIONALE IMPLEMENTATION EVALUA-TION DIAGNOSES ANALYSIS Objective: Impaired gas Congenital 1. Establish good To gain both trust and Established good trusting Objective evaluation: exchange related Heart Disease trusting relationship cooperation relationship with the patient the baby condition -V/S: to altered oxygen refers to a with the patient and was improved and significant others supply as BP:80/50 mmHg evidenced by problem with significant others Monitored respiratory Indicators of adequacy of dyspnea, the hearts 2. Monitor respiratory rate/depth, use of accessory respiratory function or degree of PR: 124 bpm tachypnea, structure and rate/depth, use of muscles, areas of cyanosis. compromise and therapy RR: 28 cpm tachycardia, and function due to accessory muscles, needs/effectiveness Auscultated breath sounds, fatigue secondary abnormal heart areas of cyanosis. noting presence or absence Temp: 37.1 C to Congenital development 3. Auscultate breath Development of atelectasis and and adventitious sounds. Heart Disease t/c sounds, noting stasis of secretion can impair gas -with O2 Tetralogy of fallot Before birth. It exchange can disrupt the presence or absence Monitored vital signs; note inhalation @ and adventitious normal flow of changes in cardiac rhythm. 2lpm via nasal sounds. blood to the Compensatory changes in vital Compensatory. cannula as different parts signs and development of Helped with breathing ordered of the body thus 4. Monitor vital signs; dysrhythmias reflect effects of exercises. Pursed lip affecting the note changes in impaired gas exchange -circumoral breathing. exchange of cardiac rhythm. cyanosis noted gasses Helps improve oxygen inspiration Elevated head of bed to Compensatory. of the lungs moderate or high back rest. 5. Help with breathing exercises. Pursed lip Helps the lung expand and aids in breathing. the relaxation of the muscles 6. Elevate head of bed decreasing the oxygen demand of to moderate or high the body back rest. ASSESSMENT NURSING SCIENTIFIC PLANNING RATIONALE IMPLEMENTATION EVALUA-TION DIAGNOSES ANALYSIS Objectives: Ineffective tissue Due to 1. Monitor skin colour Cool, blanched, mottled skin Monitored skin colour and Objective evaluation: perfusion narrowing of and temp. every and cyanosis may indicate temp. every 2hours. the baby condition -bluish the artery which tissue perfusion was improved 2hours. Assess for Assessed for signs of skin discoloration on (cardiopulmonary small amount of signs of skin Decrease heart rate and oxygenated breakdown. lips noted ) blood pressure may blood can pass breakdown. indicateincreased Monitored and documented -clubbing of Related to through the 2. Monitor and arteriovenousexchange,whic patients vital signs every finger noted decrease oxygen systemic documented patients h leads to decrease tissue hour.. cellular exchange circulation vital signs every perfusion Kept patient warm -nasal flaring secondary to Which the hour.. Warmth aids Elevated lower extremities. patient 3. Keep patient warm vasodilation,which improve -use of accessory congenital heart experience Changed position regularly 4. Elevate lower tissue perfusion disease t/c and inspect skin every shift. muscle noted difficulty in extremities. To increase arterial blood tetralogy of fallot breathing supply and improve tissue -with capillary 5. Change position perfusion. refill time of 3 regularly and inspect To avoid decrease in tissue seconds skin every shift. perfusion and risk of skin breakdown. -with O2 of 2 lpm via nasal cannula as ordered
Knowledge and Attitude Towards Pregnancy Induced Hypertension Among Pregnant Women Attending Antenatal at Kampala International University Teaching Hospital