Risk for bleeding related to impaired liver function as evidenced by high sgpt, sgot

ASSESSMEN DIAGNOSI BACKGROUN PLANNING INTERVENTIO RATIONALE EVALUATIO

T S D N N
KNOWLEDGE
Objective: Risk for Exposure to Short term -Monitor v/s -Changes in Short Term
T- 36.7 C bleeding Hepa A goal : After -Monitor v/s may goal: After
BP- 110/70 related to through fecal 48 hours of intake and include signs 48 hrs of
RR-23 cpm impaired oral route nursing output of the of nursing
PR- 94 bpm liver interventio patient complication intervention
Laboratory function n the -Assess for - To ensure the patient
result: as patient will any risk of that the doesn’t
SGPT-635,0 evidenced Blood stream not show bleeding patient has show any
U/L by high evidence of -Obtain proper signs of
SGOT-253,0 sgpt, sgot bleeding laboratory intake of disease
U/L and patient test fluid and progression
Hemoglobin- Virus targets will have -Encourage other like
13,5 g/dL the liver knowledge bed rest nutrients. bleeding.
Leukocytes- on factors -Encourage to -To ensure The patient
7.500/ uL that can eat vitamin D that the shows
Hematocrits- Inflammation prevent rich foods patient will knowledge
39% of the liver progressio -Give not on
Trombocyte n of medication as experience preventing
s- 408.00/ uL disease like prescribed: bleedig progression
bleeding. Essentiale 1 -To know if of disease
High sgpt, Long Term cap TID PO the sgpt and like
sgot goal: After -Educate the sgot is bleeding.
1 week of at-risk patient decreasing Long term
nursing about or increasing goal: After 1
interventio precautionary -To promote week of
Altered liver n the measures to rest and nursing
function patient will prevent relaxation intervention
not progression of -Vitamin D the patient
experience disease reduces did not
bleeding damage to experience
Risk for and will the liver and bleeding
bleeding decrease reducing and has
his level og sgpt levels decrease
sgpt, sgot -Essentiale is level of sgpt,
a herbal sgot.
preparation
for the
supportive
care of liver
diseases.
-Information
about
precautionar
 y measures
lessens the
risk for
bleeding.

Fatigue secondary to decreased metabolic energy production as evidenced by patient loss of appetite
and vomiting

ASSESSMEN DIAGNOSI BACKGROUN PLANNING INTERVENTIO RATIONALE EVALUATIO

T S D N N
KNOWLEDGE
Subjective: Fatigue Exposure to Short term -Monitor v/s -Changes in Short term
“Wala akong secondary Hepa A goal: After -Monitor v/s may goal: After 1
gana to through fecal 1 hour of intake output include signs hr of
kumain at decreased oral route nursing -encourage of nursing
suka ako ng metabolic interventio patient to eat complication intervention
suka, madali function n the small but s the patient
rin akong as patient will frequent food. - To ensure considered
mapagod” evidenced Blood stream be able to - Promote that the appetite for
as by patient regain pleasant patient has food and
verbalized loss of considerabl ,relaxing proper ate.
by the appetite e appetite environment, intake of Long term
patient. and Virus targets for food. including fluid and goal: After 8
vomiting the liver Long term socialization other hours of
goal: After -Encourage nutrients. Nursing
8 hrs of increase fluid -To enhance intervention
Inflammation nursing intake intake. the patient
of the liver interventio -Assist the -To prevent report
n the patient to dehydration improved
patient will develop a due to sense of
report schedule for vomiting energy.
Altered liver improved daily activity -A plan that
function sense of and rest balances
energy. -Assessed periods of
patient ability activity
to perform with periods
Loss of ADL’s of rest can
appetite, help the
vomiting patient
complete
desired
 activities
Fatigue without
adding to
levels of
fatigue
-To identify
the extent of
deficiency
and for
better
treatment
plan.