NCP Myocardial Infarction

 Myocardial infarction (MI) is caused by marked reduction/loss of blood flow through one or more of the coronary arteries, resulting in cardiac muscle ischemia and necrosis.CARE SETTINGInpatient acute hospital, step-down, or medical unit.RELATED CONCERNSAnginaDysrhythmiasHeart failure: chronicPsychosocial aspects of careThrombophlebitis: deep vein thrombosisPatient Assessment DatabaseACTIVITY/

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Nursing Care Plan for Dehydration

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Dehydration Definition Dehydration is a condition in which a person who is not fasting experiencing or at risk of dehydration vascular, interstitial or intra-vascular (Sell Lynda Carpenito, 2000: 139). Classification Classification of dehydration by Donna D. Ignatavicus there are 3 types: a. Isotonic dehydration Isotonic dehydration is lost water followed by the electrolyte so that the density remained normal, then this type of dehydration is usually not result in ECF fluid move to the ICF. b. Hypotonic dehydration Hypotonic dehydration is the loss of solvent from the ECF exceeds fluid loss, resulting in blood vessels become more concentrated. ECF osmotic pressure decreases, resulting in fluid moves from the ECF to ICF. Vascular volume also decreased, as well as cell swelling occurs. c. Hypertonic dehydration Hypertonic dehydration is ECF fluid loss exceeds the solvent is non-osmotic dehydration ECF decreased, resulting in fluid moves from ICF to ECF. Etiology Various causes dehydratio...
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Nursing Diagnosis Knowledge Deficit : Definition, Outcomes and Interventions

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Knowledge Deficit    Definition: Absence or deficiency of cognitive information related to a specific topic. Defining Characteristics: verbalization of the problem, inaccurate follow-through instructions, inaccurate performance of tests, inappropriate or exaggerated behaviors (e.g., hysterical, hostile, agitated, apathetic) Related Factors: lack of exposure, lack of recall, information misinterpretation, cognitive limitation, lack of interest in learning, unfamiliarity with information resources NOC: Kowlwdge: disease process Kowledge: Health behavior Expected Outcomes: Patients and families agree on diseases, conditions, prognosis and treatment programs Patients and families are able to perform the correct procedure Patients and families are able to explain what the nurse or other health team explains NIC: Teaching: Disease Process Give about the level of patient knowledge about the specific disease process. Explain the pathophysiology of the disease and how it relates to an...
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Nursing Assessment for Hallucinations (Predisposing and Precipitating Factors)

At this stage the nurse explore the factors that exist below, namely: 1. Predisposing Factors Are risk factors that affect the type and amount of resources that can be generated by individuals to cope with stress. Obtained either from the patient or his family, the cultural factors of social development, biochemical, psychological and genetic risk factors that affect the type and amount of resources that can be generated by individuals to cope with stress. Development factors: If the developmental tasks encountered resistance, and impaired interpersonal relationships then the individual will experience stress and anxiety . Sociocultural factors: A variety of factors can lead to a society ruled by a lonely feeling to the environment in which the client was raised. Biochemical factors: Having an influence on the occurrence of mental disorders. With the excessive stress experienced by a person inside the body will then produce a hallucinogenic substance that can be Neurochemistry. Psychol...
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