NCP Thrombophlebitis: Deep Vein Thrombosis (Including Pulmonary Emboli Considerations)

Thrombophlebitis is a condition in which a clot forms in a vein, associated with inflammation/trauma of the vein wall or a partial obstruction of the vein. Clot formation is related to (1) stasis of blood flow, (2) abnormalities in the vessel walls, and (3) alterations in the clotting mechanism (Virchow’s triad). Young women and the elderly are at greatest risk.Thrombophlebitis can affect

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NCP Hirschsprung's Disease : Assessment, Nursing Diagnosis and Interventions

Nursing Care Plan for Hirschsprung's Disease Assessment of Hirschsprung's Disease 1. Activity / rest Symptoms: Malaise, changing patterns of rest / sleep associated with pain, limitations. 2. Ego Integrity Symptoms: Anxiety, fear, feelings of helplessness parents. 3. Elimination Symptoms: Constipation can be accompanied by diarrhea. Symptoms: Abdominal distension progressively, until the thin abdominal wall veins visible, peristaltic activity can be observed. 4. Food / fluid Symptoms: Anorexia, nausea, vomiting, weight loss. Signs: Decrease subcutan fat / muscle mass, weakness, a sign of malnutrition and growth failure. 5. Pain / comfort Symptoms: Abdominal pain. Signs: Facial expressions grimacing, moaning / crying, behavioral distraction, abdominal tenderness / distension. 6. Extension / learning Parent questions related to the disease, care and treatment of children. Patient's discharge plan: Requires assistance / demonstration how irrigation and colostomy care, the abil...
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4 Nursing Diagnosis Interventions for Dengue Hemorrhagic Fever

Nursing Diagnosis and Interventions for Dengue Hemorrhagic Fever 1. Nursing Assessment Assess the patient’s medical history Assess the increase in body temperature, signs of bleeding, nausea, vomiting, no appetite, heartburn, muscle pain and signs of shock (rapid and weak pulse, hypotension, skin cold and moist, especially on the extremities, cyanosis, restlessness, decreased awareness). 2. Nursing Diagnosis for DHF – Dengue Hemorrhagic Fever Deficient Fluid Volume related to increased capillary permeability, bleeding, vomiting, and fever. Ineffective Peripheral Tissue Perfusion related to bleeding. Imbalanced Nutrition Less Than Body Requirements related to nausea, vomiting, no appetite. Hyperthermia related to the process of viral infection. 3. Nursing Interventions for DHF – Dengue Hemorrhagic Fever Goal: Show signs of liquid fulfillment Shows signs of adequate peripheral tissue perfusion Showed vital signs within normal limits The family suggests that adaptive coping 1. Defi...
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NCP Hydrocephalus : Acute Pain and Ineffective Cerebral Tissue Perfusion

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Hydrocephalus is a buildup of fluid inside the skull, leading to brain swelling. Hydrocephalus is caused by cerebrospinal fluid flow problems, the fluid that surrounds the brain and spinal cord. This fluid carries nutrients to the brain, eliminating waste from the brain, and acts as a cushion. CSF normally moves through the area of the brain called ventricles, around the outside of the brain and spinal cord. This fluid is then absorbed into the bloodstream. Fluid buildup can occur in the brain if the flow or absorption is blocked or if too much fluid is produced. Accumulation of fluid puts pressure on the brain, pushing the brain to the skull and damaging or destroying brain tissue. Hydrocephalus - Nursing Diagnosis and Interventions (NIC - NOC) 1. Ineffective cerebral tissue perfusion related to the increased volume of cerebrospinal fluid. NOC: Circulation status Expected outcomes (NOC): 1. Shows the status of circulation which is characterized by the following indicators: Systolic a...
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