Nanda Nursing Diagnosis

Impaired Gas Exchange Nursing Diagnosis - Pulmonary Tuberculosis Nursing Diagnosis: Impaired Gas Exchange related to alveolar-capillary membrane damage. Objective: effective gas exchange. Expected outcomes: Demonstrated effective respiratory frequency. Improved gas exchange in the lung. Adaptive address causative factors. Plan of action: 1. Provide a comfortable position, usually with the head of the bed elevated. Return to the affected side. Encourage clients to sit as much as possible. R / Increase maximal inspiration, enhance ekpsnsi lung and ventilation on the side that does not hurt. 2. Observation of respiratory function, record the frequency of breathing, dyspnea or changes in vital signs. R / Respiratory Distress and changes in vital signs may occur as a result of physiological stress and pain can indicate the occurrence syock or in connection with hypoxia. 3. Explain to the client that it was carried out to ensure safety. R / knowledge of what is expected to reduce anxiety and...

Laminectomy is an orthopaedic spine operation to remove the portion of the vertebral bone called the lamina. There are many variations of laminectomy. In the most minimal form small skin incisions are made, back muscles are pushed aside rather than cut, and the parts of the vertebra adjacent to the lamina are left intact. The traditional form of laminectomy (conventional laminectomy) excises much more than just the lamina; the entire posterior backbone is removed, along with overlying ligaments and muscles. The usual recovery period is very different depending on which type of laminectomy has been performed: days in the minimal procedure, and weeks to months with conventional open surgery. Nursing Diagnosis for Postoperative Laminectomy, according to Doenges (1999), Tucker (1998). 1. Anxiety related to a crisis situation, continuous pain disorder. 2. Ineffective tissue perfusion related to decreased blood flow secondary to edema surgery. 3. Ineffective airway clearance related to decr...

Nursing Care Plan for Malaria Nursing Diagnosis for Malaria: Hyperthermia related to changes in temperature regulation. Objective: Demonstrate the temperature within normal limits, free from cold. Nursing Intervention: 1) Monitor the patient's temperature (degrees and patterns), note the presence of chills / diaphoresis. R / temperature 38.9 ° C - 41.1 ° C showed an acute infectious disease process. The pattern of fever may help in the diagnosis. Chills often precedes the peak temperature. 2) Monitor the temperature of the environment, add the bed linen as indicated. R / Room temperature / number of blankets to be changed to maintain near-normal temperatures. 3) Provide warm compresses bath; avoid the use of alcohol. R / Helps reduce fever. Alcohol may cause freezing and can dry out the skin. 4) Collaboration of antipyretics as indicated. R / Reduce fever with central action on the hypothalamus.

Hemorrhoids or piles are varicose veins located around the anus. If the swelling and irritation, hemorrhoids can be extremely painful. Hemorrhoids usually resolves itself within one or two weeks. However, if the hemorrhoids are very painful, you certainly do not want to suffer for it, right? What can you do about it? Here are 4 steps you can take to relieve your hemorrhoids. 1. Take medication for pain relief and anti-inflammatory to reduce pain and inflammation. You can take oral tablets, topical creams or suppositories anus. Giving Aloe vera gel (aloe vera) in anal area can also help reduce inflammation. Alternatively, you can use a natural remedy based violet leaves (graptophyllum pictum) against hemorrhoids. Purple leaf is a plant that comes from New Guinea and Polynesia. Saponins, alkaloids, glycosides and other substances contained in the leaves of purple can inhibit the inflammation of hemorrhoids and help the digestive process that makes the stool soft. Anti-inflammatory effect...

The more people who measure their own blood pressure at home. This happens because of the cheaper and more easily get a blood pressure measuring equipment. Here are tips if you want to measure your own blood pressure at home: 1. Discuss with your doctor whether you should measure their own blood pressure at home. Not everyone should monitor their own blood pressure at home. If you have an irregular heartbeat (arrhythmia), check your blood pressure at home does not give accurate results. 2. Ask your doctor how often you should measure blood pressure and when to discuss the results. 3. Ask your doctor sphygmomanometer type that fits your needs. We recommend using a sphygmomanometer to measure pressure with a cuff on the upper arm. Sphygmomanometer who wear finger or wrist as the measurement is not recommended because it is less accurate. In some cases, the type of sphygmomanometer that you can use depending on your physical condition. If you are big or very muscular, you should look for ...

Nursing Diagnosis for Placenta Previa Decreased cardiac output related to severe bleeding Expected results: Intravascular blood volume and cardiac output can be maintained, with the following criteria: normal pulse normal blood pressure hemodynamics and normal laboratory values​​. Nursing Interventions for Placenta Previa - Decreased Cardiac Output related to severe bleeding 1. Independent: Assess and record vital signs, blood pressure Assess the status of awareness Assess peripheral perfusion Monitor input and output Monitor the amount of bleeding (Rationale: accurate assessment of hemodynamic status is the basis for planning and evaluation of interventions). b. Collaboration: Intravenous fluid therapy or therapeutic use Administration of drugs / medication according to the program. (Rationale: The provision of vascular volume requiring intravenous therapy and pharmacological intervention. Loss of blood volume must be repaired to prevent further complications, such as infection, fetal...

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Nursing Interventions for Hypothyroidism - Disturbed Sensory Perception Disturbed Sensory Perception (visual) based interference as a result of the transmission of sensory impulses ophtalmopathy. Purpose: that patients do not experience decreased visual acuity worse and there is no trauma / injury to the eye. Nursing Intervention: 1. Instruct the patient when sleeping with the head elevated position. 2. Moisten the eye with sterile borwater. 3. If there is photophobia, instruct the patient to use sunglasses rayben. 4. If the patient can not close eyes tightly while sleeping, use non-allergenic plaster. 5. Give steroid medications according to the program. In severe cases, doctors usually prescribe medications such as steroids to reduce edema and diuretics.

Constipation related to decreased intestinal peristalsis Nursing Care Plan for Peritonitis: Goal: after nursing Interventions, expected, no change of the pattern of elimination. Expected outcomes: Normal pattern of bowel movements (1-2 x / day) Removing the stool without straining Nursing intervention: a. Assess the distension and loss of intestinal peristalsis Rational: distension and loss of intestinal peristalsis indicates that the function of defecation is lost. b. Instruct the patient to perform movements according to ability Rational: stimulates peristalsis which facilitates the formation of flatus. c. Explain to patients to avoid foods that make up the gas. Rasonal: reducing gastric distress and abdominal distension. d. Collaboration give stool softeners. Rational: to stimulate peristalsis slowly / evacuation of feces.

Hyperthermia related to inflammatory processes Nursing Diagnosis and Interventions: Hyperthermia related to inflammatory processes Goal: after nursing Interventions, hopefully, hyperthermia can be resolved. Expected outcomes: The temperature in the normal range (36-37 0C) No complications have developed Nursing Intervention: a. Monitor the patient's temperature Rationale: increased temperature above 38.9 C, suggesting an acute infectious disease. b. Give warm compresses Rational: to help reduce fever. c. Monitor the temperature of the environment, limit / add bed linen as indicated. Rational: indoor temperature / number of blankets changed to maintain near-normal temperatures. d. Collaboration of antipyretic Rational: used to reduce fever.