Nanda Nursing Diagnosis

Nursing Care Plan for Chronic Kidney Disease Chronic Kidney Disease (CKD) / CRF is a kidney disorder that is progressive and irreversible in which the ability of the body fails to maintain metabolism and fluid and electrolyte balance, causing uremia (retention of urea and other nitrogen garbage in the blood). Causes of Chronic Kidney Diseas CKD / CRF may be caused by systemic diseases are as follows: DM. Chronic Glomerulonefrtitis. Pyelonephritis. Toxic agents. Uncontrolled hypertension. Urinalysis tract obstruction. Vascular disorders. Infection. Clinical manifestations of Chronic Kidney Disease Cardiovascular system: includes hypertension (due to fluid retention and sodium from activation of the renin-angiotensin-aldosterone system), congestive heart failure and pulmonary edema (due to excess fluid) and pericarditis (due to irritation of the pericardial layers by uremic toxins). Integrumenurum system: severe itching (pruritus). Granules is a penunpukkan uremic urine crystals in the s...

Nursing Diagnosis for Diabetes Mellitus: Impaired Skin Integrity Goal: After nursing Interventions, improved wound healing: Expected outcomes: Luka shrink in size and increase in granulation tissue. Nursing Interventions: Wound care Note the characteristics of the wound: determine the size and depth of the wound, and the classification of the influence ulcers Note the characteristics of the fluid that comes out secret Clean with a liquid anti-bacterial Rinse with 0.9% NaCl fluid Perform nekrotomi, if necessary Perform the appropriate tampon With sterile gauze dressing as needed Make dressing Maintain a sterile dressing technique when performing wound care Observe any changes in the packing Compare and note any changes in the wound Give position to avoid pressure Rational: Assessment of injuries, will be more realible done by the same caregiver in the same position and the same techniques.

Nursing Care Plan for Impetigo - Nursing Diagnosis and Interventions : Impaired Skin Integrity Nursing Diagnosis: Impaired Skin Integrity related to lesions and mechanical injury (scratching the itchy skin) Expected outcomes are: A good skin integrity can be maintained (sensation, elasticity, temperature) No injuries or lesions on the skin. Able to protect skin and keep skin moist and natural treatments. Good tissue perfusion. Nursing Interventions: 1. Instruct the patient to use, loose clothing. Rational: a loose shirt, shirt will reduce friction on the skin lesions. 2. Cut nails and keep the client's hand hygiene. Rational: the nail that will reduce the short and avoid scratching the impetigo lesion severity. 3. Keep clean skin, to keep them clean and dry. Rational: the skin clean and dry, will reduce the spread or proliferation of bacteria. 4. Monitor skin color, the existence of redness. Rational: to know the progression of the disease and the effectiveness of actions taken. 5...

Hypospadias Definition Hypospadias is a birth defect of the urethra in the male that involves an abnormally placed urinary meatus (the opening, or male external urethral orifice). Instead of opening at the tip of the glans of the penis, a hypospadic urethra opens anywhere along a line (the urethral groove) running from the tip along the underside (ventral aspect) of the shaft to the junction of the penis and scrotum or perineum. A distal hypospadias may be suspected even in an uncircumcised boy from an abnormally formed foreskin and downward tilt of the glans. Impaired Skin Integrity Definition Altered epidermis and/or dermis: Invasion of body structures, destruction of skin layers (dermis), and disruption of skin surface (epidermis). Related Factors: External: Hyperthermia, hypothermia, chemical substance, mechanical factors (e.g. friction, shearing forces, pressure, restraint), physical immobilization, humidity, extremes in age, moisture, radiation, medications Internal: ...