Nanda Nursing Diagnosis

Nursing Care Plan for Hyperthyroidism : Ineffective Airway Clearance and Knowledge Deficit Hyperthyroidism is a condition in which the thyroid gland makes too much thyroid hormone. The condition is often referred to as an "overactive thyroid." Symptoms Difficulty concentrating, Fatigue, Frequent bowel movements, Goiter (visibly enlarged thyroid gland) or thyroid nodules, Heat intolerance, Increased appetite, Increased sweating, Irregular menstrual periods in women, Nervousness, Restlessness, Weight loss (rarely, weight gain) Other symptoms that can occur with this disease: Breast development in men, Clammy skin, Diarrhea, Hair loss, Hand tremor, High blood pressure, Itching - overall, Lack of menstrual periods in women, Nausea and vomiting, Pounding, rapid, or irregular pulse, Protruding eyes (exophthalmos), Rapid, forceful, or irregular heartbeat (palpitations), Skin blushing or flushing, Sleeping difficulty, Weakness Nursing Diagnosis : Ineffective Airway Clearance related ...

COMMON DYSRHYTHMIAS Tachycardias I. Sinus Tachycardia a. Sinus node creates rate that is faster than normal (greater than 100) b. Associated with physiological or psychological stress; medications, such as catecholamines, aminophylline, atropine, stimulants, and illicit drugs; enhanced automaticity; and autonomic dysfunction II. Atrial Flutter a. Occurs in the atrium and creates regular atrial

MYOCARDIAL INFARCTION I. Pathophysiology a. Marked reduction or loss of blood flow through one or more of the coronary arteries, resulting in cardiac muscle ischemia, and over a finite period, resulting in necrosis b. Occurs most often due to coronary artery disease (CAD) c. Cellular ischemia and necrosis can affect the heart’s rhythm, pumping action, and blood circulation. d. Other problems may

ANGINA (CORONARY ARTERY DISEASE, ACUTE CORONARY SYNDROME) I. Pathophysiology a. The disorder is characterized by a narrowing of coronary arteries due to atherosclerosis, spasm or, rarely, embolism. b. Atherosclerotic changes in coronary arteries results in damage to the inner layers of the coronary arteries with stiffening of vessels and diminished dilatory response. c. Accumulation of fatty

PULMONARY TUBERCULOSIS (TB) I. Pathophysiology a. Bacterial infection by Mycobacterium tuberculosis bacilli (TB) i. Primarily affects the lungs (70% per Centers for Disease Control and Prevention [CDC], 2004) although it can invade other body systems ii. Airborne droplets are inhaled, with the droplet nuclei deposited within the alveoli of the lung. b. Primary infection followed by a latent or

VENTILATORY ASSISTANCE (MECHANICAL) I. Pathophysiology—impairment of respiratory function affecting O2 uptake and CO2 elimination, requiring mechanical assist to support or replace spontaneous breathing a. Inability to maintain adequate oxygenation (hypoxemia) b. Inability to maintain adequate ventilation due to apnea or alveolar hypoventilation causing a rise in PaCO2 and a fall in serum pH (

HEART FAILURE: CHRONIC I. Pathophysiology a. Remodeling of the myocardium (as a structural response to injury) changes the heart from an efficient football shape to an inefficient basketball shape, making coordinated contractility difficult. i. Ventricular dilation (systolic dysfunction) results in poor contractility and inadequate emptying of chamber. ii. Ventricular stiffening (diastolic

HYPERTENSION: SEVERE I.Pathophysiology—malignant or cancerous tumor, starting from the cells of the breast tissue and occurring primarily in women, although men may also be affected. b. Types (NCCN, 2007) i. This is cout3. This is cout3. This is cout3. This is cout3.This is cout3. A. Pathophysiology—malignant or cancerous tumor, starting from the cells of the breast tissue and occurring

RADICAL NECK SURGERY: LARYNGECTOMY (POSTOPERATIVE CARE) I. Pathophysiology a. Malignancy lies above the clavicle, for instance lip, mouth, nasal cavity, paranasal sinuses, pharynx, larynx, but excludes the brain, spinal cord, axial skeleton, and vertebrae. b. Cancers limited to the vocal cords (intrinsic) tend to spread slowly, whereas cancers involving the epiglottis (extrinsic) are more likely

PNEUMOTHORAX/HEMOTHORAX I. Pathophysiology a. Partial or complete collapse of lung due to accumulation of air (pneumothorax), blood (hemothorax), or other fluid (pleural effusion) in the pleural space b. Intrathoracic pressure changes induced by increased pleural space volumes and reduced lung capacity, causing respiratory distress and gas exchange problems and producing tension on mediastinal

LUNG CANCER: POSTOPERATIVE CARE I. Pathophysiology a. Usually develops within the wall or epithelium of the bronchial tree b. Prolonged exposure to cancer-promoting agents causes damage to ciliated cells and mucus-producing cells, leading to genetic mutations and development of dysplastic cells. II. Classification (Memorial Sloan-Kettering Cancer Center, 2008; National Cancer Institute, 2008) a.

CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD) AND ASTHMA I. Pathophysiology a. Chronic obstructive pulmonary disease (COPD): chronic obstructive bronchitis and emphysema i. Chronic airflow limitations (CAL): caused by a mixture of small airway disease (obstructive bonchiolitis) and parenchymal destruction (emphysema) ii. Airway inflammation: causes structural changes, narrowing of lumina, and

PNEUMONIA I. Pathophysiology a. Inflammation of the lung parenchyma associated with alveolar edema and congestion that impairs gas exchange b. Common pathogens i. Viruses 1. Common causative organisms include respiratory syncytial virus (RSV) and influenza 2. Accounts for approximately half of all cases of community-acquired pneumonia (CAP) ii. Bacteria 1. Divided into typical and atypical types