Nursing Management - Ineffective Cerebral Tissue Perfusion related to Hydrocephalus
Nursing Diagnosis for Hydrocephalus Ineffective Cerebral Tissue Perfusion related to increased volume of cerebrospinal fluid. NOC : circulation status NOC – Expected outcomes: 1. Indicate the status of the circulation is characterized by the following indicators: Systolic and diastolic blood pressure within normal range No major vein noisy 2. Demonstrated cognitive abilities, characterized by the indicator: Communicate clearly and in accordance with the age and ability Show attention, concentration and orientation Demonstrated long-term memory and the current Process information Make the right decision Hydrocephalus – Ineffective Cerebral Tissue Perfusion – NIC Interventions 1. Monitor the following matters: Vital signs Headache Level of awareness and orientation Inistagmus diplopia, blurred vision, visual acuity 2. Monitoring of ICT: ICT monitoring and neurological response of the patient care activities Monitor tissue perfusion pressure Note the change in the patient in response ...