Nanda Nursing Diagnosis

Nursing Care Plan for Peptic Ulcer Peptic ulcer is an erosion of gastrointestinal mucosa caused by too much hydrochloric acid and pepsin. Although ulcers can occur in the esophagus, the most common location is the duodenum and stomach (Wardell, 1990). Chronic ulcers can penetrate the muscular wall. Recovery resulted in the formation of fibrous tissue and eventually permanent scarring. Ulcers can be recovered or recovered several times throughout one's life. Peptic ulcers are sores on the mucous membranes of the esophagus, stomach and duodenum, which is caused by gastric work. The main complications related to peptic ulcer disease, in general, are: Hemorrhage, evidenced by hematemesis and guaiac positive fesses. Perforation, evidenced by the sudden onset of severe pain accompanied by abdominal stiff as a board and symptoms of shock. Obstruction. This complication is more common in duodenal ulcer that is located near the pylorus. It is caused by constriction of gastric outlet as a re...

Nursing Diagnosis for Leukemia Risk for Fluid Volume Deficit related to fluid intake and output, excessive loss: vomiting, bleeding, diarrhea decrease in fluid intake: nausea, anorexia increased need for fluids: fever, hypermetabolic. Purpose : the volume of fluid being met Expected outcomes: Adequate fluid volume The mucosa moist Vital signs are stable: BP 90/60 mm Hg, pulse 100x/menit, RR 20x/menit Pulse palpated Urine output 30 ml / hour Capillaries and refill less than 2 seconds Nursing Intervention for Leukemia : Monitor fluid intake and output Monitor body weight Monitor BP and heart frequency Evaluation of skin turgor, capillary refill and mucous membrane conditions Give fluid intake 3-4 L / day Inspection of skin / mucous membranes for petechiae, ecchymoses area; noticed bleeding gums, blood color of rust or vague in feces and urine, bleeding from the puncture further invasive. Implement measures to prevent tissue injury / bleeding Limit oral care to wash mouth when indicated G...