Position the patient: To prevent aspiration Conscious: semi fowler’s Unconscious: lateral Provide good oral care measures Suction mouth as needed if the client is unable to expel vomitus. Relieve sensation of nausea by providing any of the following: Ice chips Hot tea with lemon Hot ginger ale Dry toast or crackers Cold cola beverage Replace […]
Altered nutrition: Less than body requirement More than body requirements Potential for more than body requirements Activity intolerance Alteration in elimination Diarrhea Constipation Knowledge deficit Self-esteem disturbance Potential impaired skin integrity
Check the doctor’s order. Provide privacy. To prevent feeling of embarrassment. Promote relaxation. To relax anal sphincter and facilitate insertion of rectal tube. Position the client: Adult – left lateral position. Infant/Small children – dorsal recumbent position. Sizes of rectal tube to be used are as follows: Adult – Fr. 22-32 Children – Fr. 14-18 […]
Maintain respiratory isolation until patient responds to treatment or until the patient is no longer contagious. Administer medicines as ordered. Always check sputum for blood or purulent expectoration. Encourage questions and conversions so that the patient can air his or her feelings. Teach or educate the patient all about PTB. Encourage the patient to stop […]
Constipation related to: Inadequate fiber intake Immobility/inadequate physical activity Inadequate fluid intake Pain on defecation Change in routine (diet intake) Abuse of laxatives Delaying defecation when urge is present Use of prescribed constipating medications (narcotic analgesic, iron, antacid and anticholinergic) Perceived constipation related to: Altered thought process Family health beliefs Knowledge deficit about normal processes […]
Ineffective airway clearance related to: Tracheobronchial infection, obstruction, secretions Decreased energy and fatigue Trauma Dehydration Ineffective breathing pattern related to: Neuromuscular/musculoskeletal impairment Pain Decreased energy and fatigue Anxiety Inflammatory process Decreased lung expansion Tracheobronchial obstruction Alteration of normal O2/CO2 ratio Decreased cardiac output related to: Structural alterations Electrical alterations in rate, rhythm and conduction Mechanical […]
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