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 […]
High risk for altered body temperature related to: Illness or trauma affecting temperature regulation. Medication causing vasoconstriction, vasodilation, altered metabolic state or sedation. Inactivity or vigorous activity. Hyperthermia related to: Exposure to excessively warm environment Increased metabolic rate. Dehydration. Hypothermia related to: Exposure to excessively cool environment. Debilitating illness or trauma. Lack of adequate clothing […]
It is very important to know the following nursing interventions in IV infusion: Verify the doctor’s order Know the type, amount and indication of IV therapy. Practice strict asepsis. Inform client and explain purpose of therapy. PRIME IV tubing to expel air. This will prevent air embolism. Clean the insertion site of IV needle from […]
Bronchonography A radiopaque medium is instilled directly into the trachea and bronchi and the entire bronchial tree or selected areas may be visualized through x-ray. Nursing Interventions before Bronchogram Secure written consent. Check for allergies to seafoods or iodine or anesthesia. NPO 6 to 8 hours. Pre-op meds: atropine SO4 and valium, topical anesthesia sprayed […]
Late one December night on the cancer ward the halls were quiet and solemn, the patients were asleep and most of the visitors were gone. The nurses were gathered about the nurse’s station preparing for shift change. Sarah, one of the nurses, was especially tired, having worked seven straight 12 hour days. The kids had […]
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