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    Risk For Bleeding

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    louie roderos
    The nursing care plan assessed a patient at risk for bleeding due to a decreased platelet count from Dengue fever. The plan was to monitor the patient for 4 hours for signs of bleeding, ensure lab results were within normal limits, and maintain a safe environment to prevent further injury or bleeding. The goal was to keep the patient free of bleeding and evaluate if nursing interventions were effective in addressing the risk factors.

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    Risk For Bleeding

    Uploaded by

    louie roderos
    1K views4 pages
    The nursing care plan assessed a patient at risk for bleeding due to a decreased platelet count from Dengue fever. The plan was to monitor the patient for 4 hours for signs of bleeding, ensure lab results were within normal limits, and maintain a safe environment to prevent further injury or bleeding. The goal was to keep the patient free of bleeding and evaluate if nursing interventions were effective in addressing the risk factors.

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    ncp

    Original Title

    Risk for Bleeding

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    The nursing care plan assessed a patient at risk for bleeding due to a decreased platelet count from Dengue fever. The plan was to monitor the patient for 4 hours for signs of bleeding, ensure lab results were within normal limits, and maintain a safe environment to prevent further injury or bleeding. The goal was to keep the patient free of bleeding and evaluate if nursing interventions were effective in addressing the risk factors.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    1K views4 pages

    Risk For Bleeding

    Uploaded by

    louie roderos
    The nursing care plan assessed a patient at risk for bleeding due to a decreased platelet count from Dengue fever. The plan was to monitor the patient for 4 hours for signs of bleeding, ensure lab results were within normal limits, and maintain a safe environment to prevent further injury or bleeding. The goal was to keep the patient free of bleeding and evaluate if nursing interventions were effective in addressing the risk factors.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    of 4

    Students Name: Ramos, Shelly Mae A.

    Date: January 31,2012


    Patients Initials: L.T.

    NURSING CARE PLAN

    ASSESSMENT DIAGNOSI BACKGROU PLANNIN INTERVENTIO RATIONAL EVALUATION


    S ND G N E
    KNOWLEDG
    E
    Subjective: Risk for Blood is a After 4 INDEPENDENT: Goal was met.
    bleeding specialized hours of Assessed vital >To After 4 hours of
    related to fluid in rendering signs, including determine if rendering
    human body blood pressure, intravascula nursing care, the
    Objective: decrease nursing
    that delivers pulse and r deficits patients
    thrombocyt necessary intervention respirations exists. laboratory result
    e count substances , the patient displays
    secondary such as will be able Noted client increase from
    to Dengue nutrients and to: report of pain in >Can help previous.
    Febrile oxygen to the specific areas, identify
    Syndrome cells. The whether pain is bleeding
    >Be free of
    body uses increasing, into tissues,
    as signs of
    platelets diffuse or organs, or
    manifested (thrombocyte bleeding localize body
    by s) to form a such as cavities
    blood clot and hematuria, Assessed skin
    prevent blood hemoptysis color and >Changes of
    loss. Thus, a or moisture, these signs
    decrease in urinary output may be
    hematemesi
    platelet count and level of indicative of
    prevents s. consciousness decrease in
    formation of circulating
    clots which >Display blood
    leads to laboratory volume
    hemorrhage Assessed for
    results for
    Students Name: Ramos, Shelly Mae A. Date: January 31,2012
    Patients Initials: L.T.

    NURSING CARE PLAN

    and may clotting signs >The G.I


    result in both times and and symptoms tract
    internal & factors of (esophagus
    external G.I bleeding. and
    within
    bleeding. Check for rectum) is
    normal secretions. the
    range for Observe color most usual
    individual. and consistency source of
    of stools or bleeding of
    vomitus. its
    mucosal
    Observed for fragility.
    presence of
    petechiae,
    ecchymosis, >To
    bleeding from evaluate and
    one mark
    more sites. boundaries
    of the extent
    Avoided rectal
    temperature, be
    gentle with GI
    tube insertions. > Rectal and
    esophageal
    vessels are
    Encouraged use most
    of vulnerable
    soft toothbrush, to rupture.
    avoiding
    straining >To reduce
    Students Name: Ramos, Shelly Mae A. Date: January 31,2012
    Patients Initials: L.T.

    NURSING CARE PLAN

    for stool, and risk of


    forceful nose mucosal
    blowing. bleeding.

    Maintained a
    safe
    envirinment
    >Reduces
    DEPENDENT accidental
    Recommended injury
    avoidance of
    aspirin
    containing >Prolongs
    products. coagulation,
    potentiating
    COLLABORATIV risk
    E of
    Used small hemorrhage.
    needles for
    injections and
    Applied >Minimizes
    pressure to damage to
    venipuncture tissues,
    sites for longer reducing
    than usual. risk for
    bleeding and
    Monitored Hb hematoma.
    and
    Hct and clotting >Indicators
    factors. of
    Students Name: Ramos, Shelly Mae A. Date: January 31,2012
    Patients Initials: L.T.

    NURSING CARE PLAN

    anemia,
    active
    bleeding, or
    impending
    complication
    s.

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