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NCP 1

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kualamonkey
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212 views1 page

NCP 1

Uploaded by

kualamonkey
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as DOCX, PDF, TXT or read online on Scribd
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PATIENT: SSG. ELIAS VERDIN DIAGNOSIS: CRF secondary to hypertensive nephrosclerosis, HCVD, cardiomegaly,FC II CAP low risk.

ASSESSMENT NURSING DIAGNOSIS SCIENTIFIC RATIONALE OBJECTIVES of CARE NURSING RATIONALE EVALUATION
INTERVENTIONS

S: “mataas talaga bp ko Decreased cardiac CRF Within 4 hours of nursing *keep client on bed or *decrease oxygen After 4 hours of nursing
simula ng magkasakit ako output related to HPN interventions, the chair, rest in position of consumption. interventions, the
sa kidney” as verbalized secondary to CRF. patients BP will be lower comfort. patients BP were
by the patient. Decrease renal blood from 170/90 to 130/90 lowered from 170/90 to
flow to increase cardiac *encourage relaxation *to reduce stress/anxiety 130/90 to increase
O: *BP: 170/90 output. techniques cardiac output.
*RR:26
Renin angiotensin *elevate legs when in *to enhance venous
aldosterone system sitting position. return.
GOAL MET!!!
*instruct pt. for diet
restriction (low salt, low
Vasoconstriction fat) as indicated

*administer anti
hypertensive drug as MARLON C. SOLANOY
HPN ordered. GROUP 49

Decreased cardiac
output due to increase
resistance.

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