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    NCP GCS

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    Kathleen Dela Cruz
    The nursing care plan is for a patient diagnosed with Dengue without signs. The patient presents with a fever of 38°C, rapid respiration of 25 cpm, and a blood pressure of 100/70 mmHg. The plan includes monitoring the patient's temperature, encouraging fluid intake, and removing excess clothing to lower the fever and normalize respiration. Pain management includes assessing pain using a rating scale, monitoring for associated signs, and responding immediately to complaints of pain. The goals are to decrease the patient's temperature and show signs of reduced pain within 2 hours.

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    NCP GCS

    Uploaded by

    Kathleen Dela Cruz
    292 views2 pages
    The nursing care plan is for a patient diagnosed with Dengue without signs. The patient presents with a fever of 38°C, rapid respiration of 25 cpm, and a blood pressure of 100/70 mmHg. The plan includes monitoring the patient's temperature, encouraging fluid intake, and removing excess clothing to lower the fever and normalize respiration. Pain management includes assessing pain using a rating scale, monitoring for associated signs, and responding immediately to complaints of pain. The goals are to decrease the patient's temperature and show signs of reduced pain within 2 hours.

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    NCP-GCS

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    The nursing care plan is for a patient diagnosed with Dengue without signs. The patient presents with a fever of 38°C, rapid respiration of 25 cpm, and a blood pressure of 100/70 mmHg. The plan includes monitoring the patient's temperature, encouraging fluid intake, and removing excess clothing to lower the fever and normalize respiration. Pain management includes assessing pain using a rating scale, monitoring for associated signs, and responding immediately to complaints of pain. The goals are to decrease the patient's temperature and show signs of reduced pain within 2 hours.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    292 views2 pages

    NCP GCS

    Uploaded by

    Kathleen Dela Cruz
    The nursing care plan is for a patient diagnosed with Dengue without signs. The patient presents with a fever of 38°C, rapid respiration of 25 cpm, and a blood pressure of 100/70 mmHg. The plan includes monitoring the patient's temperature, encouraging fluid intake, and removing excess clothing to lower the fever and normalize respiration. Pain management includes assessing pain using a rating scale, monitoring for associated signs, and responding immediately to complaints of pain. The goals are to decrease the patient's temperature and show signs of reduced pain within 2 hours.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 2

    NURSING CARE PLAN

    ASSESSMENT NURSING DIAGNOSIS PLANNING NURSING RATIONALE EVALUATION


    INTERVENTION

    Subjective Data: Hyperthermia related to Short term goal: - Strictly monitor - The body needs
    “Apat na araw ng on and Dengue virus infection as After 2 hours of nursing temperature to be kept in the
    off ang fever ng anak ko” as evidenced by positive intervention, the patient normal
    verbalized by the mother. immunoglobulin M should: temperature
    - Decrease body range so that all
    Objective Data: temperature the processes it
    T- 38 ᵒC - Normalizes goes through
    RR- 25 cpm respiration 23 cpm can take place
    BP- 100/70 mmHg effectively
    Positive immunoglobulin M
    - Encourage patient to - Fluid
    Diagnosis: increase oral fluid replacement is
    Dengue without signs intake essential for
    patients with a
    high body
    temperature.

    - Remove excess - To provide


    clothing comfort and
    allows body
    heat
    evaporation.
    ASSESSMENT NURSING DIAGNOSIS PLANNING NURSING RATIONALE EVALUATION
    INTERVENTION

    Objective Data: Abdominal pain risk for Short term goal: - Assess pain by using - Detailed
    T- 38 ᵒC bleeding After 2 hours of nursing Wong- baker faces baseline to
    RR- 25 cpm intervention, the patient pain rating scale know if the
    BP- 100/70 mmHg should be able to show pain has
    Facial grimace signs of reduced pain as changed
    evidenced by:
    - Observe or monitor - Attention to
    - Calm facial signs and symptoms associated signs
    expression associated with pain may help the
    - Lowered score in such as BP, heart rate nurse in
    the pain scale and temperature evaluating pain

    - Respond immediately - One can most


    to complaint of pain effectively deal
    with pain by
    preventing it.
    Early
    intervention
    may decrease
    the total
    amount of
    analgesic
    required

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