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    PHASE 2 NCP (Injury, Risk For Bleeding)

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    NE Tdr
    The 14-year-old female patient presented with abdominal pain, fever, chills, and vomiting due to dengue fever which caused a low platelet count and risk of bleeding; nursing interventions included increasing fluid intake, monitoring vital signs, and encouraging rest to reduce bleeding risks and manage symptoms until her platelet count and condition improved over 6 hours.

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    PHASE 2 NCP (Injury, Risk For Bleeding)

    Uploaded by

    NE Tdr
    595 views3 pages
    The 14-year-old female patient presented with abdominal pain, fever, chills, and vomiting due to dengue fever which caused a low platelet count and risk of bleeding; nursing interventions included increasing fluid intake, monitoring vital signs, and encouraging rest to reduce bleeding risks and manage symptoms until her platelet count and condition improved over 6 hours.

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    PHASE 2 NCP (Injury, Risk for bleeding)

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    The 14-year-old female patient presented with abdominal pain, fever, chills, and vomiting due to dengue fever which caused a low platelet count and risk of bleeding; nursing interventions included increasing fluid intake, monitoring vital signs, and encouraging rest to reduce bleeding risks and manage symptoms until her platelet count and condition improved over 6 hours.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    595 views3 pages

    PHASE 2 NCP (Injury, Risk For Bleeding)

    Uploaded by

    NE Tdr
    The 14-year-old female patient presented with abdominal pain, fever, chills, and vomiting due to dengue fever which caused a low platelet count and risk of bleeding; nursing interventions included increasing fluid intake, monitoring vital signs, and encouraging rest to reduce bleeding risks and manage symptoms until her platelet count and condition improved over 6 hours.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 3

    Age: 14 yrs.

    old
    Sex: Female
    ASSESSMENT DIAGNOSIS SCIENTIFIC PLANNING INTERVENTION RATIONALE EVALUATION
    BACKGROUND
    Subjective: Injury, risk for  Platelets are blood Short term: Nursing
    “Ang sakit parin bleeding related cells called  After 6 hours of Interventions: After 6 hours of
    ng pakiramdam to altered clotting thrombocytes and nursing  Establish  To gain nursing
    ko” As verbalized factor as help your blood interventions, rapport and patient’s trust interventions, the
    by the patient. evidenced by clot, so you stop the patient will good working and patient was able
    decreased in bleeding. Low be able to condition with cooperation. to demonstrate
    “Nilalamig ako at platelet count platelet count is demonstrate the patient. behavior that
    napakasakit ng secondary to the also called behaviors that reduced the risk
    tiyan ko.” presence of thrombocytopenia. reduces the risk  Assess for  The G.I track for bleeding:
    dengue fever. When your for bleeding: signs and (esophagus  The patient’s
    When asked to platelet levels are  Gaining symptoms of and rectum) is total fluid
    rate the pain from Rationale: lower than good G.I bleeding or the most usual intake at the
    1-10, patient Platelets play an normal, your appetite nosebleeding. source of end of the shift
    stated: important role in blood isn’t able to  Increase in Note for color bleeding due to is 1,900cc.
    “Kung irarate ko clotting and clot as it should, fluid intake of the stool, its mucosal
    yung sakit 7 sya bleeding. In putting you at a  Avoidance vomitus and fragility.  The patient
    kasakit.” people with a low higher risk for of dark urine. was relieved
    platelet count, excessive bleeding. colored from
    Objective: bleeding is more The lower your foods/fluid  Observe for  Sub-acute abdominal
    likely to platelet count, the s and eating presence of disseminated pain.
    VS taken: occur,even after a higher your risk food rich in petechiae, intravascular
     TEMP: 38.9C slight injury. Low for bleeding. vitamin C. ecchymosis, coagulation  The patient’s
    platelet count may  Eradication bleeding from may develop temperature
     Fever result of one or more secondary to was
     Chills inspontaneous weakness sites. altered clotting maintained to
     Abdominal bleeding.(Merck or factors. normal
    pain Manual, 2009,Sec. restlessness temperature
     Vomiting 3, chapter 49)  Monitor vital  An increase in 36.6C.
    signs specially pulse with
    pulse and BP. decreased
    blood pressure  The patient
    can indicate was able to
    loss of rest or sleep.
    circulating
    blood volume.  The patient
    stopped
     Encourage use  In the presence vomiting.
    of soft of clotting
    toothbrush, factor
    avoid straining disturbances,
    for stool, and minimal
    forceful nose trauma can
    blowing. cause mucosal
    bleeding.

     Avoid dark  Dark colored


    colored foods foods or fluids
    or fluids. may mask
    bleeding.

     Encourage  To boost body


    patient to eat resistance to
    food rich in infections that
    vitamin C. may lead to
    further
    complications.

     Encourage  Rest promotes


    patient to rest body recovery
    more. from ached
     Increase fluid and pains.
    intake as
    indicated.  Body needs 3-
    3.5L of water
    daily as the
    body has
    sensible and
    insensible
    water losses.
    More water
    intake surely
    aids I the
    recovery of the
    patient and
    preventd
    dehydration.

     Monitor Hb,  These are


    Hct, WBC and indicators of
    platelet count anemia, active
    every 12 bleeding or
    hours. impending
    complications.

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