Hi all.. I jsut wanted to check to see if my list of diagnosis are in the correct priority. I am a little confused because in my last semester I was told that a "RISK" diagnosis NEVER comes bfore and actual.. but I have seen some risks diagnosis come beofre actuals in a few different books. So now I am a bit confused... can anyone let me know if this list looks like it is in the correct order?
1) ineffective airway clearance r/t retention of secretions AEB non productive cough
2)ineffective breathing pattern r/t respiratory muscle fatigue AEB shortness of breath
3)Impaired gas exchange r/t ventilation-perfusion AEB hypoxemia
4)Imaired cardiopulmonary tissue perfusion r/t decreased hemoglobin in blood AEB dyspnea (or could I write AEB decreased hemoglobin level on lab?)
5)Impaired physical mnobility r/t lower limb weakness AEB pt states legs feel weak when standing
6)Activity intolerance r/t imbalances betqween oxygen supply and demand ARB exertional discomfort (also.. is this the same as the cariopulmonary?)
7)Acute pain r/t inflammation of lung tissue AEB pain is a 6 on a scale of 1-10
8)Risk for deficient fluid volume r/t diarrhea
9)Risk for falls r/t generalized muscle weakness
10)Risk for injury r/t altered clotting factors
Thanks for any help in advance... I have 5 of these written up, but I am worried about the priority... Like I said - I was told that the RISKS always go last -- but it seems like a Risk for deficient fluid volume should be a little higher in the list...
Thanks again all.. and Happy Nursing!