I can't seem to come up with nursing diagnoses to save my life!
I'm doing a case study and this is what it says:
S.D. is a 41 yr old woman, gravida 1 para 0, at 36 weeks gestation. This morning in clinic she had a BP of 143/93, Pulse of 78 beats/min, edema +2, headache, DTRs +2, proteinuria +3. She weighs 198 pounds and is 5'1". SHe is an insulin dependent diabetic. Her diabetes has been well controlled throughout the pregnancy. Her physician admits her for induction of labor.
List two priority nursing diagnoses from all information and develop a care plan for one of these.
What I came up with for diagnoses:
1. Fluid Volume Deficit r/t plasma protein loss a/e/b edema +2, urine protein of +3, headache
2. Decreased Cardiac Output r/t hypertension a/e/b blood pressure of 143/94
3. Ineffective tissue perfusion (peripheral) r/t peripheral edema and hypertension a/e/b +2 edema and B/P of 143/93
4. Deficient Knowledge, regarding induction of labor and delivery r/t gravida 1 para 0
I know i'm only supposed to come up with 2 priority nursing diagnoses but I'm just not happy with any of my choices because I feel that they are wrong and don't make any sense..... Can someone help me revise my current nursing diagnoses so that they are correct? Thanks!!
Hey, thanks for the reply!
After researching and going through my book...I found a nursing diagnosis:
Deficient fluid volume r/t fluid shift from intravascular space secondary to vasopasm.
Goal: client is restored to normal fluid volume levels
This one I came up with myself after reading the text:
Ineffective tissue perfusion r/t vasospasm a/e/b elevated blood pressure (143/94)
Goal: Blood pressure will be within acceptible limits, below 140/90mm Hg within in 48 hours
Unfortunately i have no idea what the book diagnosis means?! Can someone please explain?
What do you think of my new diagnosis I came up with?
This nursing diagnoses thing is still giving me a huge headache and anxiety....
Preeclampsia- hypertension, proteinuria, edema, elevated liver funtion tests. Generalized vasospasm and endothelial cell damage decrease perfusion and oxygenation throughout the body causing widespread organ dysfunction.
Last edit by samiam4 on Nov 2, '11