pharmacology question/nursing diagnosis

Newbie_RN17 · Mar 9, 2016

What ideas do you have? I can help you if I know what direction you are going

addiesmomma181 · Mar 9, 2016

risk of infection related to procedural site? im not to sure im still trying to learn how to write a nursing diagnosis and my teacher only provided us with everything i wrote.

Newbie_RN17 · Mar 9, 2016

The best way to do them is to focus on the patients biggest issues. Then work from what will kill them first down. Think through what can go wrong after an MI and cardiac cath. Work through your ABCs (airway, breathing, circulation). I'm assuming you have a NANDA book?

addiesmomma181 · Mar 9, 2016

Ok that makes more sense I wasn't to sure if I was supposed to include the medications, the poor vision and hearing problems. I don't I should probably get one though I just started the pharmacology class and need to finish biology 2 and microbiology before i apply for the nursing program

dream'n, BSN, RN · Mar 9, 2016

Oh you haven't taken any nursing classes at all yet? If that's the case, they're jumping the gun a little with this question. Like a PP stated, think of the top three things you would worry about/watch out for with this patient and use the appropriate nursing diagnosis to correlate.

For example, after surgery bleeding would be high on your list of things to monitor for, correct?? Look at the patient's medications, do you see alot of sedating medications that could cause falling or respiratory issues?? And a patient with bad sight and hearing on sedating drugs could be a Fall/Safety risk?? What is something almost all surgical patients will have: what about pain?? Look at the medication list again. Hmm, Digoxin, Cordarone, Prinivel: what could that mean to this patient? There are lots of possible nursing diagnosis, but you need to pick the top three priority ones.

Hope this helps steer you into the right direction

nutella, MSN, RN · Mar 10, 2016

Ok that makes more sense I wasn't to sure if I was supposed to include the medications, the poor vision and hearing problems. I don't I should probably get one though I just started the pharmacology class and need to finish biology 2 and microbiology before i apply for the nursing program

Check this out:

Nursing Diagnosis List | Nanda Nursing Diagnosis List

Those are the list of nursing diagnosis and looking at it will give you a better idea of what they are asking for. There is also some tutorial to watch I think.

One of my favorite dx is "knowledge deficit", which literally applies to everybody and is important as it facilitates the whole teaching ...

Perhaps for your patient "immobility syndrome" would be something to consider.

TheCommuter, BSN, RN · Mar 10, 2016

I need help with my extra credit

I assume you are a nursing student. Your thread has been moved to our Nursing Student Assistance forum.

MinneNurse, BSN, RN · Mar 11, 2016

Do you have a nursing diagnosis manual?

Kitiger, RN · Mar 11, 2016

What is a NANDA book?

Whispera, MSN, RN · Mar 19, 2016

This is for a pharmacology class and you haven't had any nursing classes...it seems to me that this assignment is next-to-impossible for you at the level you have reached. It requires nursing knowledge that you wouldn't have yet. I think I'd talk with the instructor about this. Maybe he wanted to challenge students who have had nursing classes, and that's why it's extra credit?

bgxyrnf, MSN, RN · Mar 20, 2016

Well, someone with vision problems and hearing problems is going to have trouble with discharge teaching, don't you think?

Mightn't they be at risk for taking their meds incorrectly?

People die of digoxin overdoses and benzo overdoses. Ambien in older folks can also be problematic.

I wouldn't head down the path which requires assumptions and presumptions relating to the catherization. Address the obvious things right in front of you... the meds and the unique, patient-specific risks that they pose and how they might be mitigated.