generalized dx for Or & PACU

Published

Specializes in nsg homes & homecare.

HI, I just completed clinical rotations in both Or & PACU and have to submit 3 nsg dx for each, doing a complete careplan for only the priority dx. What's catching me up is doing it generalized rather than patient specific, I find it much easier doing it patient specific. So here's what I came up with, any feedback, both positive and negative would be greatly appreciated!

OR: 1. (Priority)Risk for aspiration r/t depressed cough & gag reflex, and decreased level of conciousness

associated with depressant effects of anesthesia & narcotic analgesics.

2. Risk for imbalanced body temperature (hypothermia) r/t reduction of heat generation associated with lack

of body movement.

3. Risk for injury r/t surgical environment & extraneous objects & equipment.

PACU: 1. (Priority)Impaired physical mobility r/t sedative effects of anesthesia/narcotics AEB altered state of

conciousness & possiblity of dizziness upon sitting upright/ standing.

2. Risk for ineffective airway clearance r/t depressed coughing/ gag reflex, impaired swallowing & possible

regirgitation/ vomitting.

3. Risk for infection r/t alteration in primary defenses & possibilities of cross contamination.

I know they get weaker as i go, but I am trying not to repeat dx between the two. As I said, and criticism would be appreciated. Thanks!:uhoh3:

+ Join the Discussion