Published Apr 11, 2010
suzers26
23 Posts
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!