help with ND - Myasthenia gravis-hypertension-rhematoid arthritis

[tiglets135]

i have to do a concept map for a pt who has myasthenia gravis, hypertension, rhematoid arthritis, osteoporosis, depression - we have to come up with 5 nd along with 3-5 nursing intervensions. so far i have come up with:

risk for aspiration r/t cerebella dysfunction secondary to myasthenia gravis

decreased cardiac output r/t increased vasoconstriction secondary to hypertension

impaired swallowing r/t neuromuscular impairment secondary to myasthenia gravis

ineffective airway clearance r/t intercostal muscle weakness secondary to myasthenia gravis

ineffective tissue perfusion r/t decreased hgb concentrations in blood secondary to hypertension

can anyone let me know how these sound???? thank you:rolleyes:

[xtxrn, ASN, RN]

i have to do a concept map for a pt who has myasthenia gravis, hypertension, rhematoid arthritis, osteoporosis, depression - we have to come up with 5 nd along with 3-5 nursing intervensions. so far i have come up with:

risk for aspiration r/t cerebella dysfunction secondary to myasthenia gravis

decreased cardiac output r/t increased vasoconstriction secondary to hypertension

impaired swallowing r/t neuromuscular impairment secondary to myasthenia gravis

ineffective airway clearance r/t intercostal muscle weakness secondary to myasthenia gravis

ineffective tissue perfusion r/t decreased hgb concentrations in blood secondary to hypertension

can anyone let me know how these sound???? thank you:rolleyes:

ok..:) where did you find that increased hgb concentration is related to hypertension? and do you have the hgb results?

risk for aspiration is true- but does it fit into an intervention for impaired swallowing?

what about the rheumatoid arthritis, and pain, loss of functioning, autoimmune aspects of possible meds (check meds first)

do you have the med list, and any pertinent lab work and vital signs? those would help w/prioritizing :)