Published Feb 22, 2012
Flippy_Floppies
3 Posts
Hey all,
I just got report (from my classmate) for my pt tomorrow who I haven't seen yet, and I'm pretty stumped on coming up with my two nursing diagnoses. : /
So my pt is an 8 month male; the diagnoses was abnormal EEG w/ delayed visual maturation. Presented Dec. 2011 with spasms of the eyes and irritability and deviation of the head. The spasms have increased in frequency in all 4 extremities and duration is varied. Onset was Nov. 2011; noted loss of skills and regression.
I just have one lab so far: Hct which was high @ 87.1
Vitals were normal @ 94/74; 36.4; and respirations 30
So far, I've come up with Risk for delayed development r/t vision impairment (not sure what else to add to this??) , Risk for injury r/t muscle spasms..how about ineffective cerebral tissue perfusion AEB loss of skills and regression? Any advice would be appreciated. Thanks !