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How do these nursing diagnosis look? am I on the right path?

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by Bodybuilder1 Bodybuilder1 (New) New

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For the mother who has premature placental abruption. I only need 4 but came up with 5 but eventually for my care map I just need to pick the 2 that needs prioritizing. 

1. Acute pain related to premature separation of the placenta from the uterine wall as evidenced by the patient’s report of continuous abdominal pain/cramping of about 5-7 out of 10, back discomfort, vaginal bleeding and increased HR.

 

2. Risk for deficient fluid volume related to blood loss secondary to premature abruption of the placenta.

 

3. Anemia related to active bleeding as evidenced by low H & H.

 

4. Risk for Hypovolemic shock related to blood loss as evidenced by patients H & H.

 

5. Anxiety related to threat of current health status as evidenced by palpitations, increased pulse and the inability to fall asleep.

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TriciaJ has 39 years experience as a RN and specializes in Psych, Corrections, Med-Surg, Ambulatory.

14 Followers; 3,683 Posts; 38,041 Profile Views

I did not work in L&D so maybe I'm out to lunch.  In any care plan, if you have to narrow down to priorities, start with the issue that would be the most immediately life-threatening.  Then move on to what would have unfortunate sequelae, then on to comfort.

You'll have to look ahead a bit to  predict longer term outcomes of unaddressed issues.

Hope this at least helps.

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amoLucia specializes in LTC.

5,447 Posts; 46,568 Profile Views

Like above but without knowing vitals signs, LOC, blood vol loss, IV replacement efforts, etc, it'd be hard for me to prioritorize.

Your 'risk for' are real possibilities, but for an otherwise stable pt, you could manage attempts to control pain & anxiety which are co-related.

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