Published Feb 10, 2010
kkliner
2 Posts
I have a care plan due on Monday related to a patient who has atrial fibrillation. He was on a heparin drip while in the hospital and it aPTT level kept coming back subtherapeutic, so he needed increased infusion rate as well as boluses of heparin throughout several days. He has a previous history of DVT bilaterally. He is at risk for developing thrombi, but I can't find a NANDA nursing diagnosis for this. Can anyone help me?
Daytonite, BSN, RN
1 Article; 14,604 Posts
Did you consider the diagnoses of Ineffective Protection or Risk for Injury?
Rednights
286 Posts
Activity Intolerance
Anxiety/Fear
Decreased Cardiac output
Ineffective Tissue Perfusion
Ineffective Health Maintenance r/t deficient knowledge
and blah blah blah ... just add actual/risk for to whatever that makes sense for your patient
CRIMSON
364 Posts
Risk for Injury r/t ineffective anticoagulant therapy
Or
Ineffective Protection r/t subtherapeutic anticoagulant therapy aeb PTT labs below therapeutic range
Thank you everyone for helping me. I was racking my brain about this one for some reason. I think I'll go with the risk for injury r/t subtherapeutic (or ineffective) anticoagulant therapy m/b aPTT levels below therapeutic range. You were all a great help!!!