New to this, Definitely could use some input on a care plan

[nicolep13]

Hey!! I am in my first semester and doing my first care plan. I am totally stuck on how to write this thing. My diagnosis that I had to research is Atrial Fibrillation. My patient has chronic pulmonary embolism which is r/t A-Fib and has been expierencing weakness and dizziness. I need to come up with a nursing dx for this. I was thinking: A-Fib r/t Chronic Pulmonary Embolism AMB dizziness and weakness... or would it be Pulmonary Embolism r/t A-Fib AMB dizziness and weakness. I am so lost.. I know I can't actually use Pulmonary Embolism or A-Fib for the Problem part of the statement, but can't figure out a NANDA statement to use. I would soooo greatly appreciate it if someone could steer me in the right direction. Thank you so much..

Nicole:)

[NurseAdida]

Both of your diagnosis are medical. A.fib/PE are "medical" diagnosis. So in nursing care plans are basicallysymptoms related to the disease. Here are some of my suggestions:

1. Impaired gas exchange related to pulmonary emboli.

2. Acute pain related to pulmonary emboli.

3. Decreased cardiac output related to artrial fibrillation.

4. Anxiety related to shortness of breath secondary to pulmonary emboli.

5. Ineffective tissue perfusion related to atrial fibrillation.

So its pretty much the symptoms the patient is presenting related to his diagnosis. Use NANDA approved diagnosis don't make them up:D.

I hope that helped.

[rn/writer, RN]

Move to Student Forum.

nicolep13, please take a look at the sticky threads (at the top of the forum) for information on care plans. There are some really informative posts that should help you put it all together.

Best wishes.

[nicolep13]

Hey thanks so much to both of you.. NurseAdida--I knew that I couldn't use the medical dx, but I just wasn't sure on how to rephrase them so that it would be a nursing dx. But I see what you are saying- so you can't have both the problem and etiology as a med. dx?? Like I can't have both the A-Fib and CPE in the statement (as problem and etiology) even if I re-word them right? See for some reason, my mind wants to tie in that the CPE is the cause of the A-Fib, but I guess I don't have to put that in there. LOL.. I think my mind is just on overload at this point. Ok- so I think I am going to use "Decreased Cardiac Output r/t A-Fib AMB dizziness and weakness upon standing. Which is saying that the A-Fib is causing a decrease in Cardiac Output which is making her dizzy and weak when she stands up. Sorry I am trying to make sure I got this. Anyways THANK YOU soooo much!!!

I appreciate it GREATLY!!

Nicole:yeah: