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Nursing Diagnosis

Can anyone give me the definition for the NANDA diagnosis " Risk for Vascular Trauma" ? One of my students is using this in her care plan & it does not seem to fit, but the books I have do not have the most recent diagnoses in them. Thanks.

Sally,

According to Davis's Nursing Resource Center Nursing Pocket Guide (12th edition) the definition for the NANDA diagnosis " Risk for Vascular Trauma" is: "at risk for damage to a vein and its surrounding tissues related to the presence of a catheter and/or infused solutions." They go on to state the risk factors include: insertion site, impaired ability to visualize the insertion site; cather type and width; nature of solution (eg: concentration, chemical irritant, temperature, pH); infusion rath; length of insertion time.

Also, they say that since it is " at risk for and there are no as evidenced by s/s the interventions are directed at prevention.

Hope this helps.

Cinda Nichols, RN

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