Please help me with my care plan and NANDA

Help, Help, Help.

I just started my LVN-RN transition program a few weeks ago. I have been in school for 11 years, and I never actually did care plans in my real world experiences of being an LVN.

I am doing a "Concept Map." Heres the scenario.

A 60 y.o. female with a hx of ASHD and HTN. Borught to the ED by ambulance. She is c/o nausea, anorexia, blurred vision. She is alert and orientated; although her daughter states that she has had periods of confusion over the last several days. The client explains that she is currently under her MD's care for episodes of atrial fibrillation and atrial flutter that began about 1 week ago. Home meds include: Digoxin 0.125 mg daily, as well as Quinidine Sulfarte and Catapress. The cardiac monitor reveals atrila fibrillation with a ventricular rate of 180 bpm.

I need 3 nursing dx with R/T and AEB.

I have come up with Decreased Cardiac output, r/t altered rate and rhythm, AEB atrial dysrythmia and ventricular rate of 180 bpm.

Is this written correctly, and what else can I use.

Please help, and thanks in advance

OK, here goes -

1. Decreased tissue perfusion R/T decreased cardiac output & AEB

periods of confusion.

2. Knowledge deficit R/T disease process.

3. Altered nutritional status AEB nausea & poor appetite.

Hope this helps.

Help, Help, Help.

I just started my LVN-RN transition program a few weeks ago. I have been in school for 11 years, and I never actually did care plans in my real world experiences of being an LVN.

I am doing a "Concept Map." Heres the scenario.

A 60 y.o. female with a hx of ASHD and HTN. Borught to the ED by ambulance. She is c/o nausea, anorexia, blurred vision. She is alert and orientated; although her daughter states that she has had periods of confusion over the last several days. The client explains that she is currently under her MD's care for episodes of atrial fibrillation and atrial flutter that began about 1 week ago. Home meds include: Digoxin 0.125 mg daily, as well as Quinidine Sulfarte and Catapress. The cardiac monitor reveals atrila fibrillation with a ventricular rate of 180 bpm.

I need 3 nursing dx with R/T and AEB.

I have come up with Decreased Cardiac output, r/t altered rate and rhythm, AEB atrial dysrythmia and ventricular rate of 180 bpm.

Is this written correctly, and what else can I use.

Please help, and thanks in advance

you will get a lot of support, references & links, if you post on the student nurse's forum.

"daytonite", our student nurse mentor, will be looking for your question. :)

best of luck to you.

leslie

NANDA-I added a bunch of diagnoses this year as well as revised even more. I think it is the largest change in years. I just purchased the new book that Daytonite references and have been reading it and I recommend anyone on here to get this new revision.

Another change is that they have begun using more medical terminology- like instead of saying 'shortness of breath' they are now saying 'dyspnea' which is an effort to standardize the language we use.