ekka

Hi....looking for guidance My patient is an 81 yr old female, presented to er with SOB, She has pneumonia, copd, pacemaker, HTN, Showing NSR....did have non sustaining runs of SVT throughout night...but none now B/P has been 180/84, now running 155/71 HR has been between 111 and 102 throughout the day I was told she is more confused today than yesterday, she was often paranoid, has not slept at all, and has complained that she is hyperventilating. I was thinking Decreased cardiac output r/t altered heart rate AEB complaints of SOB and Impaired gas exchange r/t decreased surface area available for gas exchange AEB tachycardia, increased confusion and restlessness any advice, input appreciated.....thank you!!

Thank you so much for replying. I used Impaired gas exchange r/t decreased functional lung tissue and accumulation of fluid AEB crackles in mid right lobe, increased respiratory rate and patient complaining ofs shortness of breath. Also, on the urinary retention we just received a new nanda list and I think the chronic is on there but I will check. I used obstruction because he has BPH and I was thinking his prostrate was the obstruction....am I off there? But I like the impaired urinary elimination r/t CKD so will probably use that. Thank you again

Hi, I am working on a care plan and having a difficult time coming up with nanda's. My pt. came in with complaints of SOB. He was diagnosed with pneumonia, which I used for my 1st nanda. His co-morbidities are BPH, Chronic renal failure, hypertension, COPD, Lung Cancer, peripheral artery disease. He had a AAA stent put in last year. He had a transthoracic echo which stated "all normal" but as I read further into the report it stated he had mild mitral regurgitation, a trace of tricuspid regurgitation, borderline aortic stenosis, Left atrium mildly dilated, EF of 55-60%. He also has a foley catheter. We are only allowed to use one nanda per system. Besides the pneumonia, I have Fatigue r/t low RBC production aeb the patient stating "I am always so tired and have no energy" His RBC's are 3.11 I have a risk for infection due to the indwelling foley catheter which they were discussing having him wear at home. I have a psych one because he is on two anti-psychotics and is anxious b/c he does not want them to take the foley out. My last one I was going to do on the chronic renal failure.....Chronic urinary retention r/t obstruction aeb inability to empty bladder completely Do these areas sound right? I was going to use decreased cardiac output but the professor said no.....any direction would be greatly appreciated...thanks Labs.. Creatinine 2.93, BUN 71, GFR 21, RBC 3.11, WBC 10.9, Hgb 8.9, Hct 27.3, his Ca, K and Na are all within normal limits...although they put him on a low K diet(5.3) BP 153/73, P 70, RR 20 O2 95% room air