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NG KIU HO

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  1. NG KIU HO

    Care Plan for IV infiltration help please!!

    Thx! Besides, I am confused about the intervention to relieve pain for the IV infiltration of 5% dextrose. I am wondering whether if a cold compress or warm compress would be appropriate for pain relief. Since answers from the internet are different, and D5W is also tricky. It is isotonic in the bag but hypotonic when infused into the body. And warm compress should be applied for isotonic and cold compress should be applied for the hypotonic.
  2. NG KIU HO

    Care Plan for IV infiltration help please!!

    I am going to do postoperative pain management, I am planning to prescribe IV Ibuprofen 400-800mg Q6H if necessary only. Since the patient can't take medicine orally, IV of NSAID is necessary. And among NSAIDs that can be prescribed through IV, Ibuprofen should be the best choice. First, researches have mentioned that it has a better effect on pain relief than ketorolac. Second, Ibuprofen can also treat arthritis, which the patient has a hx of intermitted episode gout. Am I doing it right for postoperative pain management? Or is there any better alternative like another multimodal analgesia? Like music therapy?
  3. NG KIU HO

    Care Plan for IV infiltration help please!!

    Sorry but I am not sure about this, is it pneumonia? s/s rapid breathing? Actually I still have some concerns about ineffective airway clearance, suppose that there should be a decline in SpO2 level but in this case, it is 100% which is normal. If I am going to set 2 priority to 5 of them, should I prefer acute pain and ineffective airway clearance? Both of them can cause serious consequences or delay recovery. Also as you mentioned, poorly controlled acute pain might contribute to ineffective airway clearance because of inability to perform deep breathing and coughing Noted with thanks! I wish the case can give me more information too!
  4. NG KIU HO

    Care Plan for IV infiltration help please!!

    So positioning is also a related factor of ineffective airway clearance. Thx for your guide! Also, I am going to add one more ND for hypertension. Decreased cardiac output is related to the hx of hypertension (also wound pain?) as evidenced by BP 148/60. But I saw some information pages mention that hypotension is also a sign of decreased cardiac output. Therefore, I am confused about this.
  5. NG KIU HO

    Care Plan for IV infiltration help please!!

    But I have just read some researches and they mentioned that mucus form and retain with the effect of anesthetic and analgesics. And those drugs will also depress the action of cilia on the lining of the respiratory tract, so as to reduce the effectiveness of mucus removal. If it is nothing to do with anesthetic, will "ineffective breathing pattern" be more appropriate?
  6. NG KIU HO

    Care Plan for IV infiltration help please!!

    should it be shallow in supine? Also here is another one. Activity intolerance is related to the pain from the surgery site and infusion site, and the prolonged bed rest needed during the initial postoperative period of the abdominal surgery as evidenced by a chief complaint of general malaise and discomfort.
  7. NG KIU HO

    Care Plan for IV infiltration help please!!

    Here are all the nursing diagnoses I have noticed. Thank you for your help! Acute pain is related to the initial postoperative period of the abdominal surgery, secondary to IV infiltration and the past health history of Intermittent episodes of gout, as evidenced by a chief complaint of pain, tachypnea, and reported that the IV is hurting the patient. Ineffective airway clearance is related to the administration of anesthetic and analgesics during the abdominal surgery as evidenced by tachypnea. Impaired tissue integrity is related to the leakage of IV fluid into surrounding tissue due to IV infiltration as evidenced by swelling and pollar around the infusion site. Risk for infection is related to the surgical site and tissue damage because of IV infiltration. I am wondering should I also put hypertension as one diagnosis or just ignore it as I think it should be normal with a past health history? There are other nursing diagnoses that might occur, should I also mention them, like the disturbed sleeping pattern because of pain, and disturbed body image? Since the case given doesn't give any evidence, I can't see them as an actual problem. And I have taken a look at the functional health pattern, they cannot put with "risk for".
  8. NG KIU HO

    Care Plan for IV infiltration help please!!

    OK I will give it a look. I just noticed some e-book might also give me a help. Thank you for your help!
  9. NG KIU HO

    Care Plan for IV infiltration help please!!

    Should be high just after surgery less than 96 hrs? Sorry but I dun have it. I have seen it in school library but I dun have it at home
  10. NG KIU HO

    Care Plan for IV infiltration help please!!

    Sorry but the case doesn't mention this. It writes "she has just had an abdominal surgery".
  11. NG KIU HO

    Care Plan for IV infiltration help please!!

    because her IV stopped running and she complained to me that the IV is hurting her?
  12. NG KIU HO

    Care Plan for IV infiltration help please!!

    Impaired tissue integrity is related to leakage of intravenous solution into surrounding tissue as evidenced by swelling and pollar around the infusion site. Acute pain is related to the IV infiltration, secondary to the abdominal surgery and past health history of Intermittent episodes of gout as evidenced by a chief complaint of pain and general malaise and a high respiratory rate. For the related factors, should I both use "is related to IV infiltration" or should I be more detail on the cause of such problem, just like the first diagnosis? Thank you for your help!
  13. May anyone further explains what is the difference between ineffective airway clearance and ineffective breathing pattern? Once I ask my teachers the same question for a care plan related to pneumonia, and she said both should be OK.
  14. NG KIU HO

    Care Plan for IV infiltration help please!!

    The respiratory range for an adult should be 12-20 per minute. But she is having 26 breaths per minute which might because of the pain from her insertion site? With a history of hypertension, I think it is reasonable for her of having 148/62. For relieving her pain, I should apply a warm compressor on the infusion site? That's help a lot. thx!
  15. NG KIU HO

    Care Plan for IV infiltration help please!!

    Of course I have done many researches for the IV infiltration. But except infiltration, I can’t find any others problem that is needed to be concerned or I don’t know that they are related. I am wondering whether if I have missed anything or another actual problem except impaired tissue integrity. What will be the potential problem. Online teaching has limited my study because teachers seldom reply our questions. Thank you
  16. Here is the case. A 48 years old woman who just had abdominal surgery. And she is having an IV infusion of 5% dextrose running at 500mL in 6hours. The IV stopped running and her infusion site is swelling and pallor. She is also complaining about the IV is hurting her. She is feeling pain, discomfort and general malaise. She has hypertension and intermittent episodes of gout in her past health history. Here are her vital signs. BP 148/62, Pulse:62, Temperature:36.5, Respiratory rate:26, SpO2 % in room air. What are the significance and importance in this case? What should the care plan be? like an actual problem and potential problem? Impaired tissue integrity? Online teaching has limited my study nowadays. May anyone please give me some help?
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