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Moonlight88

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  1. Hello everyone, Just had a question about nursing diagnosis for a brain dead patient. Please check if my nursing dx sounds ok..I'm not quite sure. My patient suffered severe brain injury d/t MVA => epidural, subdural, subarachnoid hematoma, tentorial shift. Was pronounced brain dead. Family agreed for organ donation. 1) Ineffective airway clearance r/t absent cough, gag reflex, brain death aeb adventitious lung sounds(interventions: suctioning, auscultating, etc) 2) Decreased cardiac output r/t intracranial hemorrhage, hematoma? aeb declining BP, increased heart rate (interventions: giving meds like Dopamine, Neosynephrine as ordered to preserve organs for transplant, etc) 3) Please help.

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