NurseDD5

Ive written down all of those Dx already. I just need to know how to word it in the care plan. Then I have to narrow the Dx to the top 2 most important Dx. I would think the top 2 would be Nutrient: less than body requirement, imbalanced and Fluid Volume, Deficeit. This is all of the Dx I came up with. Can you tell me the top 2 you think would be relavent for this patient? Nursing Diagnosis Nutrition, less than body requirements, imbalanced pg.194 Diarrhea pg. 248 Breathing Pattern, Ineffective pg. 307 Body Temperature, Imbalanced, Risk For pg. 139 Grieving, Anticipatory pg. 646 Community Coping, Readiness for Enhanced pg. 756 Family Coping, Disabled pg. 760 Pain, Acute pg. 486 Walking, Impaired pg. 408 Falls, Risk For pg. 336 Cardiac Output, Decreased pg. 312 Urinary Incontinence pg. 254 Bowel Incontinence pg. 236 Thermoregulation, Ineffective pg. 212 Nausea pg. 188 Hyperthermia pg. 176 Fluid Volume, Deficient pg.151 Body Temperature, Imbalanced pg. 139 Injury, Risk For pg.59 Health-Seeking Behaviors pg. 49 Infection, Risk For Knowledge Deficeit Fear Anxiety If you guys could help me Id greatly appreciate it!

Ive written down all of those Dx already. I just need to know how to word it in the care plan. Then I have to narrow the Dx to the top 2 most important Dx. I would think the top 2 would be Nutrient: less than body requirement, imbalanced and Fluid Volume, Deficeit. This is all of the Dx I came up with. Can you tell me the top 2 you think would be relavent for this patient? Nursing Diagnosis Nutrition, less than body requirements, imbalanced pg.194 Diarrhea pg. 248 Breathing Pattern, Ineffective pg. 307 Body Temperature, Imbalanced, Risk For pg. 139 Grieving, Anticipatory pg. 646 Community Coping, Readiness for Enhanced pg. 756 Family Coping, Disabled pg. 760 Pain, Acute pg. 486 Walking, Impaired pg. 408 Falls, Risk For pg. 336 Cardiac Output, Decreased pg. 312 Urinary Incontinence pg. 254 Bowel Incontinence pg. 236 Thermoregulation, Ineffective pg. 212 Nausea pg. 188 Hyperthermia pg. 176 Fluid Volume, Deficient pg.151 Body Temperature, Imbalanced pg. 139 Injury, Risk For pg.59 Health-Seeking Behaviors pg. 49 Infection, Risk For Knowledge Deficeit Fear Anxiety If you guys could help me Id greatly appreciate it!

Ive written down all of those Dx already. I just need to know how to word it in the care plan. Then I have to narrow the Dx to the top 2 most important Dx. I would think the top 2 would be Nutrient: less than body requirement, imbalanced and Fluid Volume, Deficeit. This is all of the Dx I came up with. Can you tell me the top 2 you think would be relavent for this patient? Nursing Diagnosis Nutrition, less than body requirements, imbalanced pg.194 Diarrhea pg. 248 Breathing Pattern, Ineffective pg. 307 Body Temperature, Imbalanced, Risk For pg. 139 Grieving, Anticipatory pg. 646 Community Coping, Readiness for Enhanced pg. 756 Family Coping, Disabled pg. 760 Pain, Acute pg. 486 Walking, Impaired pg. 408 Falls, Risk For pg. 336 Cardiac Output, Decreased pg. 312 Urinary Incontinence pg. 254 Bowel Incontinence pg. 236 Thermoregulation, Ineffective pg. 212 Nausea pg. 188 Hyperthermia pg. 176 Fluid Volume, Deficient pg.151 Body Temperature, Imbalanced pg. 139 Injury, Risk For pg.59 Health-Seeking Behaviors pg. 49 Infection, Risk For Knowledge Deficeit Fear Anxiety If you guys could help me Id greatly appreciate it!

Ive written down all of those Dx already. I just need to know how to word it in the care plan. Then I have to narrow the Dx to the top 2 most important Dx. I would think the top 2 would be Nutrient: less than body requirement, imbalanced and Fluid Volume, Deficeit. This is all of the Dx I came up with. Can you tell me the top 2 you think would be relavent for this patient? Nursing Diagnosis Nutrition, less than body requirements, imbalanced pg.194 Diarrhea pg. 248 Breathing Pattern, Ineffective pg. 307 Body Temperature, Imbalanced, Risk For pg. 139 Grieving, Anticipatory pg. 646 Community Coping, Readiness for Enhanced pg. 756 Family Coping, Disabled pg. 760 Pain, Acute pg. 486 Walking, Impaired pg. 408 Falls, Risk For pg. 336 Cardiac Output, Decreased pg. 312 Urinary Incontinence pg. 254 Bowel Incontinence pg. 236 Thermoregulation, Ineffective pg. 212 Nausea pg. 188 Hyperthermia pg. 176 Fluid Volume, Deficient pg.151 Body Temperature, Imbalanced pg. 139 Injury, Risk For pg.59 Health-Seeking Behaviors pg. 49 Infection, Risk For Knowledge Deficeit Fear Anxiety If you guys could help me Id greatly appreciate it!

Thank you guys so much. Ive written down all of those Dx already. I just need to know how to word it in the care plan. Then I have to narrow the Dx to the top 2 most important Dx. I would think the top 2 would be Nutrient: less than body requirement, imbalanced and Fluid Volume, Deficeit. This is all of the Dx I came up with. Can you tell me the top 2 you think would be relavent for this patient? Nursing Diagnosis Nutrition, less than body requirements, imbalanced pg.194 Diarrhea pg. 248 Breathing Pattern, Ineffective pg. 307 Body Temperature, Imbalanced, Risk For pg. 139 Grieving, Anticipatory pg. 646 Community Coping, Readiness for Enhanced pg. 756 Family Coping, Disabled pg. 760 Pain, Acute pg. 486 Walking, Impaired pg. 408 Falls, Risk For pg. 336 Cardiac Output, Decreased pg. 312 Urinary Incontinence pg. 254 Bowel Incontinence pg. 236 Thermoregulation, Ineffective pg. 212 Nausea pg. 188 Hyperthermia pg. 176 Fluid Volume, Deficient pg.151 Body Temperature, Imbalanced pg. 139 Injury, Risk For pg.59 Health-Seeking Behaviors pg. 49 Infection, Risk For Knowledge Deficeit Fear Anxiety If you guys could help me Id greatly appreciate it!

Yes I came up with 20 options for a Diagnosis. And no it's not a real pt or their real name.

Case Study Carla Dillon is a 70 year old frail Caucasian female with a 5 day history of intractable vomiting, fever ranging between 101-102 F, and non-specific back pain. Over the past 2 days, she has had 5 liquid stools per day and can not tolerate a regular diet. Chief Complaint: "I ache all over and can't seem to keep any food down. I can't afford to lose any weight." Abnormal Lab Values report: CBC with Diff WBC: 22,000 (H) RBC: 6.1 (H) Lymphocytes: 67 (H) HCT: 55% (H) Hgb: 18 (H) Chemistry Na: 133 (L) BUN: 22 (H) CO2: 12 (L) Creat: 27 (H) Glucose: 52 (L) Urinalysis Color: dark amber Culture: pending Specific gravity: 1.035 (H) pH: 8.5 (H) Cultures Stool: pending Blood: pending Admitting Orders: Admitting Dx: Dehydration 5%, Fever Diet: Clear liquid, advance as tolerated Vital Signs every 4 hours Strict I&O's IVF: D5LR to run at 100 mL/hr Medications: Lopressor: 100 mg PO once a day MVI: 1 tab PO once a day Tylenol PRN for temperature over 101 Admitting Assessment: General Survey: Frail 5 ft tall, 100 lb elderly female. Presented to ER and arrive to floor alone with an emesis basin. Face pale in color. Currently, shivering uncontrollably. Vital Signs: Temp: 102 F (oral), Pulse: 128 (bounding, regular), Resp: 30, BP: 98/52, O2 sat: 96% on RA, Pain Scale 2/10 Skin: Face pale. Warm, flushed with decreased turgor. Neuro: EOM's sluggish Thorax: Apical pulse 120 strong, regular. Respirations 30 equal chest rises, labored with slight use of accessory muscles Abd: tender to touch with hyperactive bowel sounds. Last bowel movement in ER; loose to watery brown with foul odor GU: No discharge or odor noted. Last void in ED of 100 ml of urine Extremities: Ambulates with walker. Psychosocial: Retired school teacher. Husband died last year. Son lives out of state. Lives alone in retired community, but has many friends and is active within her community.

Okay. I need help making a Care Plan for this pt. Even looking at the test results this is all the possible Diagnosis that can happen to the pt?

haha no its not a real pt. its a scenerio Just wondering why it would be risk for infection r/t the IV site?

Case Study Carla Dillon is a 70 year old frail Caucasian female with a 5 day history of intractable vomiting, fever ranging between 101-102 F, and non-specific back pain. Over the past 2 days, she has had 5 liquid stools per day and can not tolerate a regular diet. Chief Complaint: "I ache all over and can't seem to keep any food down. I can't afford to lose any weight." Abnormal Lab Values report: CBC with Diff WBC: 22,000 (H) RBC: 6.1 (H) Lymphocytes: 67 (H) HCT: 55% (H) Hgb: 18 (H) Chemistry Na: 133 (L) BUN: 22 (H) CO2: 12 (L) Creat: 27 (H) Glucose: 52 (L) Urinalysis Color: dark amber Culture: pending Specific gravity: 1.035 (H) pH: 8.5 (H) Cultures Stool: pending Blood: pending Admitting Orders: Admitting Dx: Dehydration 5%, Fever Diet: Clear liquid, advance as tolerated Vital Signs every 4 hours Strict I&O's IVF: D5LR to run at 100 mL/hr Medications: Lopressor: 100 mg PO once a day MVI: 1 tab PO once a day Tylenol PRN for temperature over 101 Admitting Assessment: General Survey: Frail 5 ft tall, 100 lb elderly female. Presented to ER and arrive to floor alone with an emesis basin. Face pale in color. Currently, shivering uncontrollably. Vital Signs: Temp: 102 F (oral), Pulse: 128 (bounding, regular), Resp: 30, BP: 98/52, O2 sat: 96% on RA, Pain Scale 2/10 Skin: Face pale. Warm, flushed with decreased turgor. Neuro: EOM's sluggish Thorax: Apical pulse 120 strong, regular. Respirations 30 equal chest rises, labored with slight use of accessory muscles Abd: tender to touch with hyperactive bowel sounds. Last bowel movement in ER; loose to watery brown with foul odor GU: No discharge or odor noted. Last void in ED of 100 ml of urine Extremities: Ambulates with walker. Psychosocial: Retired school teacher. Husband died last year. Son lives out of state. Lives alone in retired community, but has many friends and is active within her community.

Case Study Carla Dillon is a 70 year old frail Caucasian female with a 5 day history of intractable vomiting, fever ranging between 101-102 F, and non-specific back pain. Over the past 2 days, she has had 5 liquid stools per day and can not tolerate a regular diet. Chief Complaint: "I ache all over and can't seem to keep any food down. I can't afford to lose any weight." Abnormal Lab Values report: CBC with Diff WBC: 22,000 (H) RBC: 6.1 (H) Lymphocytes: 67 (H) HCT: 55% (H) Hgb: 18 (H) Chemistry Na: 133 (L) BUN: 22 (H) CO2: 12 (L) Creat: 27 (H) Glucose: 52 (L) Urinalysis Color: dark amber Culture: pending Specific gravity: 1.035 (H) pH: 8.5 (H) Cultures Stool: pending Blood: pending Admitting Orders: Admitting Dx: Dehydration 5%, Fever Diet: Clear liquid, advance as tolerated Vital Signs every 4 hours Strict I&O's IVF: D5LR to run at 100 mL/hr Medications: Lopressor: 100 mg PO once a day MVI: 1 tab PO once a day Tylenol PRN for temperature over 101 Admitting Assessment: General Survey: Frail 5 ft tall, 100 lb elderly female. Presented to ER and arrive to floor alone with an emesis basin. Face pale in color. Currently, shivering uncontrollably. Vital Signs: Temp: 102 F (oral), Pulse: 128 (bounding, regular), Resp: 30, BP: 98/52, O2 sat: 96% on RA, Pain Scale 2/10 Skin: Face pale. Warm, flushed with decreased turgor. Neuro: EOM's sluggish Thorax: Apical pulse 120 strong, regular. Respirations 30 equal chest rises, labored with slight use of accessory muscles Abd: tender to touch with hyperactive bowel sounds. Last bowel movement in ER; loose to watery brown with foul odor GU: No discharge or odor noted. Last void in ED of 100 ml of urine Extremities: Ambulates with walker. Psychosocial: Retired school teacher. Husband died last year. Son lives out of state. Lives alone in retired community, but has many friends and is active within her community.

Case Study Carla Dillon is a 70 year old frail Caucasian female with a 5 day history of intractable vomiting, fever ranging between 101-102 F, and non-specific back pain. Over the past 2 days, she has had 5 liquid stools per day and can not tolerate a regular diet. Chief Complaint: "I ache all over and can't seem to keep any food down. I can't afford to lose any weight." Abnormal Lab Values report: CBC with Diff WBC: 22,000 (H) RBC: 6.1 (H) Lymphocytes: 67 (H) HCT: 55% (H) Hgb: 18 (H) Chemistry Na: 133 (L) BUN: 22 (H) CO2: 12 (L) Creat: 27 (H) Glucose: 52 (L) Urinalysis Color: dark amber Culture: pending Specific gravity: 1.035 (H) pH: 8.5 (H) Cultures Stool: pending Blood: pending Admitting Orders: Admitting Dx: Dehydration 5%, Fever Diet: Clear liquid, advance as tolerated Vital Signs every 4 hours Strict I&O's IVF: D5LR to run at 100 mL/hr Medications: Lopressor: 100 mg PO once a day MVI: 1 tab PO once a day Tylenol PRN for temperature over 101 Admitting Assessment: General Survey: Frail 5 ft tall, 100 lb elderly female. Presented to ER and arrive to floor alone with an emesis basin. Face pale in color. Currently, shivering uncontrollably. Vital Signs: Temp: 102 F (oral), Pulse: 128 (bounding, regular), Resp: 30, BP: 98/52, O2 sat: 96% on RA, Pain Scale 2/10 Skin: Face pale. Warm, flushed with decreased turgor. Neuro: EOM's sluggish Thorax: Apical pulse 120 strong, regular. Respirations 30 equal chest rises, labored with slight use of accessory muscles Abd: tender to touch with hyperactive bowel sounds. Last bowel movement in ER; loose to watery brown with foul odor GU: No discharge or odor noted. Last void in ED of 100 ml of urine Extremities: Ambulates with walker. Psychosocial: Retired school teacher. Husband died last year. Son lives out of state. Lives alone in retired community, but has many friends and is active within her community.

Case Study Carla Dillon is a 70 year old frail Caucasian female with a 5 day history of intractable vomiting, fever ranging between 101-102 F, and non-specific back pain. Over the past 2 days, she has had 5 liquid stools per day and can not tolerate a regular diet. Chief Complaint: "I ache all over and can't seem to keep any food down. I can't afford to lose any weight." Abnormal Lab Values report: CBC with Diff WBC: 22,000 (H) RBC: 6.1 (H) Lymphocytes: 67 (H) HCT: 55% (H) Hgb: 18 (H) Chemistry Na: 133 (L) BUN: 22 (H) CO2: 12 (L) Creat: 27 (H) Glucose: 52 (L) Urinalysis Color: dark amber Culture: pending Specific gravity: 1.035 (H) pH: 8.5 (H) Cultures Stool: pending Blood: pending Admitting Orders: Admitting Dx: Dehydration 5%, Fever Diet: Clear liquid, advance as tolerated Vital Signs every 4 hours Strict I&O's IVF: D5LR to run at 100 mL/hr Medications: Lopressor: 100 mg PO once a day MVI: 1 tab PO once a day Tylenol PRN for temperature over 101 Admitting Assessment: General Survey: Frail 5 ft tall, 100 lb elderly female. Presented to ER and arrive to floor alone with an emesis basin. Face pale in color. Currently, shivering uncontrollably. Vital Signs: Temp: 102 F (oral), Pulse: 128 (bounding, regular), Resp: 30, BP: 98/52, O2 sat: 96% on RA, Pain Scale 2/10 Skin: Face pale. Warm, flushed with decreased turgor. Neuro: EOM's sluggish Thorax: Apical pulse 120 strong, regular. Respirations 30 equal chest rises, labored with slight use of accessory muscles Abd: tender to touch with hyperactive bowel sounds. Last bowel movement in ER; loose to watery brown with foul odor GU: No discharge or odor noted. Last void in ED of 100 ml of urine Extremities: Ambulates with walker. Psychosocial: Retired school teacher. Husband died last year. Son lives out of state. Lives alone in retired community, but has many friends and is active within her community.