Deezywheezy

I had a 17 month old baby whose chief complaint was: recurrent pneumonia and the diagnosis was: pneumonia w/respiratory distress. the top two diagnosis i was thinking about are Ineffective breathing pattern r/t presence of tracheo-bronchial secretions and nasal secretions AEB Irregular respirations: tachypnea (36 resps, 42 resps), Got congested at night- green mucus, Cough is productive- clear mucus, wheezes and rhonchi heard throughout, Some use of accessory muscles, CO2: 19L; FLACC Pain score 10/29: 3, NIPS pain score: 10/30: 1, Acute pain R/T persistent hoorifice coughing AEB FLACC Pain score 10/29: 3, NIPS pain score: 10/30: 1, Irritability, restlessness, VS: 35.4 C temporal, 82 bpm, 36 resp, 98 pulse ox. Do you think these will be okay?

Ineffective Peripheral Tissue Perfusion r/t paraplegia and second hand smoke exposure AEB HCT 31.6L, HGB 10.9 aptt-heparin: 57.1. Absent pedal pulses only heard w/ doppler and were weak b/l. puffy legs w/ +2 edema b/l, cap refill >3 sec b/l. Pt. not unable to move from the waist down. situational low self esteem r/t loss of independent functioning AEB poor eye contact, quiet, withdrawn, dull affect, consulted psycho for depression- prescribed cymbalta. reflex urinary incontinence r/t neurological impairment above level of sacral AEB no sensation of bladder fullness, inability to voluntarily initiate voiding, used foley catheter at home. I'm kind of stuck on what to do... i think ineffective peripheral tissue perfusion is a definite because the chief complaint was bilateral DVTs. But I also wanted to do something with her UTI but i'm not sure what kind of diagnoses to give her...

I have a pt. that I have to write a careplan on who is a paraplegic and I'm not really sure about what diagnoses to pick. This pt. came in because they had bilateral DVTs and when they were admitted they found out this pt had a UTI. The pt. was using a foley catheter at home and was on a foley in the hospital as well but that was d/c and a straight cath will be used instead. The two priority diagnoses that I was thinking of was ineffective peripheral tissue perfusion and impaired urinary elimination but like I said above i'm not really sure if these are the best ones to pick. Are there any better ones? or are these good? Any help will be greatly appreciated! Thank you!