Hello everyone. I'm new to allnurses and I wanted to get some feedback on a care plan I'm working on for my patient with septicemia. 59y female came to the IMC on 11/4 from the ICU where she intubated for respiratory distress on 10/29 and extubated on10/30. She is a bariatric patient and has an IJ triple lumen in her RUE. She is diabetic and immobile. Temp 99.8 Pulse 84 Resp 24 BP 112/68 O2sat 93% on room air WBC 10.5 RBC 3.67 H/H 10.5/32.9 Plt 182 Sodium 138 potassium 3.4 Chloride 100 Calcium 8.7 BUN 7 Creatinine 0.76 BNP 476 My top two nursing diagnoses are Ineffective tissue perfusion RT vasoconstriction AEB infection, diabetic, low h/h Ineffective breathing pattern RT tachypnea, low O2 sat, shallow breathes, intubation on 29th, obesity I would love feedback on things that I am missing or could improve. I need five diagnosis all together so I'm having trouble thinking of 3 more.