Nursing Diagnosis: Hyperthermia related to the disease process of osteomyelitis as evidenced by temperature of 38.5 degrees Celsius, rapid and shallow breathing, flushed skin, profuse sweating, and weak pulse. Prepare the patient for the surgical procedure as indicated. Assess the patients wound and take swabs for lab testing. Thank you so so much! We and our partners use cookies to Store and/or access information on a device. Advise patient to use a soft-bristled toothbrush as well as a non-abrasive toothpaste. Buy on Amazon, Ignatavicius, D. D., Workman, M. L., Rebar, C. R., & Heimgartner, N. M. (2020). Saunders comprehensive review for the NCLEX-RN examination. Advise her to take steps to prevent constipation and straining, which increases the risk of bleeding. Free Care Plans. To engage the patient and overcome a lack of motivation, assess activities that interest the patient or exercise/sports they played in the past. Reduction in platelet production. Ashley Furniture Head-foot Model-good King Adjustable Base, Nurse Skills: How to Write a Badass Nursing Care Plan * If bleeding is significant, establish vascular access, place the patient on a cardiac monitor, and begin fluid resuscitation with a crystalloid solution, as ordered. Anterior bleeding is usually managed by digital pressure, gentle chemical cauterization, or nasal packing. Promote adequate lighting in the patients room. They are produced in the bone marrow together with the red and white blood cells. may email you for journal alerts and information, but is committed The most common ones are IV heparin, subcutaneous low-molecular weight heparin (LMWH), and oral warfarin. 4 Real World Examples of Using Clinical Judgement to. Nursing Diagnosis: Risk for Bleeding related to anticoagulant therapy. Provide adequate ventilation in the room. Splenomegaly with bone marrow suppression may be the cause of ITP. Provides tissues and emesis basin to allow the patient to expectorate any excess blood. Evaluate the patient's use of any medications that can affect hemostasis (e.g, anticoagulants, salicylates, NSAIDs, or cancer chemotherapy). Nursing Diagnosis for Asthma 8 Nursing Care Plans - Nurseslabs
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