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Kelvin Banal

[ NURSING CARE PLAN]

ASSESSMENT

DIAGNOSIS

PLANNING

INTERVENTION

RATIONALE

EVALUATION

Subjective: nahihilo at nanghihina ako as verbalized by the patient. Objective: Generalized weakness. Edema VS as follows B! " #$%&'% "#) $+.# "') (( *" !(

,e-reased -ardia- o.tp.t r&t hypertension

/fter 0 hrs of n.rsing interventions1 the -lient will have no elevation in blood press.re above normal limits and will maintain blood press.re within a--eptable limits

#.monitor B! every #"2 ho.rs. 2. s.ggest fre3.ent position -hanges.

#. -hanges in B! may indi-ates -hanges in patient stat.s re3.iring prompt attention. 2. it may de-reases peripheral veno.s pooling that may be potentiated by vasodilators and prolonged sitting or standing. $. -affeine is a -ardiastim.lant and may adversely affe-t -ardia- f.n-tion.

$.en-o.rage patient to de-rease intake of -affeine1 -ola and -ho-olates.

/fter 0 hrs of n.rsing interventions1 the -lient had no elevation in blood press.re above normal limits and will maintain blood press.re within a--eptable limits. Goal was met.

4. observe skin -olor1 temperat.re1 -apillary refill time 5. restri-tions -an assist with and diaphoresis. de-rease in fl.id retention and 5. instr.-t -lient hypertension1 6 thereby improving -ardiafamily on fl.id o.tp.t. and diet re3.irements and restri-tions 0. promotes knowledge and of -omplian-e with dr.g regimen. sodi.m.

4. peripheral vaso-onstri-tion may res.lt in pale1 -ool1 -lammy skin1 with prolonged -apillary refill time

Kelvin Banal

[ NURSING CARE PLAN]

0. instr.-t -lient and family on medi-ations1 side effe-ts1 -ontraindi-ation s and signs to report.

Kelvin Banal

[ NURSING CARE PLAN]

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