Nursing Care Plans

NURSING CARE PLAN: DENGUE ASSESSMENT Subjective: “bigla na lang dumugo ang ilong ko” as verbalized by the patient. Objective: -weakness and irritability -Restlessness

DIAGNOSIS Injury, risk for hemorrhage related to altered clotting factor.

PLANNING After few hours of collaborative nursing intervention the patient will be able to demonstrate behaviors that reduces the risk for bleeding.

INTERVENTION Independent: -assess for signs and symptoms of g.i bleeding. Check for secretions. Observe color and consistency of stools or vomitus

EVALUATION After few hours of collaborative nursing intervention the patient was able to demonstrate behaviors that reduces the risk for bleeding.

-observe for presence of petechiae, ecchymosis, bleeding from one more sites. -monitor pulse, blood pressure. -encourage use of soft toothbrush, avoiding straining for stool, and forceful nose blowing. Dependent: -monitor Hb and Hct and clotting factors.

DE LA CRUZ, LEOVELYN V. FCI-SN