Nursingcrib.com Nursing Care Plan - Hemophilia
This document was uploaded by user and they confirmed that they have the permission to share it. If you are author or own the copyright of this book, please report to us by using this DMCA report form. Report DMCA
Overview
Download & View Nursingcrib.com Nursing Care Plan - Hemophilia as PDF for free.
More details
- Words: 349
- Pages: 2
Student Nurses’ Community NURSING CARE PLAN – Hemophilia ASSESSMENT Subjective: “Ayaw tumigil ng pagdurugo ng sugat ko” (My wound won't stop bleeding) as
verbalized by the patient. Objective: •
Altered blood clotting.
•
Continuous bleeding.
•
V/S taken as follows: T: 37.1 P: 78 R: 20 BP: 110/80
DIAGNOSIS Ineffective protection related to abnormal blood profile.
INFERENCE
Hemophilia is a rare, inherited bleeding disorder in which your blood doesn’t clot normally. If you have hemophilia, you may bleed for a longer time than others after an injury. You also may bleed internally, especially in your knees, ankles, and elbows. This bleeding can damage your organs or tissues and, sometimes, be fatal. People born with hemophilia have little to none of a protein needed for normal blood clotting. The protein is called a clotting factor.
PLANNING After 8 hours of nursing interventions, the patient will display homeostasis as evidenced by absence of bleeding.
INTERVENTION Independent: • Avoid injections, rectal temperatures or rectal tubes.
RATIONALE •
Protects patient from procedure related causes of bleeding.
•
Maintain a safe environment. Keep all necessary objects within patient’s reach and keep bed in low position
•
Reduces accidental injury, which could result in bleeding.
•
Hematest body fluids like urine, stool, and vomitus, for occult blood.
•
Prompt detection of bleeding or initiation of therapy may prevent critical hemorrhage.
•
Monitor for changes in vital signs and skin color like blood pressure, pulse, perspiration, skin pallor or discoloration.
•
Presence of bleeding or hemorrhage may lead to circulatory failure or shock.
•
Evaluate change in level of consciousness.
•
May reflect cerebral bleeding.
•
Avoid use of aspirin products or non steroidal anti-
•
These medication reduces platelet
EVALUATION After 8 hours of nursing interventions, the patient was able to display homeostasis as evidenced by absence of bleeding.
Student Nurses’ Community inflammatory drugs. There are several types of clotting factors, and they work together with platelets to help the blood clot. Platelets are small pieces of blood cells that are formed in the bone marrow. They play a major role in blood clotting.
aggregation.
verbalized by the patient. Objective: •
Altered blood clotting.
•
Continuous bleeding.
•
V/S taken as follows: T: 37.1 P: 78 R: 20 BP: 110/80
DIAGNOSIS Ineffective protection related to abnormal blood profile.
INFERENCE
Hemophilia is a rare, inherited bleeding disorder in which your blood doesn’t clot normally. If you have hemophilia, you may bleed for a longer time than others after an injury. You also may bleed internally, especially in your knees, ankles, and elbows. This bleeding can damage your organs or tissues and, sometimes, be fatal. People born with hemophilia have little to none of a protein needed for normal blood clotting. The protein is called a clotting factor.
PLANNING After 8 hours of nursing interventions, the patient will display homeostasis as evidenced by absence of bleeding.
INTERVENTION Independent: • Avoid injections, rectal temperatures or rectal tubes.
RATIONALE •
Protects patient from procedure related causes of bleeding.
•
Maintain a safe environment. Keep all necessary objects within patient’s reach and keep bed in low position
•
Reduces accidental injury, which could result in bleeding.
•
Hematest body fluids like urine, stool, and vomitus, for occult blood.
•
Prompt detection of bleeding or initiation of therapy may prevent critical hemorrhage.
•
Monitor for changes in vital signs and skin color like blood pressure, pulse, perspiration, skin pallor or discoloration.
•
Presence of bleeding or hemorrhage may lead to circulatory failure or shock.
•
Evaluate change in level of consciousness.
•
May reflect cerebral bleeding.
•
Avoid use of aspirin products or non steroidal anti-
•
These medication reduces platelet
EVALUATION After 8 hours of nursing interventions, the patient was able to display homeostasis as evidenced by absence of bleeding.
Student Nurses’ Community inflammatory drugs. There are several types of clotting factors, and they work together with platelets to help the blood clot. Platelets are small pieces of blood cells that are formed in the bone marrow. They play a major role in blood clotting.
aggregation.
Related Documents
Nursingcrib.com Nursing Care Plan - Hemophilia
December 2019 5
Nursing Care Plan
April 2020 27
Nursing Care Plan
June 2020 24
Nursing Care Plan
May 2020 35
Nursing Care Plan Packagec
June 2020 25
Nursing Care Plan - Sepsis
October 2019 46More Documents from "Joe Mark Salamero"
Nursingcrib.com Nursing Care Plan Risk For Uterine Infection
December 2019 12
Top Schools With 100 And More Examinees
May 2020 4
