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    NCP 1

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    pamelaidea

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    © All Rights Reserved
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    NCP 1

    Uploaded by

    pamelaidea
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    ncp 1

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    2 views1 page

    NCP 1

    Uploaded by

    pamelaidea

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    You are on page 1of 1

    ASSESSMEN NURSING PLANNING INTERVENTION RATIONALE EVALUATIO

    T DIAGNOSI N
    S
    Subjective Fluid Short Term: Independent: 1. Gain a After 1-2
    Data: volume After 8 1. Establish trust good hours of
    ‘’Simula deficit hours of and rapport. patient- nursing
    September related to nursing 2. Monitor vital nurse intervention,
    dinudugo na heavy intervention, signs and relationship goal is
    ako tapos nag bleeding as the patient compose it with . partially met.
    stop nung evidenced will be able the 2. To gather Patient was
    october, tapos by 4 to verbalize normal/previou baseline able to
    ngayon ganun perineal knowledge s value. data. verbalize
    ulit’’ as pads/day for fluid 3. Encourage 3. To promote knowledge for
    verbalized the and total of replacemen increase fluid hydration. fluid
    patient. 28 t and intake. 4. Accurate replacement
    pads/week methods to 4. Ensure records are and methods
    secondary measure accurate intake critical in to measure
    to AUB. blood loss. and output assessing blood loss as
    Objective Data: monitoring. patients’ evidenced by
    5. Ensure proper fluid demonstratin
    - 4 perineal Long Term: IVF regulation. balance. g measuring
    pads/day and After 2 days 6. Monitor if there 5. To ensure used pads.
    total 28 of nursing are still signs of that there is
    pads/week intervention, bleeding. adequate After 2 days
    the patient 7. Promote hydration. of nursing
    V/S taken as will be able external uterine 6. To provide intervention,
    follow: to verbalize massage. treatment goal is fully
    T: 36.5 c reduce in 8. Provide cold and ensure met. Patient
    PR: 100 heavy compress. that there was able to
    RR: 16 bleeding will be no verbalize
    BP: 130/80 and excessive reduced in
    promote Collaborative: blood loss. heavy
    hydration. 9. Administer 7. Encourage bleeding and
    medications uterine promoted
    and IV fluids as contraction hydration as
    prescribed by s that evidenced by
    the physician. counteract verbalizing
    and scanty
    prevents amount of
    excessive vaginal
    bleeding. bleeding.

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