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    Cues Nursing Diagnosis Analysis Planning Nursing Interventions Rationale Evaluation

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    Lore Anne Mhae Santos
    The document outlines a nursing care plan for a patient experiencing activity intolerance related to imbalance between oxygen supply and demand as evidenced by fatigue, weakness, and abnormal vital signs. The plan includes monitoring vital signs, administering medications and fluids, encouraging activity tolerance, and evaluating if the patient reports improved tolerance after nursing interventions. The goals are for the patient to demonstrate increased activity tolerance and improved symptoms and vital signs after nursing care.

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    Cues Nursing Diagnosis Analysis Planning Nursing Interventions Rationale Evaluation

    Uploaded by

    Lore Anne Mhae Santos
    23 views3 pages
    The document outlines a nursing care plan for a patient experiencing activity intolerance related to imbalance between oxygen supply and demand as evidenced by fatigue, weakness, and abnormal vital signs. The plan includes monitoring vital signs, administering medications and fluids, encouraging activity tolerance, and evaluating if the patient reports improved tolerance after nursing interventions. The goals are for the patient to demonstrate increased activity tolerance and improved symptoms and vital signs after nursing care.

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    Navarro NinaPatricia NCP

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    The document outlines a nursing care plan for a patient experiencing activity intolerance related to imbalance between oxygen supply and demand as evidenced by fatigue, weakness, and abnormal vital signs. The plan includes monitoring vital signs, administering medications and fluids, encouraging activity tolerance, and evaluating if the patient reports improved tolerance after nursing interventions. The goals are for the patient to demonstrate increased activity tolerance and improved symptoms and vital signs after nursing care.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as docx, pdf, or txt
    23 views3 pages

    Cues Nursing Diagnosis Analysis Planning Nursing Interventions Rationale Evaluation

    Uploaded by

    Lore Anne Mhae Santos
    The document outlines a nursing care plan for a patient experiencing activity intolerance related to imbalance between oxygen supply and demand as evidenced by fatigue, weakness, and abnormal vital signs. The plan includes monitoring vital signs, administering medications and fluids, encouraging activity tolerance, and evaluating if the patient reports improved tolerance after nursing interventions. The goals are for the patient to demonstrate increased activity tolerance and improved symptoms and vital signs after nursing care.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as docx, pdf, or txt
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    Cues Nursing Diagnosis Analysis Planning Nursing Rationale Evaluation

    Interventions

    Subjective: Activity intolerance Predisposing STG: Independent Goal met as


    “Namamanhid yung related to imbalance Factors After 4 hours of Nursing evidenced by
    kamay at paa ko pati between oxygen supply (Sedentary nursing Interventions patient’s
    nahihilo. and demand as lifestyle, Type 2 intervention, the 1. Monitor Vital 1. To obtain demonstration of
    Nanghihina rin ako evidenced by DM, patient will report signs especially baseline improved
    at nahihirapan verbalization of fatigue Hypertension) measurable BP and O2 sat. data and for activity tolerance
    akong huminga” as and weakness, ↓ increase in activity close monitoring as evidenced by
    verbalized by the pt. paresthesia of hands tolerance as absence of
    Narrowing of
    and feet, pallor, evidenced by 2. Monitor 2. To ensure verbalization of
    blood vessels
    abnormal VS, SBG:210 absence of hemodynamic adequate and fatigue,
    ↓
    and Hgb:10.5 verbalization of oxygen delivery weakness,
    Decreased fatigue, weakness, paresthesia of
    Objective: capillary blood paresthesia of 3. Monitor the IV 3. Ensure the hands and feet,
    Verbalization of flow hands and feet, lines patency proper delivery pallor, normal
    fatigue and ↓ pallor, normal VS, and reliability of fluids (BT, VS, decreased
    weakness decreased SBG and PNSS) into the SBG and
    Increasing
    Paresthesia of hands increased Hgb level vein increased Hgb
    vascular
    and feet level.
    resistance
    Pallor 4. Elevate head of 4. Enhances lung
    ↓
    bed, as expansion to
    Vasoconstriction LTG: tolerated. maximize
    After 8 hours of
    VS ↓ oxygenation for
    nursing
    RR: 29 ↓ supply of cellular uptake.
    intervention, the
    PR: 120 oxygen to the patient will
    BP: 160/100 tissues demonstrate
    T: 36.1 C ↓ improved activity
    O2 Sat: 94% Activity tolerance as
    Intolerance evidenced by 5. Encourage 5. Reduces
    SBG: 210 absence of bedrest to chair myocardial
    Hgb: 10.5 verbalization of rest initially. workload and
    fatigue, weakness, oxygen
    paresthesia of consumption
    hands and feet,
    pallor, normal VS,
    decreased SBG and **Dependent
    increased Hgb level nursing
    interventions
    6. Administer 6. To lower blood
    antihypertensiv pressure
    es as ordered.

    7. Administer 7. To treat
    insulin. hyperglycemia

    8. Administer 8. To increase
    blood number of
    transfusion as oxygen-carrying
    ordered cells

    9. Administer IV 9. To provide
    fluids as vascular access
    ordered (PNSS) for medication
    and piggy back
    for BT
    10. Administer 10. To increase
    oxygen the amount of
    inhalation 2- oxygen in the
    3LPM as body and to
    ordered via prevent hypoxia.
    nasal prongs

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