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    NCP Roste

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    Royce Vincent Tizon
    The nursing care plan addresses a patient experiencing vaginal bleeding due to leiomyomas (uterine fibroids). The plan includes monitoring the patient's fluid levels and signs of bleeding over 6 hours. The goals are for the patient to take measures to prevent further bleeding, recognize signs that need reporting, and avoid further bleeding as evidenced by stable blood test results. Interventions include assessing blood loss history and vital signs, maintaining fluid balance, and instructing bed rest to conserve energy and prevent recurring bleeding.

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    NCP Roste

    Uploaded by

    Royce Vincent Tizon
    162 views2 pages
    The nursing care plan addresses a patient experiencing vaginal bleeding due to leiomyomas (uterine fibroids). The plan includes monitoring the patient's fluid levels and signs of bleeding over 6 hours. The goals are for the patient to take measures to prevent further bleeding, recognize signs that need reporting, and avoid further bleeding as evidenced by stable blood test results. Interventions include assessing blood loss history and vital signs, maintaining fluid balance, and instructing bed rest to conserve energy and prevent recurring bleeding.

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    NCP-ROSTE

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    The nursing care plan addresses a patient experiencing vaginal bleeding due to leiomyomas (uterine fibroids). The plan includes monitoring the patient's fluid levels and signs of bleeding over 6 hours. The goals are for the patient to take measures to prevent further bleeding, recognize signs that need reporting, and avoid further bleeding as evidenced by stable blood test results. Interventions include assessing blood loss history and vital signs, maintaining fluid balance, and instructing bed rest to conserve energy and prevent recurring bleeding.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    162 views2 pages

    NCP Roste

    Uploaded by

    Royce Vincent Tizon
    The nursing care plan addresses a patient experiencing vaginal bleeding due to leiomyomas (uterine fibroids). The plan includes monitoring the patient's fluid levels and signs of bleeding over 6 hours. The goals are for the patient to take measures to prevent further bleeding, recognize signs that need reporting, and avoid further bleeding as evidenced by stable blood test results. Interventions include assessing blood loss history and vital signs, maintaining fluid balance, and instructing bed rest to conserve energy and prevent recurring bleeding.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 2

    NURSING CARE PLAN

    CUES NURSING SCIENTIFIC GOAL INTERVENTION RATIONALE EVALUATION


    DIAGNOSIS RATIONALE
    Subjective cues: Deficient fluid Leiomyomas are After 6 hours of Independent Independent After 6 hours of
    volume related to benign neoplasms of nursing intervention nursing
    “tikang pa blood loss as smooth muscle the patient will be  Assess client’s  Estimation intervention the
    September 30 hasta evidenced by origin. These tumors able to: history of blood of the patient was able
    pag balhin ko didi vaginal bleeding, are recognized as loss (amount, volume of to:
    EVMC-Cabalawan decreased irregular projections  Take measure to duration, blood loss  Take measure to
    mayda la gihap hemoglobin and on the uterine prevent further characteristics aids in the prevent further
    nagawas nga dugo” hematocrit result. surface; they may bleeding and and presence differential bleeding and
    as verbalized become recognize signs of of clot) diagnosis. recognize signs
    pedunculated, bleeding that of bleeding that
    Objective cues: displacing or needs to be  Monitor  Maintain needs to be
    impinging on other reported active fluid loss accurate reported
     6 sanitary genitourinary immediately. from bleeding. input and immediately.
    napkins a structures causing output.
    day problems.  Patient does not  Patient does not
     Low Submucosal fibroids experience  Monitor vital  Indication of experience
    Hemoglobin displace endometrial bleeding as signs; color of hydration bleeding as
    count – 94 tissue and are more evidence by palms, soles status and evidence by
    g/L (120-150 likely to cause stable hematocrit of feet, and reflects the stable
    g/L) bleeding to the and hemoglobin mucous external hematocrit and
     Low patient. levels and desired membranes; blood loss. hemoglobin
    Hematocrit ranges for weight; skin levels and
    count – 0.31 coagulation turgor; breath desired ranges
    (0.37-0.47) profiles. sounds; for coagulation
     Low MCV urinary and profiles.
    count – gastric output;
    77.50 (81-99 and
    Fl) hemodynamic
     Low MCH – measurement
    21.8 (27-31 s
    pg)  Record intake  Determines
     Low MCHC – and output. the degree
    300 g/L Measure of fluid
    (320-360 specific gravity. losses and
    g/L) reflects the
     High Platelet adequacy of
    count – 433 renal
    (150-400 perfusion.
    x10’9/L

     Instruct to
    maintain bed  To
    rest and conserve
    provide energy and
    undisturbed prevent
    rest period recurrence
    of bleeding
    because
    activity
    increases
    pressure
    and can
    dispose to
    further
    bleeding.

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