Reference no: EM133848223
Case: T.C is a 6-year-old pediatric pt with Pulmonary atresia and Ventricular septal defect. He had numerous surgeries. Pulmonary valve replaces and patent foramen ovale. He was admitted because his catheter had a defect. Severe Hancock conduit stenosis complication. He also had a mediastinal hematoma. After 2 weeks of surgery, he had pus oozing out of the mediastinal wound site. He was sepsis and his BP is high unstable. Vital signs BP 135/90, RR 49, HR 104, SpO2 95%, temp 101.8F. Labs Na 130, K 3.2, pH 7.3, creatine 1.4, glucose 107, BUN 39, WBC 12.0, Hemoglobin 10, weight 20.5, Height 121cm, Pulse 82 Ca 11mg/dl
Identify and complete the following based on the case above.
1. Complete the following nursing diagnosis Decreased Cardiac Output related to___________ as evidenced by____________
Identify and explain
Give 3 nursing outcomes/goals that are attainable for this patient.
State and explain 5 nursing interventions that relate to the nursing diagnosis above and provide 5 rationales that relate to the nursing interventions.
State and explain 3 evaluations for interventions and goals.
2. Complete the following nursing diagnosis Activity intolerance related to ___________ as evidence by ____________.
Give 3 nursing outcomes/goals that are attainable for this patient.
State and explain 5 nursing interventions that relate to the nursing diagnosis above and provide 5 rationales that relate to the nursing interventions.
State and explain 3 evaluations for interventions and goals
3. Complete the following nursing diagnosis Dificient Fluid volume ________ related to as evidence by ___________.
Give 3 nursing outcomes/goals that are attainable for this patient.
State and explain 5 nursing interventions that relate to the nursing diagnosis above and provide 5 rationales that relate to the nursing interventions.
State and explain 3 evaluations for interventions and goals.
Complete the following nursing diagnosis Inffective coping related to _________ as evidenced by _______.
Give 3 nursing outcomes/goals that are attainable for this patient.
State and explain 5 nursing interventions that relate to the nursing diagnosis above and provide 5 rationales that relate to the nursing interventions.
State and explain 3 evaluations for interventions and goals.