NURSING CARE PLAN-1

Patient Name: - Rab Dino S/O Mola Bux Age: 50Y Sex: Male Ward No: 12 Bed No: 12 Marital Status: Married
Medical Diagnoses: Hepatitis A Address : SAKRAND OCCUPATION: Farmer Date: 19--03-2007

ASSESSMENT NURSING PLANNING INTERVENTION SCIENTIFIC RATIONALE EVALUATION

DIAGNOSIS
Fluid After 8 hours of 1. Monitor intake and 1. Provides information After 8 hours of
SUBJECTIVE: volume, nursing output, compare with about replacement need nursing
I’ve been risk for interventions, the periodic weight. Note or effects of therapy. interventions,
vomiting and deficient patient will enteric losses such as the
experiencing related to maintain vomiting and diarrhea. patient was
diarrhea for the excessive adequate 2. Assess vital signs, 2. Indication of circulating able to
last 24 hours losses hydration, as peripheral pulses, volume or perfusion. maintain
as through evidenced by capillary refill, skin adequate
verbalized by vomiting and stable vital signs turgor, and mucous hydration, as
the diarrhea. and appropriate membranes. 3. Useful in monitoring evidenced by
patient. urinary output. 3. Check for ascites for progression/resolution of stable vital
edema formation. fluid shifts. signs
Measure abdominal and
girth as indicated. 4. Reduces possibility of appropriate
OBJECTIVE: 4. Use small-gauge needles bleeding into tissues. urinary output.
• Restlessnes for injections, applying
s pressure for longer than
• Facial usual after venipuncture. 5. Avoids trauma and
grimace 5. Have patient use cotton bleeding of gums.
• Irritability or sponge swabs and
• V/S taken mouth wash instead of 6. Prothrombin levels are
as follows: tooth brush. reduced and coagulation
T: 37.1 6. Observe for signs of times prolonged when
P: 88 bleeding such as vitamin K absorption is
R: 18 hematuria, ecchymosis, altered in GI tract and
BP: 120/80 oozing from gums. synthesis of prothrombin
is decreased in affected
liver.

Reference:
Carpenito. L .J. (1995). Nursing Diagnosis (6th Ed.), New Jersey J.B.Lippincott Company.
Student name: Akbar Ali Arain Discipline B.Sc. N-1(2007-9)