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What is an Appendectomy?Nursing Care Diagnosis and Intervention

Register Nurse | 18:20 | 0 comments

An appendectomy is the surgical procedure to remove the  vermiform appendix.An appendectomy  procedure is normally performed as an emergency procedure, when the patient is suffering from acute appendicitis

Nursing Goal for An appendectomy

  • Prevent complications. 
  • Promote comfort. 
  • Provide information about surgical procedure/prognosis, treatment needs, and potential complications

Nursing Diagnosis An appendectomy

  • Acute pain r/t surigcal incision
  • Risk for infection r/t perforation/rupture of appendix, surgical incision, peritonitis
  • Activity intolerance r/t pain, surgical procedure
  • Anxiety r/t change in health status, hospital environment
  • Imbalanced nutrition: less than body requirements r/t anorexia, nausea ,vomiting, decreased peristalsis

Nursing Intervention An appendectomy

  • Inspect incision and dressings.
  • wound/drains Care per shift
  • Check Skin regidy 
  • Monitor vital signs.
  • Give Antibiotics as per order primarily for prophylaxis of wound infection (pre-op and postoperatively)
  • Check Pain Level
  • Administer analgesics as indicated
  • Keep at rest in semi-Fowler’s position
Sources
http://en.wikipedia.org/wiki/Appendectomy
http://www.slideshare.net/1nurses/nursing-care-plan-on-appendectomy

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What is Lymphoma ?Nursing Care Diagnosis and Intervention

Register Nurse | 22:11 | 0 comments

Lymphoma is a cancer of the lymphocytes.Lymphoma cancers of the blood that develop from white blood cells in the lymphatic system.lymphoma is present as a solid tumor of lymphoid cells.

Nursing Diagnosis for Lymphoma Clients

  • Impaired Skin integrity
  • Risk for infection

Nursing Intervention for Lymphoma Clients

  • Monitor vital signs take baseline data
  • Monitor for complications such as new palpable lymph nodes and fever.
  • Check skin integrity.
  • Increase fluid intake.
  • Increase calories, protein, iron, calcium, and vitamins and minerals to counteract
  • weight loss
  • Administer analgesics as prescribed.
  • Check Coughing or difficulty breathing pattern
  • Monitor weight every week
  • Check fever every one hourly
  • Give comfortable position and maintain rest periods 
  • Administer prescribed anti emetic medication for nausea.
  • Monitor laboratory results for blood counts in response to chemotherapy.
  • Explain to the patient all kind of procedure
  • To give emotional support patient and family
Sources
From Wikipedia, the free encyclopedia

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What is Dehydration?Nursing Care dehydration in children

Register Nurse | 00:55 | 0 comments

What is Dehydration?
Dehydration occurs when the amount of water leaving the body is greater than the amount being taken in. The body is very dynamic and always changing. This is especially true with water levels in the body. We lose water routinely when:
we breathe and humidified air leaves the body;
we sweat to cool the body; and
we urinate or have a bowel movement to rid the body of waste products.
In a normal day, a person has to drink a significant amount of water to replace this routine loss.

Nursing Care dehydration in children

  • Calculate appropriateness of ordered IV fluids
  • Close Monitoring input and output(uring,vonmiting,sweating)
  • Assess for degree of dehydration or overhydration 
  • Check fluids and electrolytes level are replaced appropriately
  • Sodium replacement should always be included in fluid volume replacement
  • Offer small frequent meals after loose stools to prevent dehydration

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What is Osteomalacia?and Nursing Management

Register Nurse | 18:56 | 0 comments

Osteomalacia is a condition that affects the bones.Osteomalacia refers to a softening of your bones, often caused by a vitamin D deficiency. In children, this condition is called rickets. Soft bones are more likely to bow and fracture than are harder, healthy bones.

Nursing Management for Osteomalacia Clients

  • Focus on careful positioning, ambulation, and prescribed exercises.
  • Monitor Pain Scale
  • Give Vitamin D supplementation as per order
  • Give Analgesics as per doctor order
  • Include the patient and his family in all phases of care
  • Check the patient’s skin daily for redness, warmth, and new painsites.
  • Monitor the patient’s pain level, and assess her response to analgesic’s,
  • Explain all treatments, tests, and procedure to the patient
  • To teach clients and her family clearly understand the prescribed drug regiman.
  • To provide emotional support clients and her family


Sources
Bhan A, et al. Osteomalacia as a result of vitamin D deficiency. Endocrinology Metabolism Clinics of North America. 2010;39:321.
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