Escolar Documentos
Profissional Documentos
Cultura Documentos
S
N
Dat
e
Assessment
Subjective
Data
: Patient
said, bite
by snake
bite and
swelling in
leg ?
Nursing
Diagnosis
Non
poisonous
snake bite
with swelling
right leg and
wound
Goal
Patient will
be relief
from pain
and swelling
Planning
Implementation
Rationale
Evaluation
Reassure
patient
Patient
reassured by
saying bite by
non poisonous
snake
Dressing done
at wound site
Counseling for
psychological
support
Goal is fully
met as the
swelling
decreased
Patient was
provided cold
compress at
swelling site
500 mg
Paracetamol
given as
prescribed
Swelling decreasing by
cold compress
Administer
antibiotic
Medicine as
prescribed
Antibiotic
injection
cloxacillin 500
mg given
Prevent anti-infective
for the infection
Planning
Implementation
Rationale
Wound
cleaning
Cold
Compress at
swelling site
Objective
data:
Snake
bite non
poisionou
s
Swelling
leg
Administer
antiinflammator
y medicine
as
prescribed
Prevent infection
Anti-inflammatory
Dat
e
Assessment
Nursing
Diagnosis
Goal
Evaluation
Subjective
Data
: Patient
said, have
cut wound
by knife and
bleeding
with pain?
Objective
data:
Cut injury
with
bleeding
Wound due
to cut injury
by knife and
bleeding
Patient will
be relief
from pain
and
infection
control and
stop
bleeding
Reassure
patient
Patient
reassured
about the injury
Counseling for
psychological
support
Compress
wound
Wound is
compressed
with gauze pad
for 10 minuted
Dressing done
at wound site
Administer
antiinflammator
y medicine
as
prescribed
One tablet
ibupufren with
PPI given as
prescribed
Anti-inflammatory
Administer
antibiotic
Medicine as
prescribed
Antibiotic
injection
cloxacillin 500
mg given
Prevent anti-infective
for the infection
Wound
cleaning
Prevent infection
Goal is fully
met as
bleeding
stop and
pain relieved
after nursing
intervention