ADRIAN MALLAR BSN 2A FOCUS: FREQUENT FEELING OF DIZZINESS

NURSING CARE PLAN- ANEMIA

ASSESSMENT
Subjective: Madalas akong mahilo at nahihirapang huminga verbalized by patient Objective: visual disturbances headache upon awakening restless irritable pale in appearance diaphoresis AbN ABG/ arterial pH Polycythemia dyspnea

SCIENTIFIC BACKGROUND
excess or deficit in oxygenation and or CO2 elimination at the alveolar capillary membrane this may be an entity of its own, but it also may be an end result of other pathology with an interrelatedness between airway clearance and or breathing problem problems

DIAGNOSIS
Impaired gas exchange related to oxygen carrying capacity of blood

PLANNNING
STO> after 5-10 mins of nursing intervention the patient will be able to breath with in patient range through supplemental oxygenation and lessen complaints of dizziness LTO> after 3 days of continuous nursing intervention the patient will be able to demonstrate impaired ventilation and adequate oxygenation of tissues by ABG within clients normal limit and absence of symptoms of respiratory distress on both mother and the baby

INTERVENTION
Diagnostic: monitor vital signs especially respiratory rate and record review lab results on CBC, ABGs and chest x-ray

RATIONALE

EVALUATION
STO> Goal met, patient is able to breath within normal range with no complaints of dizziness

Assess energy level and activity tolerance Therapeutic:

Serve as baseline data for alterations To assess respiratory deficiency To identify needs for assistance To alleviate difficulty of breathing Provide comfort for the patient To promote oxygenation to the patient To maintain airway

Administer O2 therapy as ordered Assists on needs

Demonstrate deep breathing exercise

Demonstrate head of bed and position the client appropriately Educative: Encourage the adequate rest and limit activities to within clients tolerance Discuss importance of taking iron supplement and vitamin C

Helps limit O2 needs To enhance Fe absorption

LTO> goal partially met. Patients condition demonstrates impaired ventilation and controlled within normal level, no signs of any complications noted