Nursing Care Plan Endocarditis

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NURSING CARE PLAN (NCP)

CUES NURSING BACKGROUND NURSING NURSING RATIONALE EVALUATION


DIAGNOSIS KNOWLEDGE OBJECTIVES INTERVENTIONS
Independent
Subjective: Decreased Endocarditis is an After my  Monitor BP and Pulse -provide baseline data Goal met,
“Naglisod ko cardiac output inflammation of the 8hours of a. Note presence of for comparison to patients is
ginhawa ug related to endocardium; it is nursing care pulse alternans follow trends and to comfortable
sakit ako structural factors usually limited to the and ( indicative of left sided evaluate respond to
dughan day” as secondary to memrane lining and the interventions, heart failure) intervention
verbalized by valvular valves. The cause of the patient BP b. Evaluate pulse
the patient. dysfunction from endocarditis may be will be stable pressure (30-40 mmHg
infective viral, fungal, or most indicates adequate CO)
Objective: process. commonly, bacterial.  Auscultate heart -detect new murmur or
-received pt. per The most common sound change in existing
stretcher organism is  Keep client on bed, murmur and presence
-shortness of Streptococcus viridans. promote bed rest, of gallop
breath/ dyspnea Vegetations (growths semi fowlers position -decrease oxygen
noted or lesion) may cause is preferred consumption and
-cyanotic vulvular dysfunction.  Evaluate Jugular vein promote venous return
-weakness distention
noted  Record intake and -
-cough noted Source: output
-tachycardia http://nursingcrib.com/  Record daily weight -to measure the exact
noted critical-care-and- fluid retention of the
 Provide supplemental
- with the ff vls: emergency-nursing/end body
oxygen at 2 to 4
T - ocarditis/ -for baseline purposes
L/min.
PR- - to maintain or
 Auscultate lung fields
RR- improve oxygenation
for evidence of
BP-
crackles(rales)

Dependent:
Administer multi-I.V
antibiotic regimen
antipyretics as ordered
and as needed.

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