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    NCP - Osteomyelitis

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    Gave gonzales
    The document discusses a post-operative assessment for a patient who underwent a surgical procedure on their right distal leg. It notes the patient's vital signs, risk for bleeding, and short and long term goals related to identifying signs of bleeding and remaining free from signs of bleeding after nursing interventions.

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    NCP - Osteomyelitis

    Uploaded by

    Gave gonzales
    23 views2 pages
    The document discusses a post-operative assessment for a patient who underwent a surgical procedure on their right distal leg. It notes the patient's vital signs, risk for bleeding, and short and long term goals related to identifying signs of bleeding and remaining free from signs of bleeding after nursing interventions.

    Original Title

    NCP - OSTEOMYELITIS

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    The document discusses a post-operative assessment for a patient who underwent a surgical procedure on their right distal leg. It notes the patient's vital signs, risk for bleeding, and short and long term goals related to identifying signs of bleeding and remaining free from signs of bleeding after nursing interventions.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    23 views2 pages

    NCP - Osteomyelitis

    Uploaded by

    Gave gonzales
    The document discusses a post-operative assessment for a patient who underwent a surgical procedure on their right distal leg. It notes the patient's vital signs, risk for bleeding, and short and long term goals related to identifying signs of bleeding and remaining free from signs of bleeding after nursing interventions.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
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    POST-OP

    ASSESSMENT DIAGNOSIS PLANNING INTERVENTION RATIONALE EVALUATION

    Subjective Data: Risk for bleeding Short-term Goal: Independent Nsg. Short-term Goal:
    related to invasive After 10 minutes of Intervention The goal was met.
    Method: surgical procedure. nursing intervention, After 10 minutes of
    the client/guardian -Obtain baseline vital -To have baseline data in nursing intervention,
    Objective Data: will be able to signs and baseline cases of bleeding the client/guardian is
    -Debridement Distal identify the signs laboratory values. able to identify the
    Leg Right and symptoms for signs and symptoms
    bleeding that need to -Assess and monitor -Patients who undergo for bleeding that need
    be reported to the the patient's vital signs, invasive procedures like to be reported to the
    V/S taken as follows: healthcare provider. watching out for any surgery run the risk of healthcare provider.
    - RR: 25 bpm signs of bleeding. bleeding. Gum bleeding,
    - HR: 102 bpm Long-term Goal: epistaxis, and unexplained Long-term Goal:
    After 48 hours of bruising are some of the The goal was ____
    Method: nursing intervention, early indicators of After 48 hours of
    Physical Assessment the patient will bleeding. Excessive nursing intervention,
    remain free from bleeding can cause low the patient remained
    signs of bleeding. blood pressure, low free from signs of
    temperature, and bleeding.
    dizziness.

    -Monitor the patient’s -To treat any signs of


    surgical wound site for unexpected bleeding as
    any signs of early as possible.
    unexpected bleeding.

    -Educate the patient -Early identification and


    and family members treatment of bleeding can
    about signs of bleeding reduce blood loss
    that need to be complications.
    reported to the
    healthcare provider.

    -Educate the patient -Some herbals and


    and family about supplements might
    limiting the use of increase the risk of
    herbal medicines that bleeding. Some of these
    are linked with an herbals possess antiplatelet
    increased risk for properties, and some
    bleeding (such as increase anticoagulation.
    Dong Quai, feverfew,
    ginger, Ginkgo biloba,
    and chamomile).

    Dependent Nsg.
    Intervention -To prevent further
    -Administer complications.
    medications as
    prescribed by the
    physician.

    Collaborative Nsg.
    Intervention
    -

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