NCP Proper
NCP Proper
NCP Proper
• Objective Data:
RR= 58 cpm
Weighs 1.08 kg
Acrocyanotic
cool to touch
• Goal: After 3 days of nursing interventions, the patient will reduce risks
for potential complications.
Objectives:
After 8 hours of nursing interventions, the patient will be warm to
touch.
After 8 hours of nursing interventions, the patient will have normal and
regular respirations.
After 8 hours of nursing interventions, the patient will be free of signs
of respiratory distress.
After 2 hours of nursing interventions, the parent will demonstrate
ability for proper infant care.
5. Observe for
evidence and
location of 5. Cyanosis is a late sign of
cyanosis. low PaO2 and does not
appear until there are
slightly more than 3 g/dl
of reduced Hb in central
arterial blood, or 4–6 g/dl
in capillary blood, or until
oxygen saturation is only
75%–85%, with PO2 levels
of 32–41 mm Hg.
Therefore, prompt
intervention is crucial.
6. Monitor HGT
levels.
Reference:
http://www.scribd.com/doc/16737107/Acute-Pain-NCP
NANDA, 11TH edition, Marilynn Doenges
Focus on Pathophysiology, Barbara Bullock
Principles of Anatomy and Physiology, Tortora
Fundamentals of Nursing, Kozier