DAVAO DOCTORA COLLEGE

General Malvar St., Davao City

Nursing Program

NURSING CARE PLAN

Name of Pa ent: dL, S Date of Admission: 02-22-24 Room: DR1 Age: 33 Sex: F Civil Status:Married Chief
Complaint: Increased BP and painless vaginal bleeding Religion: Chris an A ending Physician: Dr. Libres

PROBLEM SCIENTIFIC BASIS GOALS/OBJECTIVES NURSING RATIONALE EVALUATION

CRITERIA INTERVENTIONS

Subjec ve: • By the end of my 7Am Independent Nursing Diagnosis: • Administering • At the end of my 7AM
“napapansin ko na mabilis shi , the pa ent's blood • Administer Risk for Impaired Renal an hypertensive shi ,the pa ent's
talaga yung pagdagdag ng pressure should be an hypertensive Func on related to blood medica ons maintains blood pressure
mbang ko simula ng ika reduced, and her uid medica ons as ordered. pressure, excessive weight blood pressure within exhibited a posi ve
apat na buwan ng output should be within • Regularly monitor and gain, and signs of uid target ranges. response to the
pagbubun s ko noong the normal range. record blood pressure, reten on. • Monitoring uid intake interven ons, showing a
unang lingo ng ensuring it is within the and output prevents reduc on from an ini al
Nobyembre.” Scien c Diagnosis. target range. complica ons related to reading of 140/100 to a
An ar cle by the Na onal • Monitor uid intake and uid imbalance. more favorable level of
“Napansin ko rin na kukon Ins ture of Diabetes and output to ensure a • Encouraging light 130/90 by the end of
na lang ang iniihi ko.” Diges ve and Kidney balance. exercise improves the shi . Notably, the
Objec ve: Diseases tled High blood • Encourage the pa ent cardiovascular health pa ent reported an
• Increased blood pressure pressure and Kidney to engage in light and aids in blood absence of headaches,
(140/100 mmHg). Disease stated that High physical ac vity if pressure management indica ng a posi ve
blood pressure damages appropriate for their • Teaching relaxa on impact on
• Swelling of ngers. kidneys by constric ng and condi on. techniques helps symptomatology.
weakening blood vessels, • Teach and encourage manage stress, a key Furthermore, the
• Excessive weight gain impairing their ltra on relaxa on techniques factor in hypertension. pa ent demonstrated
during the second capacity. such as deep breathing • Educa ng and involving commendable
trimester (1.5 lbs per exercises to help pa ents enhances adherence to uid
week). manage stress and adherence to intake
lower blood pressure. recommenda ons
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 • Elevated blood pressure This damage creates a the pa ents labor. • Ensure the pa ent medica ons and lifestyle by consuming a total of 8
on admission (140/90 harmful cycle, as reduced • Ana will remain calm receives appropriate changes. glasses of uids
mmHg). blood ow compromises and focused during intravenous uids if • Holis c management throughout the shi .
kidney func on, leading to contrac ons, u lizing needed while prevents complica ons, Equally encouraging was
• Weight gain of 8 lbs since elevated blood pressure. e ec ve coping monitoring for signs of promo ng overall the observa on that urine
the last visit. The widespread prevalence strategies, as evidenced uid overload. cardiovascular well- output remained within
of hypertension and its by controlled breathing being. the normal range.
• Pu y eyelids, sugges ve connec on to kidney during ac ve labor. Dependent:
of uid reten on. disease emphasizes the • Order a consulta on Met : /
crucial need for preven ve with a die an for a Par ally met
• Fundic height of 26 cm. measures like lifestyle tailored dietary plan. Not met
changes and medica ons • Order renal func on
• Presence of strae to mi gate the risk of tests to assess kidney
gravidarum, linea negra, impaired renal func on. func on.
and chloasma.
Collabora on
• Varicosi es and edema • Collaborate with the
noted on lower healthcare team for
extremi es. ongoing assessment and
care plan adjustments.

REFERENCES:
h ps://
www.niddk.nih.gov/
health-informa on/
kidney-disease/high-
blood-pressure
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BBN/DTS/2020 Maria Amor Lapiz

NAME OF STUDENT