NUR 215 Basic Concept Map Corona Virus PDF

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Summary

Corona virus concept map used to work in groups for nurse fundamentals 215. Includes pathophysiology, nursing diagnosis, evaluation....

Description

Pathophysiology

Nursing Diagnosis/Priority Problem #1 (3-part statement)

Assessment Data- min. of 3

(In your own words-cite reference)

The route of transmission of SARS-CoV-2 could be through coughing and sneezing. The virus enters the lungs through the respiratory tract. The virus then attacks the alveolar epithelial type 2 cells. The invasion of SARS- CoV-2 in the lungs cells, myocytes, and endothelial cells of the vascular system can result in inflammatory changes; oedema, degeneration, and necrotic changes. The virus causes difficulty in breathing, hypoxemia, and cough.

Subjective: Ineffective airway clearance related to SARS-CoV-2 as evidenced by presence of dyspnea and hypoxemia.

Pt. states feeling fatigue Pt. states shortness of breath Pt. states loss of taste and smell

1.Through the use of effective breathing and coughing techniques, as well as using an inhaler, the patient will be able to maintain clear airways as evidenced by clear breath sounds and normal respirations.

Objective: Coughing Nausea vomiting

Planning- Short Term Goal #1

and

Temp of 102.3 F Nursing Diagnosis/Priority Problem #2 (3-part statement)

Nausea and vomiting related to SARS-CoV-2 as evidenced by presence of queasy feeling, urge to vomit, and distress.

Nursing Interventions for Goal #2- min. of 2 1. Educate the patient on taking prescribed or over the counter medications as needed 2.Allow the patient to take non pharmacological methods to control nausea such as relaxation and deep breathing exercises Diagnostic Procedures: A urinalysis can be performed to check for dehydration or other signs of infection as well as kidney function

Planning- Short Term Goal #2 1.By taking prescribed or over the counter medication as well as using non pharmacological methods to treat nausea and vomiting, the patient’s symptoms will subside within 24 hours.

Evaluation- Was the goal met, what evidence would support the goal being met. If goal was unmet, what will you do next? STG #1-The goal was met for the patient as evidenced by clear breathing sounds and a normal respiration rate of 18 breaths per minute.

STG #2- The goal was not met as the patient still had symptoms of nausea after both medication and nonpharmacological approaches were taken. Further interventions that can be attempted are continued hydration as well as only providing the patient with light and bland foods.

Bibliography

Azer, A. S. (2020, August 5). Covid-19: Pathophysiology, diagnosis, complications and investigational therapeutics. New Microbes and New Infections. Retrieved September 16, 2021, from https://www.sciencedirect.com/science/article/pii/S2052297520300901 Gaines, K. (2020, December 7). 2021 Nursing Diagnosis Guide. Nurse.org. Retrieved September 18, 2021, from https://nurse.org/resources/nursingdiagnosis-guide/ Ineffective airway clearance – nursing diagnosis & care plan. (2019, March 20). Nurselabs. Retrieved September 18, 2021, from https://nurseslabs.com/ineffective-airway-clearance/ Vera, M. (2021, July 5). Nursing Diagnosis Guide and List: All You Need to Know to Master Diagnosing. Nurslabs. Retrieved September 18, 2021, from https://nurseslabs.com/nursing-diagnosis/ Zhang, T., Liu, D., Tian, D., & Xia, L. (2020, October 17). The roles of nausea and vomiting in COVID-19: did we miss something? National Center for Biotechnology Information. Retrieved September 18, 2021, from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7568482/...