Pulmonary Embolism Care Plan PDF

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Summary

This is a care plan for pulmonary embolism....

Description

Rasmussen College Professional Nursing III Simulation Care Plan Expected Outcomes (S.M.A.R.T.)

Nursing Interventions

Specific, measurable, attainable, realistic, & time-oriented The patient will… SMART Goal #1: Patient will report pain level has decreased and is controlled by midshift.

(Include citations to support interventions)

AEB: verbalization of pain

SMART Goal #2: Patient will demonstrate use of relaxation skills and other methods to control pain by discharge.

1. Teach pt complimentary therapy for pain 2. Educate pt on comfort measures 3. Encourage pt to request meds in timely manner

#2 Deficient fluid volume

SMART Goal #1: Patient will have maintain cardiac measures within acceptable range by end of shift.

1. Monitor vital signs and CVP 2. Administer medications as ordered 3. Educate pt to change positions slowly

SMART Goal #2: Patient will have improved and adequate fluid balance by discharge.

1. Maintain accurate I&Os, fluid replacement 2. Observe skin and mucous membrane 3. Monitor laboratory studies

SMART Goal #1: Patient will verbalize understanding of the individual causative/risk factors by the end of the shift.

1. Perform and teach proper hand washing 2. Educate pt on S/S of infection 3. Educate pt on risk factors and causes of infection

SMART Goal #2: Patient will achieve timely healing by being free of purulent drainage, erythema, and afebrile before discharge.

1. Maintain strict aseptic techniques in care 2. Administer medications as ordered 3. Monitor vitals, labs, wounds, and skin

Nursing Diagnoses #1 Acute Pain

The nurse will… 1. Provide comfort measures 2. Administer medications as ordered 3. Investigate pain reports and move patient slowly

R/T: Trauma to tissues

R/T: Fever/hypermetabolic state

AEB: Hypotension and tachycardia #3 Risk for infection

R/T: inadequate primary defenses

AEB: N/A

References

Rasmussen College Professional Nursing III Vera, M. (2019). 6 Peritonitis Nursing Care Plans. Retrieved on November 9, 2021 from https://nurseslabs.com/6-peritonitis-nursing-care-plans/2/...