Nursing Care Plan for Hypoglycemia
Activity Intolerance related to imbalance of oxygen supply and demand, weakness.
Defining characteristics:
- Fatigue and weakness.
- The response to activity indicates abnormal pulse and blood pressure.
- Changes in ECG showed arrhythmia / dysrhythmia.
- Dyspnea and discomfort.
- Agitated.
with expected outcomes:
Activity Tolerance:
- Oxygen saturation within normal limits when activity.
- HR in the normal range when the activity.
- Respiration in the normal range when the activity.
- Systolic blood pressure in the normal range when the activity.
- Diastolic blood pressure in the normal range when the activity.
- ECG within normal limits.
- Skin color.
- Breathing efforts when the activity.
- Walking in the room.
- Walk away.
- Climbing up the stairs.
- ADL strength.
- The ability to talk while exercising.
Interventions :
Therapeutic Activities:
- Note the frequency of heart rhythm, changes in blood pressure before, during and after activity as indicated.
- Increase rest, limit activity and provide leisure activities that are not heavy.
- Limit visitors.
- Monitor response to emotional, physical, social and spiritual.
- Describe the pattern of a gradual increase in activity.
- Help clients recognize a meaningful activity.
- Help clients know the options for activity.
- Determine the client's commitment to increase the frequency of the activity.
- Collaboration related to the physical, recreational therapy, proper supervision activity program.
- Help the client make a specific plan for the transfer of routine daily activity.
- Help the client / family know all the quality of a shortage of activity.
- Train the client / family about the role of physical, social, spiritual, sense activity in health care.
- Help the client / family environment with a desire to adjust the activity.
- Provide activities that increase attention in a certain period.
- Facilitation replacement activity when the client has passed the deadline, energy and movement.
- Provide an environment that is not harmful to walk as indicated.
- Provide positive reinforcement for participation in the activity.
- Help the client generates its own motivation.
- Monitor the emotional, physical, social, and spiritual activities.
- Help the client / family getting monitor progress toward achieving the goal.
Energy Management :
- Observation of the client restrictions in activity.
- Encourage to express feelings towards limitations.
- Assess the factors that cause fatigue.
- Monitor nutrition and adequate sources of energy.
- Monitor the client for physical fatigue and emotional excess.
- Monitor the cardiovascular response to activity.
- Monitor patterns of sleep and duration of sleep / rest.
- Knowing for certain clients and families who have a history of heart.
- Monitor and check oxygenation deficiency, acid-base balance, electrolytes.
- Record ECG.
- Advise the client to break every attack.
- Record the frequency and duration of the attack.
- Monitor hemodynamic status.
Activity intolerance interventions are adopted to make better the condition of the patient or end the Activity Intolerance. Interventions are managed by the patient alone or by the medical team.
ReplyDeleteIn an era of value based purchasing with a focus on inpatient stays, I have estimated that over 80% of the lives touched by health systems in this country are not patients at all, but rather family members, visitors, outpatients, and consumers of everything from equipment to Starbucks. jimmy johns diabetes
ReplyDelete