c

 


 
  


 
 
 

    
 

 

Subjective: Risk for bleeding r/t Risk of Injury as a ! 
 I


 ! 

abnormal blood result of After 4 hours of ×ástablish ×to gain patient¶s trust Fully Met.
Objective: profile as evidenced environmental Nursing rapport
× Low by decrease platelet conditions Interventions, pt ×assist in determining After 4 hours of
platelet count. interacting with will ×Assess level pt. µs ability to protect Nursing
count the individuals demonstrate of self and comply with Interventions, pt will
× Abnormal adaptive and techniques consciousness required self protective have demonstrate
blood defensive behavior, and cognitive actions techniques behavior,
profile resources. It is lifestyle level lifestyle changes to
× Tissue also because of changes to risk ×Minimizes injury to risk factors and
Hypoxia the infection of factors and occur protect self.
×Weakness DHF I Virus that protect self. As
and Irritability destroys the manifested by: î 


×Restlessness.
platelets which × Fully Met.
place the patient ×
×Provide safe ×Permits detection of
at risk of ×
environment bleeding in GI tract After 1 days of NI,
bleeding. When ×
(pad, side rails, the the patient¶ will
the blood vessels ×
prevent falls) have been
×Indicate altered
are cut or free from injury.
î 

 clotting mechanism
damage , the loss
After 1 day of ×Observe for
of blood from the
NI, the patient¶ each stool
system must be
will be free from color,
stop before shock
injury. consistency and
and possible
× amount
death may occur.
This is × × Promotes healing and
accompanied by × ×Observe for
boost the resistance of
solidification of × hemorrhagic the body against
the blood, a manifestation, infection
process called ecchymosis,
coagulation or epistaxis, ×To obtain baseline
clotting. If the Petechiae, and data
value should stop bleeding gums .
below
normal,(150,000 - ×áncourage
450,000 g/dl), intake of foods ×Minimizes tendency of
there is a danger with high trauma or bleeding
of uncontrolled content of Vit. C
bleeding because
of the essential
role that platelets
have in blood
clotting.
×Assess pt¶s
condition and
monitor vital
×Indicators of
signs. anemia, active
bleeding, or
impending
×Avoid SC, IM complications.
route of
injection as
possible





 [   
×Monitor Hb
and
Hct and clotting
factors.