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Objective:
Laboratory Results:
Hgb-86g/l
Hct-0.26
Neutrophil-0.46
-nasal flaring
-DOB
-irritable
OBJECTIVES
INTERVENTIONS
1. Monitor vital signs every 4 hours
2. Monitor intake and output
3. Encourage breastfeeding every 2 our
and as necessary
4. Cradle patient as desired comfort
5. Assist on giving patients mediations
6. Provide therapeutic environment
RATIONALE
1. To have a baseline data and for
subsequent evaluation
2. To monitor for fluid and
electrolytes imbalance
3. To prevent malnutrition and to
maintain metabolic demands
4. To provide comfort
5. To reduce risk of infection and
possible complications
6. Altered environment may
contribute to the exacerbation
of patients condition
EVALUATION
Short term:
After 8 hours of duty was able to
identify some intervention to
reduce infection. Goal was
partially met.
Long term:
After 3 days patient was not able
to achieve timely wound healing.
Goal was not met.