CHAPTER V

NURSING CARE PLAN AND DRUG STUDY

1. Dizziness

ASSESSMENT DIAGNOSIS INFERENCE PLANING INTERVENTION RATIONALE EVALUATION

Subjectve: -Risk for prone -High blood -After 8 hours of -Assist the -These risk factors -After 8 hours
“maul ulaw ak behaviour pressure (HBP) or nursing interventions patient in have been shown of nursing
daduma” as related to lack of hypertension ,the patient will identifying to contribute to interventions ,the
verbalized by the knowledge about means high verbalize modifiable hypertension patient was able to
Patient. the disease. pressure(tension) understanding of the risk factors like diet verbalize
in the arteries. disease process and high in sodium, understanding of the
V/S taken as follows: Arteries are treatment regimen saturated fats and disease process and
BP- 1080/100 mmhg vessels that carry cholesterol. -Lack treatment regimen
RR- 22 blood from the of cooperation is
PR- 78 pumping heart to -Reinforce the common reason
T- 36.2 all the tissues and importance of for failure of anti-
organs of the adhering to hypertensive
body. High blood treatment regimen therapy
pressure does not and keeping follow
mean excessive up appointments. -Decreases
motional tension peripheral venous
,although -Suggest frequent pooling that may
emotional tension position changes ,leg be potentiated by
and stress can exercises when lying vasodilators and
temporarily down.
increase blood -Caffeine is a
pressure. Normal cardiac stimulant
blood pressure is -Encourage patient and may adversely
below to decrease or affect cardiac
120/80;blood eliminate caffeine function.
pressure between like in tea, coffee
120/80and 139/89 ,cola and chocolates.
is called "pre-
hypertension".
 2. Headache

ASSESSMENT DIAGNOSIS INFERENCE PLANING INTERVENTION RATIONALE EVALUATION

Subjective: -Ineffective -Due to the -After 8 hours the -Assess for -To help -After 8 hours the
“Sumakit Sakit toy individual coping sudden fall of patient states that referred pain, as determine patient states that
ulok ti duwa r/t situations of the patient it the headache is appropriate. possibility of the headache is no
aldawen” as crisis, personal may cause a no more to be underlying more to be felt.
verbalized by the vulnerability, not minor trauma to felt. condition or
patient. adequate the patients organ
support systems, head. dysfunction
Objective: work overload, requiring
BP- 1080/100 inadequate treatment.
RR- 22 relaxation, -Note when pain
PR- 78 severe pain, occurs. -To medicate
T- 36.2 excessive threat prophylactically,
to himself. as appropriate.
-Instruct in and
encourage use of -To distract
relaxation attention and
technique such as reduce tension
breathing ,
imaging, and
listening to music

-Provide comfort
measure. -To promote
non-
-Notes clients pharmacologic
attitude towards pain
pain and use of management
pain medication
including any
history of
substance abuse.