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Iloilo Doctors' College College of Nursing: West Avenue, Molo, Iloilo City

1) The patient presented with abdominal pain and vaginal bleeding. She was diagnosed with a risk for fluid volume deficit related to blood loss from a ruptured fallopian tube. 2) The short-term goals were to replace the patient's maternal blood loss and stop the bleeding. Nursing interventions included IV fluids, blood transfusion, monitoring vital signs and intake/output, and administering medications. 3) The long-term goal was for the patient to be free from pain and identify physical changes during early pregnancy without fluid volume deficit complications

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Audrie Allyson Gabales
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98 views2 pages

Iloilo Doctors' College College of Nursing: West Avenue, Molo, Iloilo City

1) The patient presented with abdominal pain and vaginal bleeding. She was diagnosed with a risk for fluid volume deficit related to blood loss from a ruptured fallopian tube. 2) The short-term goals were to replace the patient's maternal blood loss and stop the bleeding. Nursing interventions included IV fluids, blood transfusion, monitoring vital signs and intake/output, and administering medications. 3) The long-term goal was for the patient to be free from pain and identify physical changes during early pregnancy without fluid volume deficit complications

Uploaded by

Audrie Allyson Gabales
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as DOCX, PDF, TXT or read online on Scribd
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ILOILO DOCTORS’ COLLEGE

COLLEGE OF NURSING
West Avenue, Molo, Iloilo City

NURSING CARE PLAN

Defining Characteristics Nursing Diagnosis Outcome Identification Nursing Interventions Rationale Evaluation
Subjective: The risk for fluid volume deficit Long Term: Independent:
“Masakit ang aking tiyan at related to blood loss secondary Patient will be free from  Ensure a patent  To ensure smooth The goal of the evaluation
nagdurugo ako.” as verbalized by to ruptured tube. pain and be able to identify IVF and blood administration of is to ensure that maternal
the patient. strategies attributed to transfusion line IVF and blood blood loss is replaced and
physical changes during the transfusion. And the bleeding would stop.
first few weeks of to restore The patient must maintain
pregnancy. intravascular adequate fluid volume at a
volume due to functional level as
bleeding. evidenced by normal
urine output at 30-
 Obtain blood  To further assess 60mL/hr.
samples for the present
laboratory situation Goals met.
workouts as indicating
Objective: ordered (CBC and hemorrhage.
 Scant vaginal bleeding typing)
 left adnexal tenderness  Monitor vital  To determine
 closed cervix Short Term: signs presence of
Patient’s maternal blood hypotension and
loss will be replaced and tachycardia caused
bleeding will stop. by rupture or
hemorrhage.
 Monitor I&O  To determine the
amount of blood
loss.

Dependent:
 Administration of  To stop the fetus
methotrexate as from growing
ordered. which helps in
controlling and
stopping the
bleeding.

 Administration of  To induce abortion


mifepristone as
ordered.

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