ASSESSMENT

DIAGNOSIS

PLANNING

INTERVENTIONS /RATIONALE

EVALUATION

Subjective: Ok naman na pakiramdam ko, pauwi na nga ako bukas.as verbalized by the patient Objective: >with ongoing IVF #6 PNSS1Lx KVO >conscious and coherent >Afebrile >with good skin turgor >(+)bradycardi a >(+)tachypnea >ambulatory >on DAT/ avoid hot and cold drinks

Decreased cardiac output r/t altered heart rate.

At the end of 8hr nursing interventions the patient will demonstrate an increase in activity level.

>V/S recorded and monitored >Input and output monitored >Provided quiet environment to promote adequate rest >Maintained aseptic technique to prevent cross contamination >Instructed client to limit activities to promote rest >Encouraged relaxation tech. to reduce anxiety >Encouraged deep breathing exercises, coughing and position changes >Kept patient in a clean and dry place

-GOAL MET The patient demonstrated an increase in her activity level.