NURSING CARE PLAN: DENGUE

ASSESSMENT DIAGNOSIS PLANNING INTERVENTION EVALUATION

Subjective: Injury, risk for After few Independent: After few hours
“bigla na lang hemorrhage hours of -assess for signs of collaborative
dumugo ang related to collaborative and symptoms of nursing
ilong ko” as altered clotting nursing g.i bleeding. intervention the
verbalized by factor. intervention Check for patient was able
the patient. the patient will secretions. to demonstrate
be able to Observe color and behaviors that
Objective: demonstrate consistency of reduces the risk
-weakness and behaviors that stools or vomitus for bleeding.
irritability reduces the
risk for -observe for
-Restlessness bleeding. presence of
petechiae,
ecchymosis,
bleeding from one
more sites.

-monitor pulse,
blood pressure.

-encourage use of
soft toothbrush,
avoiding straining
for stool, and
forceful nose
blowing.

Dependent:
-monitor Hb and
Hct and clotting
factors.

DE LA CRUZ, LEOVELYN V.
FCI-SN