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    Covid - 19 NCP

    Uploaded by

    Krisianne Mae Lorenzo Francisco
    The document presents a nursing care plan for a patient experiencing COVID-19 symptoms such as fever, cough, difficulty breathing, and crackles in both lungs. The plan includes administering oxygen via nasal cannula, prescribed medications, isolation procedures, monitoring vital signs, and advising proper fluid intake and a healthy diet to support the patient's recovery. The goal is for the patient's breathing and oxygen levels to improve after 6 hours of nursing interventions.

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    © All Rights Reserved
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    Covid - 19 NCP

    Uploaded by

    Krisianne Mae Lorenzo Francisco
    3K views4 pages
    The document presents a nursing care plan for a patient experiencing COVID-19 symptoms such as fever, cough, difficulty breathing, and crackles in both lungs. The plan includes administering oxygen via nasal cannula, prescribed medications, isolation procedures, monitoring vital signs, and advising proper fluid intake and a healthy diet to support the patient's recovery. The goal is for the patient's breathing and oxygen levels to improve after 6 hours of nursing interventions.

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    Covid - 19 Ncp

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    The document presents a nursing care plan for a patient experiencing COVID-19 symptoms such as fever, cough, difficulty breathing, and crackles in both lungs. The plan includes administering oxygen via nasal cannula, prescribed medications, isolation procedures, monitoring vital signs, and advising proper fluid intake and a healthy diet to support the patient's recovery. The goal is for the patient's breathing and oxygen levels to improve after 6 hours of nursing interventions.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    3K views4 pages

    Covid - 19 NCP

    Uploaded by

    Krisianne Mae Lorenzo Francisco
    The document presents a nursing care plan for a patient experiencing COVID-19 symptoms such as fever, cough, difficulty breathing, and crackles in both lungs. The plan includes administering oxygen via nasal cannula, prescribed medications, isolation procedures, monitoring vital signs, and advising proper fluid intake and a healthy diet to support the patient's recovery. The goal is for the patient's breathing and oxygen levels to improve after 6 hours of nursing interventions.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
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    The key takeaways are that the patient presented with fever, cough, difficulty breathing and low oxygen saturation. Nursing interventions like positioning, breathing exercises and monitoring of vital signs were implemented. Medications like Hydroxychloroquine, Azithromycin and Lopinavir-Ritonavir were prescribed. Further actions advised included proper isolation, testing, hydration and a healthy diet.

    Nursing interventions implemented included observing PPE use, encouraging hand hygiene, positioning the patient in high Fowler's position, demonstrating pursed-lip and diaphragmatic breathing, monitoring vital signs, administering oxygen via nasal cannula and administering prescribed medications.

    Medications prescribed included Hydroxychloroquine 400 mg twice on day 1, followed by 200 mg twice per day on days 2, Azithromycin 500 mg once per day for 5 days, lopinavir–ritonavir 400/100 mg twice per day and heparin for deep vein thrombosis prophylaxis. Tocilizumab was also administered intravenously or subcutaneously.

    Francisco, Krisianne Mae L.

    BSN III B (group B3)

    COVID – 19 Nursing Care Plan

    ASSESSMENT DIAGNOSIS PLANNING INTERVENTIONS RATIONALE EVALUATION

    Subjective
    “Nilalagnat na po siya ng Impaired gas exchange After 6hrs of nursing DEPENDENT  For personal  After 6 hrs of
    ilang araw tapos inuubo po related to alveolar – intervention the patient  Observed the use of PPE. protection against nursing
    siya at nahihirapan na pong capillary membrane will verbalize improved the infection. intervention the
    huminga” as verbalized by changes as characterized ventilation such as patient’s breathing
    his daughter. by dyspnea, rapid and normal breathing pattern,  Encouraged to perform regular  For the prevention pattern became
    Objective shallow breathing, and normal range of cardiac and proper hand hygiene such of infection. normal, his
     oxygen saturation of presence of abnormal and respiratory rate and as washing hands with soap and oxygen saturation
    94 percent lung sound. the absence of abnormal the use of alcohol – based was improved
     diaphoretic lung sounds. sanitizer. from 94 into 96
     acute respiratory percent, and the
    distress with rapid,  Place patients who are  To improve lung patient’s cardiac
    shallow breathing experiencing dyspnea in a high expansion. rate and
     Crackles on both Fowler position. respiratory rate
    lungs decreased into
     BT 102.9°F normal rate but
    (febrile)  Demonstrated pursed-lip and  It provides patient crackles in both
     BP: 131/74 mm diaphragmatic breathing to the with some means lungs was still
    Hg patient. to cope audible. Goal
     RR: 41 bpm with or control partially met.
    (tachyneic) dyspnea and
     PR: 110 bpm reduce air-
    (tachycardic)
    trapping.
     Monitor patient’s vital signs.  To evaluate the
    patient’s health
    reaction from
    medical and
    nursing
    intervention
    INDEPENDENT

     Administer intubation at 4  To increase


    L/min via nasal cannula as oxygen level.
    prescribed.

     Administer medications as  For the medical


    prescribed by the physician management of
    such COVID – 19.

     Hydroxychloroquine 400
    mg twice on day 1,
    followed by 200 mg twice
    per day on days 2
     Azithromycin 500 mg once
    per day for 5 days
     lopinavir–ritonavir 400/100
    mg twice per day
     heparin for prophylaxis of
    deep vein thrombosis
     Tocilizumab was
    administered by the
    intravenous or
    subcutaneous route
     Tocilizumab 800 mg IV q
    12hrs

    COLLABORATIVE

     Placed the patient under  To prevent the


    appropriate isolation. transmission of the
    disease

     Collect specific test such as  To evaluate the


    swab testing. patient’s health
    improvement.

     Advise proper and regular fluid  Good hydration is


    intake. crucial for optimal
    health and it may
    help the patient to
    increase defense
    mechanism against
    the virus.

     Advice healthy diets such as eat  Eating a healthy


    fruits and vegetables. diet is very
    important during
    the COVID-19
    pandemic. These
    are important for
    supporting
    immune systems.

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