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    Seizure NCP

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    Christine Dela Cruz
    1. The patient experienced a seizure and is at risk of trauma due to loss of muscle control. 2. The nursing care plan aims to maintain the patient's safety, comfort, and airway patency over 8 hours through interventions like keeping padded rails up, turning the head, and administering anti-seizure medications. 3. Goals include keeping the patient safe from injury during recovery, maintaining an open airway, and ensuring compliance with therapeutic regimens with the help of social services.

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    Seizure NCP

    Uploaded by

    Christine Dela Cruz
    281 views2 pages
    1. The patient experienced a seizure and is at risk of trauma due to loss of muscle control. 2. The nursing care plan aims to maintain the patient's safety, comfort, and airway patency over 8 hours through interventions like keeping padded rails up, turning the head, and administering anti-seizure medications. 3. Goals include keeping the patient safe from injury during recovery, maintaining an open airway, and ensuring compliance with therapeutic regimens with the help of social services.

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    SEIZURE NCP

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    1. The patient experienced a seizure and is at risk of trauma due to loss of muscle control. 2. The nursing care plan aims to maintain the patient's safety, comfort, and airway patency over 8 hours through interventions like keeping padded rails up, turning the head, and administering anti-seizure medications. 3. Goals include keeping the patient safe from injury during recovery, maintaining an open airway, and ensuring compliance with therapeutic regimens with the help of social services.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    281 views2 pages

    Seizure NCP

    Uploaded by

    Christine Dela Cruz
    1. The patient experienced a seizure and is at risk of trauma due to loss of muscle control. 2. The nursing care plan aims to maintain the patient's safety, comfort, and airway patency over 8 hours through interventions like keeping padded rails up, turning the head, and administering anti-seizure medications. 3. Goals include keeping the patient safe from injury during recovery, maintaining an open airway, and ensuring compliance with therapeutic regimens with the help of social services.

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    FAR EASTERN UNIVERSITY

    Nicanor Reyes Street, Sampaloc, Manila


    Institute of Health Sciences and Nursing
    Second Semester, A.Y. 2022 – 2023

    DELA CRUZ, Christine V.


    BSN 310 – Group 2
    NURSING CARE PLAN

    CUES NURSING GOALS AND NURSING RATIONALE


    DIAGNOSIS OBJECTIVES INTERVENTION
    Subjective: Risk for trauma After 8 hours of nursing
     Facial related to loss of interventions, the patient
    Grimace muscle control will demonstrate.
     Irritability secondary to seizure behaviors, to reduce risk
     Upward factors and
    rolling of protect self from injury.
    eyeballs Independent: Independent:
     Stiffness
    of lower 1. The nurse will ensure that 1. Minimizes injury should
    1. The client will
    extremitie the padded side rails are kept seizure occur while patient
    maintain safety and
    s (leg up with the bed in the lowest is in bed.
    comfortability during
    cramps) position.
    recovery.
    Vital Signs:
    BP: 125/75 2. The nurse will turn head to 2. Help maintain airway
    2. The client will be able
    PR: 67 side or suction airways as and reduces the risk of oral
    to keep his airway patent
    O2: 99 indicated. trauma but should not be
    even unresponsive.
    RR: 20 forced or inserted when
    T: 36.4 teeth are clenched to avoid
    damaging the dental or soft
    3. The client will tissue.
    Collaborative: Collaborative:
    demonstrate amenability
    3. Administer medications as
    FAR EASTERN UNIVERSITY
    Nicanor Reyes Street, Sampaloc, Manila
    Institute of Health Sciences and Nursing
    Second Semester, A.Y. 2022 – 2023

    DELA CRUZ, Christine V.


    BSN 310 – Group 2
    NURSING CARE PLAN

    in taking therapeutic indicated (levetiracetam and 3. Specific drug therapy


    regimens. lactulose 30 cc ODHS for no depends on seizure type,
    bowel movement for more with some patients
    than 2 days. requiring polytherapy or
    frequent medications
    adjustment.
    4. The client maintain 4. Refer the patient to social
    safety as supervised by services. 4. This is to ensure the
    social services during the safety of the patient since
    absence of personal the patient has no guardians
    guardians. present.

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