TAMILNADU NURSING

NANDA Nursing Diagnosis List In this section is the list or database of NANDA nursing diagnoses examples with their definitions that you can read to learn more about them or use them in developing your nursing care plans. Click on the links to visit the complete guide. Activity Intolerance : Insufficient physiologic or psychological energy to endure or complete required or desired daily activities. Acute Confusion : Abrupt onset of a cluster of global, transient changes and disturbances in attention, cognition, psychomotor activity, level of consciousness, or the sleep/wake cycle. Acute Pain : Unpleasant sensory and emotional experience arising from actual or potential tissue damage or described in terms of such damage; sudden or slow onset of any intensity from mild to severe with an anticipated or predictable end and a duration of less than 6 months. Anxiety:  Vague uneasy feeling of discomfort or dread accompanied by an autonomic response. Bowel Incontinence : Change in

*♡ NR TAMILNADU NURSING ♡* * @nrtamilnadunursing * *World's Largest Nursing Website For All Our Nursing Needs & All Jobs Update*. NURSING DIAGNOSIS A Nursing Diagnosis (Nr.Dx) may be part of the nursing process and is a clinical judgment concerning human response to health conditions/life processes, or a vulnerability for that response, by an individual, family, group, or community. A nursing diagnosis provides the basis for the selection of nursing interventions to achieve outcomes for which the nurse has accountability. Nursing diagnosis are developed based on data obtained during the nursing assessment and enable the nurse to develop the care plan. PURPOSES : Helps identify nursing priorities and help direct nursing interventions based on identified priorities.Helps the formulation of expected outcomes for quality assurance requirements of third-party payers.Nursing diagnoses help identify how a client or group responds to actual or potential health and

NURSING THERAPEUTIC CARE Nursing Care Plan NURSING PROCESS NURSING CARE PLAN Assessment The first step of the nursing process is called assessment. When the nurse first encounters a patient, the former is expected to perform an assessment to identify the patient’s health problems as well as the physiological, psychological, and emotional state. The most common approach to gathering important information is through an interview. Physical examinations, referencing a patient’s health history, obtaining a patient’s family history, and general observation can also be used to collect assessment data.(  What data did you collected?   ) Nursing Diagnosis Once the assessment is completed, the second step of the nursing process is where the nurse will take all the gathered information into consideration and diagnose the patient’s condition and medical needs. Diagnosing involves a nurse making an educated judgment about a potential or actual health problem with a

NURSING LAWS IN PHILIPPINES • R.A. 9173 – The Philippine Nursing Act of 2002 • R.A. 7164 – The Philippine Nursing Act of 1991 • Act 2808 of 1919 – The 1st True Nursing Law; regulated nursing only and established Board of Examiners, the precursor to the Board of Nursing • Act 2493 of 1915 – The 1st Nursing Law; regulated both medicine and nursing • R.A. 877 of 1953 – The 1st Comprehensive Nursing Law; regulated the degree of Bachelor of Science in Nursing and made nursing into a profession • R.A. 4704 of 1966 – increased the number of the Board of Examiners from 3 to 5 • R.A. 6136 of 1970 – allowed nurses to perform IM injections without supervision from doctors • R.A. 349 – Legalizes the use of human organs for surgical, medical and scientific purposes • R.A. 1054 – Free emergency, medical and dental assistance to employees and laborers • R.A. 1080 – Civil Service Eligibility • R.A. 1082 – Rural Health Unit Act • R.A. 1136 – Act recognizing the Division of T

COMMON ETIOLOGICAL FACTOR cause of Hypoxia: *Ischemia* Cause of Inflammation: *Infection* cause of Impaired Wound Healing: *Infection* cause of Acute Cor Pulmonale Pulmonary: *Embolism* cause of Chronic Cor Pulmonale: *COPD* cause of Superior Vena Caval Syndrome: *Small Cell Carcinoma of Lung Compression*  cause of Infection in Cystic fibrosis in Children: *Staphylococcus aureus* cause of Infection in Cystic Fibrosis in adolescents and adults: *Pseudomonas aeroginosa*  cause of Seizure in Newborn: *Hypoxia induced Ischemic Encephalopathy* cause of Epiglottitis in Children: *Hemophilus influenza b* lesion of Diabetic Retinopathy: *Diffuse Glomerulosclerosis* lesion in Asbestosis: *Benign Pleural Plaques* Benign Lesion of Liver: *Cavernous Hemangioma* Intracranial Lesion after Head Injury: *Subdural Hemorrhage* cranial Nerve involved in Glomus tumour: *Facial Nerve* Nerve palsy in Diabetic Retinopathy: *Occulomotor* Nerve for Peripheral stimulatio

DIAGNOSTIC EXAMINATION 1. AdomTest- Scoliosis 2. Allen test- ABG Analysis 3. Aldehyde test- Leprosy 4. Phosphate test- Pasteurization 5. Patch Test- AllergicReaction 6. Tourniquet Test- Dengue 7. Urea BreathTest- H.Pylori 8. Schick test- Diphtheria 9. Dick Test- Scarlet Fever 10. Rothers test- Acetone in Urine 11. Hey Test- Bile Salt in Urine 12. Smith test- Bile Pigment in Urine 13. Benedict Test- Glucose in urine 14. KveimTest- Sarcoidosis 15. Rinne & Webber test- Hearing 16. Direct Coomb test- Hemolytic Anemia 17. IschiaraTest- Color Vision test 18. Snellen Chart Test- Distance Vision 19. Confrontation Test- Central and Peripheral Vision 20. Jegar's type Card test- Near Vision 22. SchilingTest- Vitamin B12 Absorption 23. HistamineTest-Leprosy 24. RollerOverTest- Pre-Eclampsia 25. Fern Test or Nitrizine Test- leakage of Amniotic fluid 26. VDRLTest- Syphilis 27.VMA(VanellylMandelicAcid)- Pheochromocytoma 2

NORMAL RANGE ArteriaL BlooD GaseS Partial pressure of oxygen (PaO2): 60-100 mmHg Partial pressure of carbon dioxide (PaCO2): 22-26 mmHg Arterial blood pH: 7.35-7.45 Oxygen saturation (SaO2): 94-100 % Bicarbonate (HCO3): 22-28 mEq/L The oxygen value is lower with an altitude of > 3,000 feet. ************* ElectrolyteS Ammonia: 15-50 µmol/L Ceruloplasmin: 15-60 mg/dL Chloride: 95-108 mmol/L Copper: 70-150 µg/dL Creatinine: 0.8-1.3 mg/dL Blood Urea Nitrogen (BUN): 8-21 mg/dL Ferritin:  12-300 ng/mL (men), 12-150 ng/mL (women) Glucose: 65-110 mg/dL Inorganic phosphorous: 1-1.5 mmol/L Ionized calcium: 1.03 1.23 mmol/L Magnesium: 1.5-2 mEq/L Phosphate: 0.8-1.5 mmol/L Potassium: 3.5-5 mmol/L Pyruvate: 300-900 µg/dL Sodium: 135-145 mmol/L T. Calcium: 2-2.6 mmol/L T. Iron-Binding Capacity: 45-85 µmol/L T. Serum Iron:  65-180 µg/dL (men), 30-170 µg/dL (wom

COMMON DIETARY PATTERN Addison’s - ↑es Sodium ( Na ) ,  ↓es Potassium ( K ) Anemia, Pernicious - ↑es Vit B12 Anemia, Sickle Cell - ↑es Fluids ADHD and Bipolar - ↑es Calories ,  Finger Food Burns - ↑es Protein , ↑es Calories , ↑es Vit C Celiac Disease - Gluten Free (No Brown - barley , rye , oat , wheat) Cholecystitis - ↓es Fat Cirrhosis - ↑es Carbohydrates ,  ↓es Protein , ↓es Fat Constipation - ↑es Fiber COPD - ↓es Carbohydrates Cystic Fibrosis - ↑es Fluids Decubitus Ulcers - ↑es Protein , ↑es Vit C Diarrhea - ↓es Fiber Dumping Syndrome - ↑es Protein , ↑es Fat , ↓es Carbohydrates , ↓es Fluids Between Meals Gout - ↓es Purine Hepatitis - ↑es Carbohydrates , ↑es Protein , ↓es Fat Hypertension - ↓fat , ↓cholesterol (DASH Diet) Meniere’s Disease - ↓es ( Na ) Hyperthyroidism - ↑es Calories Hypothyroidism - ↓es Calories Hyperparathyroidism - ↑es Phosphorus ( P ) , ↓es Calcium ( Ca ) Hypoparathyroidism - ↑es Calcium ( Ca ) , ↓es Phosphorus ( P ) , ↑es Vit D Osteoporosis - ↑es Calc

LABORATORY VALUES  Bleeding time 1-9 min  Prothrombin time 10-13sec  Hematocrit Male 42-52% ; Female  36-48%  Hemoglobin Male      13.5-16 g/dl; Female  12-16 g/dl  Platelet 150,000- 400,000  RBC Male     4.5-6.2 million/L; Female 4.2-5.4 million/L Amylase 80-180 IU/L  Bilirubin(serum)  direct    0-0.4 mg/dl;  indirect 0.2-0.8 mg/dl;  total      0.3-1.0mg/dl  pH 7.35- 7.45  PaCo2 35-45  HCO3 22-26 mEq/L  Pa O2 80-100 mmg  SaO2 94-100%  Sodium 135- 145 mEq/L  Potassium 3.5- 5.0 mEq/L  Calcium 4.2- 5.5 mg/dL  Chloride 98-108 mEq/L  Magnesium 1.5-2.5 mg/dl  BUN 10-20 mg/dl  Creatinine 0.4- 1.2  CPK-MB Male     50 –325 mu/ml; Female 50-250 mu/ml  Fibrinogen 200-400 mg/dl  FBS 80-120 mg/dl  Glycosylated Hgb (HbA1c) - 4.0-7.0%  Uric Acid 2.5 –8 mg/dl  ESR Male  15-20 mm/hr; Female 20-30 mm/hr  Cholesterol 150- 200 mg/dl  Triglyceride 140-200 mg/dl  Lactic Dehydrogenase 100-225 mu/ml  Alkaline p

TAMILNADU NURSING * Nursing Mnemonics * * Here are some of the impotant Points for Nursing Aspirants... * Random Mnemonics For Nursing 1. * 5 P' s of Circulatory Checks * P - Pain P - Paresthesia P - Paralysis P - Pallor P - Pulse 2. * Signs & Sympoms of Hypoglycemia * 🥇 * TIRED * 🥇 T - Tachycardia I - Irritability R - Restless E - Excessive Hunger D - Diaphoresis / Depression 3. * Hypernatremia Causes * 🥇 * MODEL * 🥇 M - Medications & Meals O - Osmotic Diuretics D - Diabetes Insipidus E - Excessive H2o loss L -,Low H2o intake 4. * Signs & Symptoms of Increased Serum * K 🥇 * MURDER * 🥇 M - Muscle weakness U - Urine (Oliguria,Anuria) R - Respiratory Distress D - Decreased Cardiac Contractility E - ECG Changes R - Reflexes (Hyperflexia/Areflexia) 5. * Cardiac Enzymes * CPK - 26 - 192 CK - MB O - 3.60 Troponin I: 0 - 0.099 Normal < 0.10 Borderline 0.10 - 0.50 Abnormal (Critical Value &