Sample Care Plan Template (Page 38 of 51) in pdf

Sample Care Plan Template Page 38

Evaluation of outcome(s):

1. The outcome was not met the ABG result from the morning of 2/19 was pH: 7.369, paO2: 101.7 (H), paco2: 57.8 (H), hco3: 32.6

(H), BE: 6.2, & sa02: 97.4.

2. The outcome was met the patients spO2 did not desaturation below 95% during the nursing shift.

3. The outcome was met during the nursing shift the patient tolerated inline suctioning when performed and there was only a thin

small amount of white secretions. There was no adventitious lung sounds upon auscultation.

Reference for rationales

Ackley, B. J., & Ladwig, G. B. (2011). Nursing diagnosis handbook: An evidence-based guide to planning care (9th ed.). St. Louis,

MO: Mosby Elsevier.

Burns, S.M. (2005). AACN Procedure Manual for Critical Care (4

ed.). Philadelphia, PA: Saunders.

Brook, et al. (1999). Effect of a nursing-implemented sedation protocol on the duration of mechanical ventilation. Critical Care

Medicine 27(12): 2609. Retrieved on February 23, 2013 from

Kress, et al. (2000). Daily interpretations of sedative infusions in critically ill patients undergoing mechanical ventilation. New

England Journal of Medicine 342: 1471. Retrieved on February 23, 2013 from

Takeda, et al. (2003). The assessment of three methods to verify tracheal tube placement in the emergency setting. Resuscitation

56(2): 153-157. Retrieved on February 23, 2013 from

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