Sample Care Plan Template (Page 41 of 51) in pdf

Sample Care Plan Template Page 41

Evaluation of outcome(s):

1. The outcome was partially met the patient maintained a systolic BP between 80-120 and a pulse less than 110 during most of the

shift. However, during the patient’s sedation vacation he had a spike in systolic BP above 200 and pulse above 110.

2. The outcome was partially met because the patient did not experience the side effects of decreased urinary output b/c output was

above 32 ml/hr whole shift. The patient experience arrhythmias, hypertension, metabolic acidosis, and fever during the shift as shown

by temp, ABG, and arrhythmias/hypertension experienced during sedation vacation.

3. The outcome was not met. The patient did not tolerate sedation vacation with spike in systolic BP above 200, pulse above 110, and

arrhythmias on ECG. Previous sedation level resumed.

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.

Elastic compression stockings for prevention of deep vein thrombosis, Cochrane

Amarigiri, S.V., & Lees, T.A. (2005).

Database Syst Rev (3): CD001484, 2005.

Deglin, J. H., Vallerand, A. H., & Sanoski, C. A. (2013). Davis’s drug guide for nurses 13th edition (13

ed.). Philadelphia, PA: E.A.

Davis Company.

McCance, K. L., & Huether, S. E. (2010). Pathophysiology: The Biological Basis for Disease in Adults and Children (6th ed., pp. 745-

751). Missouri: Elsevier Health Sciences.

Decreased cardiac output: validation with postoperative heart surgery patients,

Oliva. A.P., & Monteiro da Cruz, A. (2003).

Dimensions Critical Care Nursing 22(1): 39-44. Retrieved on February 23, 2013, from

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