need help with 4 care plans. 1.constipation , 2. diabetes, 3. Sepsis 4 impaired gas exchange
CARE PLAN WORKSHEET
Student’s Name:
Date/Time:
Client’s Initials:
Admission Date:
Age:
Sex:
Race:
Religion:
Allergies:
Diet:
Activity:
Admitting Medical Diagnosis:
Past Medical History:
Past Surgical History:
History of Present Illness:
Client Understanding of Illness:
PATHOPHYSIOLOGY
What Medications are you currently taking at home?
MEDICATION
TIME(S)
WHY?
Are your medications causing you any discomfort?
OVERVIEW MEDICATION(S) WORKSHEET (TOPICAL, PO, IM, SQ, IV)
NAME/CLASSIFICATION
DOSE/ROUTEFREQUENCY SAFE RANGE
MECHANISM OF ACTION
INDICATIONS
SIDE EFFECTS
NURSING CONSIDERATIONS AND PATIENT EDUCATION
Chemistry
Normal Values
Date
Date
Hematology
Normal Values
Date
Date
Na
WBC
K
RBC
Cl
Hgb
CO2
Hct
Ca
MCV
Glucose
MCH
BUN
MCHC
Creatinine
Platelets
Phosphorus
Cholesterol
DIFFERENTIAL
Total Protein
Neutrophils
Albumin
Bands
Alb/Glob Ratio
Lymphocytes
AST (SGOT)
Monocytes
ALT (SGPT)
Eosinophils
Total Bilirubin
Basophils
Amylase
Lipase
COAGULATION
LIPID PROFILE
PT
Total Cholesterol
INR
Triglycerides
PTT
HDL
Bleeding Time
LDL
Fibrinogen
Chol/HDL Ratio
GGT
OTHER LABS:
Labs
Normal Values
Date
Date
Labs
Normal Values
Date
Date
Relate the clinical significance of
abnormal lab values above:
Abnormal Lab Value
Explain why lab value is abnormal
DIAGNOSTIC PROCEDURES
Diagnostic Procedure
Report
NURSING CARE PLAN
Assessment
Subjective/Objective Date
Priority Nursing DX/Clinical Problem
Client Goals/Desired Outcomes/
Objectives
Nursing Interventions/Actions/Orders and Rationale
Evaluation