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Nursing Care Plan: Basic Conditioning Factors

Nursing Care Plan: Basic Conditioning Factors

Nursing Care Plan: Basic Conditioning Factors

Name: Date:

Care Plan #

 

Nursing Care Plan: Basic Conditioning Factors  
A. Patient identifiers:

Age: Gender: Ht: Wt. Code Status:

Isolation:

 
Health Status  
Date of admission:

Activity level: Diet:

Fall risk (indicate reason)

 

Client’s description of health status

 

 

 

Allergies: (include type of reaction)

 

 

 

Reason for admission: Gastroenteritis

 

 

 

 

 

Past medical history that relates to admission:

Socio-cultural Orientation  
Cultural and Ethnic Background with current practices:

 

Socialization:

 

Family system: (Support system)

 

Spiritual:

 

Patterns of living:

 

 

Development Stage (Erikson): Give the stage and rationale for your evaluation

 

 

 

 

Healthcare systems elements (continued) ALLERGIES:
Medications: List all medications, dosages, classifications and the rational for the medications prescribed for this patient include major considerations for administration and the possible negative outcomes associated with this medication.

DEFINE 1: What the medications does to the body to the cellular level AND 2: Why the patient is taking the medication?

Medication/dose Classification Indication/ Rationale SE’s/Nursing Considerations Client Education Text Reference

 

Normal Saline 400 mL (20mL/kg)

         
 

D5½ NS IV at 62mL/hr

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