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Drug StudyDrug NameMechanism of ActionIndicationGeneric name: Brand name: Classification:Dosage And Frequency: Route: ContraindicationSide EffectNursing Consideration Nursing Care PlanCuesProblem / Nursing DiagnosisScientific ReasonSubjective: Konting lakad lang ng anak ko pagod na sya, stated by the mother.

Objective:BP: 120/80 mmHg RR: 40 cpmHemoglobin: 93 gm/lHematocrit: 0.28/l

Flat affect Activity intolerance related to fatigue, pallor and retention of waste products The kidneys contribute to the blood pressure regulation by controlling sodium excretion and extracellular fluid volume. The increase in extracellular fluid volume can increase venous return to the heart, increase stroke volume which elevates the blood pressure through increase in cardiac output. This increase in cardiac output can cause weakness and fatigue.Reference: Medical surgical nursing by Lewis, Dirksen, Heitkemper, Bucher, CameraNursing Intervention RationaleIndependent:

Assess factors contributing to activity intolerance: Fatigue Anemia Fluid and electrolyte imbalances. Retention of waste products. Depression Rationale- Indicates factors contributing to severity of fatigue to note for the cause of the problem.

2. Promote independence in self-care activities as tolerated. Assist patient and supervise. Rationale- Promote returning of strength and improve self-esteem.

3. Encourage alternating rest and activity. Rationale- Promotes activity and exercise within limits and adequate rest.

EvaluationStandardCriteriaThe patient will perform activities of daily living such as eating, dressing and brushing teeth with supervision and minimal assistance.The patient needed assistance in eating and performing hygiene and grooming. She preferred to stay in bed and sleep most of the shiftCuesProblem / Nursing DiagnosisScientific ReasonSubjective: Hindi naman sakitin ang anak ko e, nilalagnat sya kaso hindi ko alam kung ano temperature. Stated by the mother. Parents deficient knowledge regarding condition and treatment. When family member becomes ill all of the family members are affected especially the primary care giver. Cognitive abilities, emotional strengths, relationship capabilities, willingness to use community resources and individual strengths and talents were also associated with coping. As nurses work with families they must not underestimate the impact of their therapeutic interactions, educational information, positive role modeling, provision of care and teaching health promotion.Reference: Medical surgical nursing by Lewis, Dirksen, Heitkemper, Bucher, CameraNursing Intervention RationaleIndependent: Assess the level of education and the mode of communication of both parents. Rationale-For proper dissemination of the information.2. Assess the understanding the cause of acute glomerulonephritis, consequences and treatment: cause of acute glomerulonephritis meaning of acute glomerulonephritis Understanding of acute glomerulonephritis. Relationship of fluid and dietary restrictions e. Rationale for treatmentRationale- provides baseline for further explanation and treatment.

3. Provide explanation of renal function and consequences of the disease at patients level of understanding and guided by the patient readiness to learn. Rationale- The parents can learn about the disease and treatment.

4. Assist parents to identify ways to incorporate changes to the patients related to illness and its treatment into the familys lifestyle. Rationale- The parents can see that the patients and familys life does not have to revolve around the disease.

5. Provide oral and written information as appropriate about: Renal function and failure Fluid and dietary restrictions Medications signs and symptoms Follow-up schedule Community resources treatment options

EvaluationStandardCriteriaParents state in own words the meaning, causes and prevention of acute glomerulonephritis. Maga daw ang kidney nya Stated by the other.