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Nursing Care Plan for Uterine Fibroids

The nursing care plan addresses a patient experiencing vaginal bleeding due to leiomyomas (uterine fibroids). The plan includes monitoring the patient's fluid levels and signs of bleeding over 6 hours. The goals are for the patient to take measures to prevent further bleeding, recognize signs that need reporting, and avoid further bleeding as evidenced by stable blood test results. Interventions include assessing blood loss history and vital signs, maintaining fluid balance, and instructing bed rest to conserve energy and prevent recurring bleeding.

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Royce Vincent Tizon
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487 views2 pages

Nursing Care Plan for Uterine Fibroids

The nursing care plan addresses a patient experiencing vaginal bleeding due to leiomyomas (uterine fibroids). The plan includes monitoring the patient's fluid levels and signs of bleeding over 6 hours. The goals are for the patient to take measures to prevent further bleeding, recognize signs that need reporting, and avoid further bleeding as evidenced by stable blood test results. Interventions include assessing blood loss history and vital signs, maintaining fluid balance, and instructing bed rest to conserve energy and prevent recurring bleeding.

Uploaded by

Royce Vincent Tizon
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
  • Nursing Care Plan
  • Continuation of Nursing Care Plan

NURSING CARE PLAN

CUES NURSING SCIENTIFIC GOAL INTERVENTION RATIONALE EVALUATION


DIAGNOSIS RATIONALE
Subjective cues: Deficient fluid Leiomyomas are After 6 hours of Independent Independent After 6 hours of
volume related to benign neoplasms of nursing intervention nursing
“tikang pa blood loss as smooth muscle the patient will be  Assess client’s  Estimation intervention the
September 30 hasta evidenced by origin. These tumors able to: history of blood of the patient was able
pag balhin ko didi vaginal bleeding, are recognized as loss (amount, volume of to:
EVMC-Cabalawan decreased irregular projections  Take measure to duration, blood loss  Take measure to
mayda la gihap hemoglobin and on the uterine prevent further characteristics aids in the prevent further
nagawas nga dugo” hematocrit result. surface; they may bleeding and and presence differential bleeding and
as verbalized become recognize signs of of clot) diagnosis. recognize signs
pedunculated, bleeding that of bleeding that
Objective cues: displacing or needs to be  Monitor  Maintain needs to be
impinging on other reported active fluid loss accurate reported
 6 sanitary genitourinary immediately. from bleeding. input and immediately.
napkins a structures causing output.
day problems.  Patient does not  Patient does not
 Low Submucosal fibroids experience  Monitor vital  Indication of experience
Hemoglobin displace endometrial bleeding as signs; color of hydration bleeding as
count – 94 tissue and are more evidence by palms, soles status and evidence by
g/L (120-150 likely to cause stable hematocrit of feet, and reflects the stable
g/L) bleeding to the and hemoglobin mucous external hematocrit and
 Low patient. levels and desired membranes; blood loss. hemoglobin
Hematocrit ranges for weight; skin levels and
count – 0.31 coagulation turgor; breath desired ranges
(0.37-0.47) profiles. sounds; for coagulation
 Low MCV urinary and profiles.
count – gastric output;
77.50 (81-99 and
Fl) hemodynamic
 Low MCH – measurement
21.8 (27-31 s
pg)  Record intake  Determines
 Low MCHC – and output. the degree
300 g/L Measure of fluid
(320-360 specific gravity. losses and
g/L) reflects the
 High Platelet adequacy of
count – 433 renal
(150-400 perfusion.
x10’9/L

 Instruct to
maintain bed  To
rest and conserve
provide energy and
undisturbed prevent
rest period recurrence
of bleeding
because
activity
increases
pressure
and can
dispose to
further
bleeding.

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