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Vascular Trauma, Risk for

Definition: At risk for damage to a vein and its surrounding tissues related to the presence of a catheter and/or infused solutions

Suggested nursing interventions for problem resolution:

Allergy Management

Central Venous Access Device Management

Dialysis Access Maintenance

Intravenous (IV) Insertion

Intravenous (IV) Therapy

Invasive Hemodynamic Monitoring

Medication Administration: Intravenous (IV)

Peripherally Inserted Central Catheter (PICC) Care

Phlebotomy: Cannulated Vessel

Risk Identification

Skin Surveillance

Additional optional interventions:

Ventilation, Impaired Spontaneous

Definition: Decreased energy reserves resulting in an inability to maintain independent breathing that is adequate to support life

Suggested nursing interventions for problem resolution:

Acid-Base Management

Acid-Base Management: Respiratory Acidosis

Acid-Base Management: Respiratory Alkalosis

Artificial Airway Management

Aspiration Precautions

Environmental Management

Environmental Management: Comfort

Environmental Management: Safety

Fluid/Electrolyte Management

Mechanical Ventilation Management: Invasive

Mechanical Ventilation Management: Noninvasive

Mechanical Ventilation Management: Pneumonia Prevention

Mechanical Ventilatory Weaning

Medication Administration

Oral Health Maintenance

Oxygen Therapy

Positioning

Respiratory Monitoring

Resuscitation: Neonate

Skin Surveillance

Ventilation Assistance

Vital Signs Monitoring

Additional optional interventions:

Active Listening

Bed Rest Care

Body Image Enhancement

Coping Enhancement

Decision-Making Support

Distraction

Emergency Care

Endotracheal Extubation

Hope Inspiration

Humor

Intravenous (IV) Insertion

Intravenous (IV) Therapy

Patient Rights Protection

Phlebotomy: Arterial Blood Sample

Physical Restraint

Presence

Pressure Management

Pressure Ulcer Prevention

Technology Management

Touch

Tube Care

Tube Care: Chest

Tube Care: Gastrointestinal

Tube Care: Urinary

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Tags: Nursing Interventions Classification

Dec 3, 2016 | Posted by admin in NURSING | Comments Off

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