Nursing care plan
17 year old female Medical diagnosis: Graft dysfunction due to chronic rejection, positive DSAs, OSA, Chief complaint: Readmitted due to acute on chronic heart failure Past medical history: RCM, left MCA stroke Past surgical history: heart transplant (9/27/19) Medications: 1. Rivaroxaban 15mg 2. pravastatin 20mg 3. pantoprazole 40mg 4. sirolimus 0.5mg 5. tacrolimus 1mg Medication Reason for Taking Side Effects, Contraindications, Client and Family Teaching Classification (Example: To treat and Lab Values to Monitor (Only specific instructions for that (As ordered by the hypertension and (Only specific/important ones) drug. Never write: Take as directed.) provider.) Include how CHF) the medication works (chemical action). Nursing Diagnosis Objectives/Goals Nursing Interventions (2) (Relate to your diagnosis. (Minimum of three for (What are your Must include short and each diagnosis, start client’s two most long-term goals for each with nonacute problems?) nursing diagnosis listed. pharmacological care.) Goals should be SMART.) Short term: Long term: Rationale (Evidenced-based reasons for your interventions. Include sources.) Evaluation (How do you know your interventions worked?)
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