Medical Diagnosis

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Medical Diagnosis by Mind Map: Medical Diagnosis

1. Hypertension related to Chronic Kidney Disease

1.1. Nursing Diagnosis

1.1.1. 1.Imbalanced Nutrition

1.1.1.1. Nausea & Vomitting

1.1.1.1.1. Nauseated at least once a meal

1.1.1.2. Loss of Appetite

1.1.1.2.1. does not enjoy eating the food he/she use too

1.1.1.3. Weight Loss

1.1.1.3.1. lost 10lbs over 1 month

1.1.2. 2. Grief

1.1.2.1. Explore coping strategies & support groups for CKD

1.1.3. 3. Activity Intolerance

1.1.3.1. Prolonged Fatigue

1.1.3.1.1. Sleeps more than 10hours a day

1.1.3.2. Tachycardia

1.1.3.2.1. HR >112

1.1.3.3. shortness of breath

1.1.3.3.1. Respirations >26 on exertion

1.1.4. 4. Impaired Skin Integrity

1.1.4.1. pruritus

1.1.4.1.1. Many areas of excoriation legs & arms

1.1.4.2. dry skin

1.1.4.2.1. Flaky skin, thin, shiny, brusing

1.1.4.3. edema

1.1.4.3.1. Pitting edema +2 at the ankles

2. Priority Assessments

2.1. Blood pressure recordings

2.1.1. Assessment: Blood Pressure Values 181/90

2.1.2. Nursing Diagnosis: Headache, dizziness, edema

2.1.3. Planning: Involve pharmacist & primary physician for medication management of hypertension

2.1.4. Implementation: Implement a plan for appropriate medication administration times

2.1.5. Evaluation: Record BP levels daily

2.2. Patients level of understanding of Medication Condition

2.2.1. Assessment: Assess what the patient already knows about CKD & Hypertension

2.2.2. Plan an educational session

2.2.3. Implement a plan for management of CKD & Hypertesion

2.2.4. Evaluate if their are barriers to achieving goals of CKD & hypertension management