Develop a nursing care plan that includes all phases of the nursing process for patients receiving anticoagulants, antiplatelets, thrombolytics, and antifibrinolytics.

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Chapter8: Hcpcs Level Ii Coding
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Develop a nursing care plan that includes all phases of the nursing process for patients receiving anticoagulants, antiplatelets, thrombolytics, and antifibrinolytics.

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Concept Introduction

The nursing care plan is the documentation of a patients' status as assessed by the health care professional (Nurse). It makes it easy for the nurses to examine the patient's health condition. It also ensures whether the patient responds positively to the intervention as expected, or any alteration in the intervention is to be made.

As nurses are involved in dealing with several patients' health issues, the nursing care plan improves communication among nurses and health care professionals regarding the patients' health. The document consists of 

  • Assessment - Nurses assess the health condition of the patient to know his or her needs and risk factors.
  • Diagnosis - Based on the information collected on the patients' health, nurses diagnose the disease condition.
  • Planning - Framing intervention strategies to attain the desired outcome. The outcome is to improve the patients' health condition.
  • Implementation - Providing interventions and documenting the interventions given as a reference for other health care providers.
  • Evaluation - Continuous examination of patients' status to check the progress in health condition.

 

 

Nursing care plan for anticoagulants
Assessment Diagnosis Outcome Intervention Evaluation

Name

Age

Lab reports

Monitor common indications to use anticoagulants

Check blood pressure and stomach ulcer

Monitor heartbeat 

 

Irregular heartbeat

Atrial fibrillation

Blockage in blood vessels.

 

 

The patient did not suffer from bleeding.

Long term goal is to prevent thromboembolism

Educate the patient about the risk of bleeding.

Educate patients to inform health care providers on bleeding and ways to manage to bleed.

Provide information on drugs.

 

 

Bleeding is under control.

The patient is healthy.

Formation of thromboembolism is prevented.

 

Nursing care plan for antiplatelet

 

Assessment Diagnosis outcome Intervention Rationale Evaluation

Name

Age

Blood parameters

Monitor common indications to use anti-platelets.

Blood parameters

Chest pain

Breathing difficulty

Acute coronary syndrome

Reduced blood supply to the heart.

Blood supply to heart recovered.

Reduced chest pain.

Recovered myocardium.

 

Monitor patient for bleeding. 

Educate the patient about the drug effects. 

 

Antiplatelet therapy interferes with platelet aggregation and prevents acute and chronic damage of heart muscles.

Blood supply to heart recovered.

Reduced chest pain.

Recovered myocardium.

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