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Nanda Nursing Diagnosis for Cholelithiasis

1. Nursing Diagnosis Acute Pain related to:
  • biological trauma obstruction / spasm tract inflammatory processes, iskhemia / tissue necrosis
characterized by:
  • Complaints of pain, colic billiary (pain frequency).
  • Facial expressions as pain, a cautious attitude.
  • Autonomic responses (changes in blood pressure, pulse).
  • Focus on self-limited.

2. Nursing Diagnosis Risk for Deficient Fluid Volume related to:
  • Increase in gastric fluid loss: vomiting, gastric distention and hipermolity.
  • Treatment has the effect of reducing the fluid.
  • The freezing process
characterized by:
  • Signs and symptoms of unstable can not be applied to the actual diagnosis.

3. Nursing Diagnosis Imbalanced Nutrition Less Than Body Requirements related to:
Risk factors that affect:
  • Imposed on themselves and given limited food, nausea, vomiting, dyspepsia, pain.
  • Loss of nutrients, affect digestion due to disturbance / narrowing of the bile duct.

4. Nursing Diagnosis Deficient Knowledge: about prognosis and treatment needs related to:
  • Re asking about information.
  • Imformasi misinterpretation.
  • Have not / do not know the source of information.

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