OCAMPO, Maria Cecilia R.

BSN 3d2 – 8i / MS

Nursing Care Plan related to Hypercalcemia

ASSESSMENT DIAGNOSIS PLANNING INTERVENTION RATIONALE EVALUATION

Subjective: High Risk for Short-Term Goal 1. Monitor peripheral 1. To assess Short-Term Goal
Injury R/T pulses and vital signs, baseline data.
“madalas increased After 3 hours of especially 2. To assist After 3 hours of
mamanhid ang nursing the heart rate every hourclient to reduce or nursing intervention,
neuromuscular
aking mga intervention, the to every four hours correct individual the client verbalized
kamay at paa irritability depending on the risk factor.
resulting from client will be able understanding of
ko, pati na rin client’s condition. 3. May
ang aking labi”, hypocalcemia to verbalize individual factors
2. Provide information enhance disregard
as verbalized by understanding of Regarding for own/other’s that contribute to
the patient. individual factors disease/condition safety. possibility of injury
that contribute to that may result in 4. To check and take steps to
possibility of increased risk of injury. for correct situations.
Objective: injury and take 3. Evaluate individual’s increased
steps to correct response to violence in neuromuscu Goal was met
• Anxious surroundings
• Irritability situations lar
If the client is
• Dry, sparse receiving intravenous excitability
hair calcium, monitor. and tetany. Long-Term Goal
• Rough skin Long-Term Goal 4. The serum calcium
level should be closely After 7 days of
After 7 days of monitored and changes nursing intervention,
BT: 36.7 C reported. the client had been
nursing
intervention, the free from injury
PR: 65 bpm
client will be associated with
RR: 18 cpm free from injury calcium deficit, as
associated with evidenced by no falls
BP: 120/70
calcium deficit, or near falls and no
mmHg
as evidenced by pathologic fractures.
no falls or near Goal was met
falls and no
pathologic
fractures.