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Neurological disorders cont..... - Coggle Diagram

- - - - Difficult in breathing.
        Acute pain.
        Stiffness of the muscle
    - - Difficult in breathing related to affected respiratory tract.
        Pain related to muscle stiffness.
    - - Patient reports no pains.
        Patient is breathing well as evidenced by normal breathing pattern.
    - - Observe the patient for adequacy of respiratory effort.
        Monitor ECG.
- - - - Pain.
        Difficult in walking
        Fatigue.
        Disoriented.
    - - Risk for Infection related to contagious nature of organism.
        Acute Pain related to headache, fever, neck pain secondary to meningeal irritation.
        Impaired Physical Mobility related to intravenous infusion, nuchal rigidity and restraining devices.
        Activity Intolerance related to fatigue and malaise secondary to infectionon.
        Risk for Impaired Skin Integrity related to immobility, dehydration, and diaphoresis.
        Risk for Injury related to restlessness and disorientation secondary to meningeal irritation.
    - - No pain complains from the patient.
        Patient is orientated.
        No fatigue.
        Patient is able to walk.
    - - Assess neurologic status and vital signs constantlyyy.
        Determine oxygenation from arterial blood gas values and pulse oximetry.
        position patient on mechanical ventilation as prescribed.
        Assess blood pressure or incipient shock, which precedes cardiac or respiratory failure.
        Rapid IV fluid replacement may be prescribed, but take care not to overhydrate patient because of risk of cerebral edema.
        Reduce high fever to decrease load on heart and brain from oxygen demands.
        Protect the patient from injury secondary to seizure activity or altered level of consciousness