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A. Rossi Mori (CNR-ITB); EuloTech
Nursing terminology IntraText
IntraText CT - Text
Nursing Interventions Classification - 1996 (9068 records)
AC: nursing activities (8110 records)
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Maintain
a
closed
system
while
doing
invasive
hemodynamic
monitoring
[
C0512755
] [
U004727
]
----
Maintain
a
closed
urinary
drainage
system
[
C0512756
] [
U004728
]
----
Maintain
a
consistent
daily
routine
[
C0512757
] [
U004729
]
----
Maintain
a
consistent
routine
[
C0512758
] [
U004730
]
----
Maintain
a
constant
flow
rate
of
TPN
solution
[
C0512759
] [
U004731
]
----
Maintain
a
designated
safe
area
(
e.g.
,
seclusion
room
) for
patient
to be
placed
when
violent
[
C0512760
] [
U004732
]
----
Maintain
a
detailed
record
of
catheterization
schedule
,
fluid
intake
, and
output
[
C0512761
] [
U004733
]
----
Maintain
a
hazard-free
environment
[
C0512762
] [
U004734
]
----
Maintain
a
neat
and
orderly
room
to
limit
contamination
[
C0512763
] [
U004735
]
----
Maintain
a
patent
airway
[
C0512774
] [
U004736
]
----
Maintain
a
routine
schedule
that
includes
a
balance
of
structured
time
(
e.g.
,
physical
and
nonphysical
activities
) and
quiet
time
[
C0512764
] [
U004737
]
----
Maintain
a
safe
environment
[
C0512765
] [
U004738
]
----
Maintain
a
steady
intravenous
infusion
flow
rate
[
C0512766
] [
U004739
]
----
Maintain
a
sterile
field
during the
irrigation
procedure
, as
appropriate
[
C0512767
] [
U004740
]
----
Maintain
a
well-lit
environment
that
reduces
sharp
contrasts
and
shadows
[
C0512768
] [
U004741
]
----
Maintain
accurate
intake
and
output
record
[
C0512769
] [
U004742
]
----
Maintain
accurate
record
of
infusate
[
C0512770
] [
U004743
]
----
Maintain
accurate
records
and
statistics
[
C0512771
] [
U004744
]
----
Maintain
adequate
hydration
to
prevent
increased
blood
viscosity
[
C0512772
] [
U004745
]
----
Maintain
adequate
nutrition
and
fluid
intake
[
C0512773
] [
U004746
]
----
Maintain
airway
[
C0512774
] [
U004747
]
----
Maintain
airway
clearance
(
e.g.
,
suction
,
insert
or
maintain
artificial
airway
,
chest
physiotherapy
, and
cough-deep
breath
), as
appropriate
[
C0512775
] [
U004748
]
----
Maintain
airway
patency
[
C0512776
] [
U004749
]
----
Maintain
ambulation
schedule
, as
tolerated
[
C0512777
] [
U004750
]
----
Maintain
an
airway
[
C0512781
] [
U004751
]
----
Maintain
an
aseptic
environment
while
changing
TPN
tubing
and
bottles
[
C0512778
] [
U004752
]
----
Maintain
an
attitude
of
trust
of others [
C0512779
] [
U004753
]
----
Maintain
an
environment
conducive
to
rest
and
healing
[
C0512780
] [
U004754
]
----
Maintain
an
open
airway
[
C0512781
] [
U004755
]
----
Maintain
an
optimal
aseptic
environment
during
bedside
insertion
of
central
lines
[
C0512782
] [
U004756
]
----
Maintain
asepsis
for
patient
at
risk
[
C0512783
] [
U004757
]
----
Maintain
aseptic
technique
[
C0512850
] [
U004758
]
----
Maintain
assistive
devices
in
good
working
order
[
C0512784
] [
U004759
]
----
Maintain
bed
rest
and
limit
activities
[
C0512785
] [
U004760
]
----
Maintain
bed
rest
during
active
bleeding
[
C0512786
] [
U004761
]
----
Maintain
bed
rest
, as
indicated
[
C0512787
] [
U004762
]
----
Maintain
body
alignment
in
suspected
spinal
injuries
[
C0512788
] [
U004763
]
----
Maintain
calm
,
deliberate
manner
[
C0512789
] [
U004764
]
----
Maintain
central
line
patency
and
dressing
, per
agency
protocol
[
C0512790
] [
U004765
]
----
Maintain
closed-pressure
system
to
ports
, as
appropriate
[
C0512791
] [
U004766
]
----
Maintain
confidential
health
records
on
employees
[
C0512792
] [
U004767
]
----
Maintain
confidentiality
of
incident
report
, according to
agency
policy
[
C0512793
] [
U004768
]
----
Maintain
confidentiality
of
patient
data
[
C0512794
] [
U004769
]
----
Maintain
confidentiality
of
record
[
C0512795
] [
U004770
]
----
Maintain
confidentiality
, as
indicated
[
C0512796
] [
U004771
]
----
Maintain
consistency
of
staff
assignment
over
time
[
C0512797
] [
U004772
]
----
Maintain
consistent
staff
behavior
[
C0512798
] [
U004773
]
----
Maintain
continuous
infusion
at
prescribed
rates
[
C0512799
] [
U004774
]
----
Maintain
controlled
hyperventilation
, as
ordered
[
C0512800
] [
U004775
]
----
Maintain
crib
siderails
in
elevated
position
when
caregiver
is not
present
, as
appropriate
[
C0512801
] [
U004776
]
----
Maintain
emergency
equipment
for
malignant
hyperthermia
, per
protocol
, in
operative
areas
[
C0512802
] [
U004777
]
----
Maintain
equipment
in
good
working
order
[
C0512803
] [
U004778
]
----
Maintain
eye
contact
with
patient
[
C0512804
] [
U004779
]
----
Maintain
fluid
balance
by
administering
IV
fluids
or
diuretics
, as
appropriate
[
C0512805
] [
U004780
]
----
Maintain
fluid
restriction
, as
appropriate
[
C0512806
] [
U004781
]
----
Maintain
hemodynamic
parameters
within
prescribed
limits
[
C0512807
] [
U004782
]
----
Maintain
in an
upright
position
, with
head
and
neck
flexed
slightly
forward
during
feeding
[
C0512808
] [
U004783
]
----
Maintain
infant
's
daily
routine
during
hospitalization
[
C0512809
] [
U004784
]
----
Maintain
inflation
of the
endotracheal
/
tracheostoma
cuff
at
15
to
20
mm
Hg
during
mechanical
ventilation
and during and after
feeding
[
C0512810
] [
U004785
]
----
Maintain
integrity
of
blood
between
salvage
and
reinfusion
[
C0512811
] [
U004786
]
----
Maintain
integrity
of
catheters
and
intravascular
lines
[
C0512812
] [
U004787
]
----
Maintain
integrity
of the
system
before, during, and after
blood
retrieval
[
C0512813
] [
U004788
]
----
Maintain
intravenous
solution
containing
electrolyte
(s) at
constant
flow
rate
, as
appropriate
[
C0512814
] [
U004789
]
----
Maintain
isolation
techniques
, as
appropriate
[
C0512815
] [
U004790
]
----
Maintain
IV
access
, as
appropriate
[
C0512753
] [
U004725
]
----
Maintain
low
level
of
stimuli
in
patient
and
family
environment
[
C0512817
] [
U004792
]
----
Maintain
meticulous
skin
care
for
patients
with a
leg
bag
[
C0512818
] [
U004793
]
----
Maintain
normal
home
environment
[
C0512819
] [
U004794
]
----
Maintain
normothermia
[
C0512820
] [
U004795
]
----
Maintain
occlusive
dressing
[
C0512821
] [
U004796
]
----
Maintain
open
body
posture
[
C0512822
] [
U004797
]
----
Maintain
patency
of any
drainage
tubes
[
C0512823
] [
U004798
]
----
Maintain
patency
of
tube
, as
appropriate
[
C0512824
] [
U004799
]
----
Maintain
patency
of
urinary
catheter
system
[
C0512825
] [
U004800
]
----
Maintain
patent
IV
access
[
C0512826
] [
U004801
]
----
Maintain
patient
airway
, as
necessary
[
C0512774
] [
U004802
]
----
Maintain
patient
in
comfortable
position
[
C0512827
] [
U004803
]
----
Maintain
patient
modesty
and
privacy
in a
quiet
environment
during
delivery
[
C0512828
] [
U004804
]
----
Maintain
patient
on
bedrest
and
change
position
every
2
hr
[
C0512829
] [
U004805
]
----
Maintain
patient
on
prophylactic
antibacterial
therapy
for
2
to
3
wk
at
initiation
of
intermittent
catheterization
, as
appropriate
[
C0512830
] [
U004806
]
----
Maintain
patient
's
proper
body
alignment
[
C0512831
] [
U004807
]
----
Maintain
PEEP
for
patient
with
pulmonary
edema
on
mechanical
ventilator
, as
appropriate
[
C0512754
] [
U004726
]
----
Maintain
position
and
integrity
of
traction
[
C0512832
] [
U004808
]
----
Maintain
positive
pressure
for
behavior
change
[
C0512833
] [
U004809
]
----
Maintain
potassium
restrictions
[
C0512834
] [
U004810
]
----
Maintain
prescribed
intravenous
flow
rate
[
C0512835
] [
U004811
]
----
Maintain
pressure
in
cuffed
/
balloon
nasogastric
tube
[
C0512836
] [
U004812
]
----
Maintain
privacy
while the
patient
is
dressing
[
C0512837
] [
U004813
]
----
Maintain
proper
body
alignment
[
C0512831
] [
U004814
]
----
Maintain
proper
position
in
bed
to
enhance
traction
[
C0512838
] [
U004815
]
----
Maintain
record
of
inflow
/
outflow
volumes
and
individual
/
cumulative
fluid
balance
[
C0512839
] [
U004816
]
----
Maintain
records
of
occupational
injuries
and
illnesses
on
forms
acceptable
to
OSHA
, and
participate
in
OSHA
inspections
[
C0512840
] [
U004817
]
----
Maintain
saline
lock
, as
appropriate
[
C0512841
] [
U004818
]
----
Maintain
scheduled
toileting
to
assist
in
establishing
and
maintaining
voiding
habit
[
C0512842
] [
U004819
]
----
Maintain
serum
glucose
level
within
normal
range
[
C0512843
] [
U004820
]
----
Maintain
sodium
restrictions
[
C0512844
] [
U004821
]
----
Maintain
sterile
dressing
technique
when
doing
wound
care
[
C0512845
] [
U004822
]
----
Maintain
sterile
technique
when
preparing
and
hanging
TPN
solutions
[
C0512846
] [
U004823
]
----
Maintain
sterile
technique
when
suctioning
and
providing
tracheostomy
care
[
C0512847
] [
U004824
]
----
Maintain
sterility
of
ports
[
C0512848
] [
U004825
]
----
Maintain
strict
aseptic
technique
, as
appropriate
[
C0512850
] [
U004828
]
----
Maintain
strict
aseptic
technique
[
C0512850
] [
U004827
]
----
Maintain
systemic
arterial
pressure
within
specified
range
[
C0512851
] [
U004829
]
----
Maintain
the
angle
of the
hips
at
100
degrees
, the
knees
at
105
degrees
, and the
ankles
at
90
degrees
, with the
heel
resting
flat
on the
footrests
[
C0512852
] [
U004830
]
----
Maintain
the
angles
of the
cast
during the
drying
period
[
C0512853
] [
U004831
]
----
Maintain
the
position
of any
drainage
tube
[
C0512854
] [
U004832
]
----
Maintain
toileting
interval
if there are
two
or less
incontinence
episodes
in
24
hr
[
C0512855
] [
U004833
]
----
Maintain
toileting
interval
if
three
or less
incontinence
episodes
in
24
hr
[
C0512856
] [
U004834
]
----
Maintain
traction
at all
times
[
C0512857
] [
U004835
]
----
Maintain
traction
devices
during
move
, as
appropriate
[
C0512858
] [
U004836
]
----
Maintain
universal
precautions
[
C0512859
] [
U004837
]
----
Maintain
warm
body
temperature
of
newborn
[
C0512860
] [
U004838
]
----
Make
available
a
selection
of
humorous
games
,
cartoons
,
jokes
,
videos
,
tapes
,
books
, and so on [
C0512861
] [
U004839
]
----
Make
bed
with
toe
pleats
[
C0512862
] [
U004840
]
----
Make
environment
safe
for
continuous
large
muscle
movement
, as
indicated
[
C0512863
] [
U004841
]
----
Make
eye
contact
and
talk
to
newborn
while
giving
care
[
C0512864
] [
U004842
]
----
Make
music
tapes
/
compact
discs
and
equipment
available
to
patient
[
C0512865
] [
U004843
]
----
Make
recommendations
about
regimen
changes
, as
appropriate
[
C0512866
] [
U004844
]
----
Make
recommendations
for
patient
assignments
or
potential
learning
experiences
available
for
students
,
considering
course
objectives
, as
appropriate
[
C0512867
] [
U004845
]
----
Make
recommendations
to the
appropriate
committee
or
individual
coordinating
the
evaluation
[
C0512868
] [
U004846
]
----
Make
referral
to
eye
specialist
, as
appropriate
[
C0512869
] [
U004847
]
----
Make
resources
necessary
for
self-care
available
[
C0512870
] [
U004848
]
----
Make
selections
appropriate
for
reading
level
[
C0512871
] [
U004849
]
----
Make
sibling
(s)
feel
special
when
visiting
unit
, as
appropriate
[
C0512872
] [
U004850
]
----
Make
sure
body
language
agrees
with
verbal
communication
[
C0512874
] [
U004852
]
----
Make the
time
to
deal
with the
consequences
of the
truth
[
C0512875
] [
U004853
]
----
Manage
nicotine
replacement
therapy
[
C0512876
] [
U004854
]
----
Manage
postoperative
pain
and
anesthetic
side
effects
[
C0512877
] [
U004855
]
----
Manipulate
lighting
for
therapeutic
benefit
[
C0512878
] [
U004856
]
----
Manually
reduce
rectal
prolapse
with
lubricated
,
gloved
hand
,
gently
applying
pressure
to
prolapse
until it
returns
to a
normal
position
, as
necessary
[
C0512879
] [
U004857
]
----
Mark
doorway
thresholds
and
edges
of
steps
, as
needed
[
C0512880
] [
U004858
]
----
Mark
endotracheal
tube
at the
position
of the
lips
or
nares
, using the
centimeter
markings
on the
ET
tube
, and
document
[
C0512881
] [
U004859
]
----
Mark
the
circumference
of any
drainage
as a
gauge
for
future
assessments
[
C0512882
] [
U004860
]
----
Mark
the
skin
for
stoma
placement
[
C0512883
] [
U004861
]
----
Mark
unit
/
agency
equipment
for
identification
, as
appropriate
[
C0512884
] [
U004862
]
----
Massage
around
painful
area
, as
appropriate
[
C0512885
] [
U004863
]
----
Massage
around the
affected
area
[
C0512886
] [
U004864
]
----
Massage
patient
's
arm
from
proximal
to
distal
end, as
appropriate
[
C0512887
] [
U004865
]
----
Massage
perineum
to
stretch
and
relax
tissue
[
C0512888
] [
U004866
]
----
Massage
the
area
around the
wound
to
stimulate
circulation
[
C0512889
] [
U004867
]
----
Massage
the
gums
, as
appropriate
[
C0512890
] [
U004868
]
----
Massage
the
hands
or
feet
, if other
areas
are
inconvenient
, or if more
comfortable
for the
patient
[
C0512891
] [
U004869
]
----
Massage
, using
continuous
, even, and
rhythmical
movements
[
C0512892
] [
U004870
]
----
Maximize
sensory
input
by
use
of
eyeglasses
,
hearing
aids
, and so on, as
appropriate
[
C0512893
] [
U004871
]
----
Maximize
the
patient
's
hemodynamic
status
to
facilitate
brain
oxygenation
(
e.g.
,
positioning
and
medication
adjustments
), as
appropriate
[
C0512894
] [
U004872
]
----
Measure
amniotic
fluid
indexes
[
C0512895
] [
U004873
]
----
Measure
and
describe
characteristics
of the
ulcer
at
regular
intervals
[
C0512896
] [
U004874
]
----
Measure
and
record
abdominal
girth
[
C0512897
] [
U004875
]
----
Measure
and
record
daily
weight
[
C0512898
] [
U004876
]
----
Measure
blood
pressure
,
height
,
weight
,
percent
body
fat
,
cholesterol
and
blood
sugar
levels
, and
urinalysis
, as
appropriate
[
C0512899
] [
U004877
]
----
Measure
diarrhea
/
bowel
output
[
C0512900
] [
U004878
]
----
Measure
fundal
height
and
compare
with
gestational
age
[
C0512901
] [
U004879
]
----
Measure
head
circumference
[
C0512902
] [
U004880
]
----
Measure
the
circumference
of the
upper
arm
[
C0512903
] [
U004881
]
----
Measure
the
correct
amount
of
topically-applied
systemic
medications
, using
standardized
measurement
devices
[
C0512904
] [
U004882
]
----
Measure
the
distance
for
catheter
insertion
[
C0512905
] [
U004883
]
----
Measure
the
distance
from the
cushion
to
just
under the
elbow
,
add
1
inch
, and
adjust
the
armrests
to this
height
[
C0512906
] [
U004884
]
----
Measure
weight
and
vital
signs
before
donation
[
C0512907
] [
U004885
]
----
Medicate
before an
activity
to
increase
participation
, but
evaluate
the
hazard
of
sedation
[
C0512908
] [
U004886
]
----
Medicate
by
alternate
route
when
swallowing
problems
develop
[
C0512909
] [
U004887
]
----
Medicate
the
patient
before the
irrigation
as
needed
for
pain
control
[
C0512910
] [
U004888
]
----
Medicate
to
relieve
physical
discomfort
, as
needed
[
C0512911
] [
U004889
]
----
Medicate
to
relieve
symptoms
during
withdrawal
, as
appropriate
[
C0512912
] [
U004890
]
----
Meet
in
1
- to
2
-
hr
sessions
, as
appropriate
[
C0512913
] [
U004891
]
----
Meet
individually
with the
member
who
desires
premature
termination
to
examine
rationale
for this [
C0512914
] [
U004892
]
----
Minimize
anxiety
for the
patient
by
explaining
the
procedure
and
rationale
, as
appropriate
[
C0512915
] [
U004893
]
----
Minimize
any
coercive
action
that could
force
the
parents
to
intervene
or to
feel
guilty
because they
choose
not to
act
[
C0512916
] [
U004894
]
----
Minimize
as much as
possible
the
use
of
locked
doors
,
medications
, and
strict
regulations
of
activity
or
property
[
C0512917
] [
U004895
]
----
Minimize
discomfort
, when
possible
[
C0512918
] [
U004896
]
----
Minimize
environmental
stimuli
[
C0512919
] [
U004897
]
----
Minimize
excessive
work
of
breathing
that is
nontherapeutic
by
eliminating
extra
dead
space
,
adding
pressure
support
,
administering
bronchodilators
, and
maintaining
airway
patency
, as
appropriate
[
C0512920
] [
U004898
]
----
Minimize
family
routine
disruption
by
facilitating
family
routines
and
rituals
, such as
private
meals
together or
family
discussions
for
communication
and
decision
making
[
C0512921
] [
U004899
]
----
Minimize
leverage
and
traction
of the
artificial
airway
by
suspending
ventilator
tubing
from
overhead
supports
, using
flexible
catheter
mounts
and
swivels
, and
supporting
tubes
during
turning
,
suctioning
, and
ventilator
disconnection
/
reconnection
[
C0512922
] [
U004900
]
----
Minimize
leverage
and
traction
on the
artificial
airway
by
suspending
ventilator
tubing
from
overhead
supports
, using
flexible
catheter
mounts
and
swivels
, and
supporting
tubes
during
turning
,
suctioning
, and
ventilator
disconnection
and
reconnection
[
C0512922
] [
U004901
]
----
Minimize
stimulation
of the
patient
to
avoid
precipitating
ventricular
fibrillation
[
C0512924
] [
U004903
]
----
Minimize
stimuli
from
noises
,
light
, and
odors
,
especially
food
[
C0512925
] [
U004904
]
----
Minimize
the
amount
of
ice
chips
or
oral
intake
consumed
by
patients
with
gastric
tubes
connected
to
suction
[
C0512927
] [
U004905
]
----
Minimize
the
degree
of
sensory
overload
/
underload
, as
appropriate
[
C0512926
] [
U004906
]
----
Minimize
the
number
of
ice
chips
consumed
or
amount
of
oral
intake
by
patients
with
gastric
tubes
connected
to
suction
[
C0512927
] [
U004907
]
----
Minimize
/
eliminate
environmental
stressors
[
C0512928
] [
U004908
]
----
Mix
medication
with
flavored
syrup
from the
pharmacy
, as
appropriate
[
C0512929
] [
U004909
]
----
Mix
offensive-tasting
medications
with
food
or
fluids
, as
appropriate
[
C0512930
] [
U004910
]
----
Modify
behavioral
expectations
and
consequences
, as
needed
, to
accommodate
reasonable
changes
in the
patient
's
situation
[
C0512931
] [
U004911
]
----
Modify
bowel
program
, as
needed
[
C0512932
] [
U004912
]
----
Modify
clothing
and
environment
to
provide
easy
access
to
toilet
[
C0512933
] [
U004913
]
----
Modify
the
environment
to
minimize
hazards
and
risk
[
C0512934
] [
U004914
]
----
Modify
the
environment
,
based
on
patient
's
needs
and
desires
[
C0512935
] [
U004915
]
----
Moisturize
area
around
nails
to
prevent
dryness
[
C0512936
] [
U004916
]
----
Moisturize
dry
,
unbroken
skin
[
C0512937
] [
U004917
]
----
Monitor
abdomen
for
indications
of
decreased
perfusion
[
C0512959
] [
U004940
]
----
Monitor
abdominal
pain
and
girth
[
C0512960
] [
U004941
]
----
Monitor
ABG
and
electrolyte
levels
, as
available
[
C0512938
] [
U004918
]
----
Monitor
ABG
levels
for
decreasing
pH
level
, as
appropriate
[
C0512939
] [
U004919
]
----
Monitor
ABG
levels
for
increased
pH
level
[
C0512940
] [
U004920
]
----
Monitor
ABG
,
electrolyte
, and
betahydroxybutyrate
levels
, as
available
[
C0512941
] [
U004921
]
----
Monitor
ability
to
correctly
relieve
breast
congestion
[
C0512961
] [
U004942
]
----
Monitor
ability
to
deal
with
strong
emotions
, such as
anger
and
remorse
[
C0512962
] [
U004943
]
----
Monitor
ability
to
swallow
and
talk
[
C0512963
] [
U004944
]
----
Monitor
ability
to
void
or
defecate
[
C0512964
] [
U004945
]
----
Monitor
absolute
granulocyte
count
,
WBC
, and
differential
results
[
C0512965
] [
U004946
]
----
Monitor
adequacy
of
ventilation
[
C0512966
] [
U004947
]
----
Monitor
adherence
to
technique
and
schedule
at
specified
follow-up
time
and
place
[
C0512967
] [
U004948
]
----
Monitor
administration
and
effect
of
stimulants
and
depressants
[
C0512968
] [
U004949
]
----
Monitor
albumin
,
total
protein
,
hemaglobin
, and
hematocrit
levels
[
C0512969
] [
U004950
]
----
Monitor
amount
and
type
of
sputum
expectoration
[
C0512970
] [
U004951
]
----
Monitor
amount
of
edema
present
in
stump
[
C0512971
] [
U004952
]
----
Monitor
amount
of
participation
in
research
studies
requested
of
patients
and
staff
[
C0512972
] [
U004953
]
----
Monitor
amount
,
color
, and
consistency
of
drainage
from
tube
[
C0512973
] [
U004954
]
----
Monitor
amount
,
color
, and
consistency
of
nasogastric
output
[
C0512974
] [
U004955
]
----
Monitor
amount
/
rate
of
cerebrospinal
fluid
drainage
[
C0512975
] [
U004956
]
----
Monitor
and
direct
active
involvement
of
group
members
[
C0512976
] [
U004957
]
----
Monitor
and
document
heart
rate
,
rhythm
, and
pulses
[
C0512977
] [
U004958
]
----
Monitor
and
maintain
correct
flow
rate
, as
necessary
[
C0512978
] [
U004959
]
----
Monitor
and
maintain
laminar
airflow
[
C0512979
] [
U004960
]
----
Monitor
and
maintain
relative
humidity
between
40
% and
60
% [
C0512980
] [
U004961
]
----
Monitor
and
maintain
room
temperature
between
20
and
24C
[
C0512981
] [
U004962
]
----
Monitor
and
maintain
temperature
of
irrigating
solutions
[
C0512982
] [
U004963
]
----
Monitor
and
maintain
temperature
of
warming
/
cooling
devices
[
C0512983
] [
U004964
]
----
Monitor
and
record
fundal
height
and
firmness
q
15
min
/
1
hr
; then
q
30
min
/
1
hr
; then
q
1hr
/
4
hr
; and then
q
4
hr
/
24
hr
[
C0512984
] [
U004965
]
----
Monitor
and
record
vital
signs
every
15
min
or more often, as
appropriate
[
C0512985
] [
U004966
]
----
Monitor
and
regulate
flow
rate
during
transfusion
[
C0512986
] [
U004967
]
----
Monitor
and
regulate
level
of
activity
and
stimulation
in
environment
[
C0512987
] [
U004968
]
----
Monitor
and
regulate
the
level
of
activity
and
stimulation
in the
environment
[
C0512987
] [
U004970
]
----
Monitor
and
regulate
level
of
activity
and
stimulation
in
environment
in
accord
with
patient
's
needs
[
C0512988
] [
U004969
]
----
Monitor
ankles
,
hands
, and
face
for
edema
[
C0512989
] [
U004971
]
----
Monitor
antiepileptic
drug
levels
, as
appropriate
[
C0512990
] [
U004972
]
----
Monitor
anxiety
level
and
discomfort
related
to
behavioral
change
[
C0512991
] [
U004973
]
----
Monitor
any
reddened
areas
closely
[
C0512992
] [
U004974
]
----
Monitor
appropriateness
of
diet
orders
to
meet
daily
nutritional
needs
, as
appropriate
[
C0512993
] [
U004975
]
----
Monitor
Babinski
response
[
C0512944
] [
U004924
]
----
Monitor
bedtime
food
and
beverage
intake
for
items
that
facilitate
or
interfere
with
sleep
[
C0512994
] [
U004976
]
----
Monitor
behavior
of
woman
and
support
person
[
C0512995
] [
U004977
]
----
Monitor
behavior
patterns
[
C0512996
] [
U004978
]
----
Monitor
behaviors
that
may
indicate
a
problem
with
attachment
[
C0512997
] [
U004979
]
----
Monitor
blood
glucose
levels
, as
indicated
[
C0512998
] [
U004980
]
----
Monitor
blood
pressure
[
C0026426
] [
U004981
]
----
Monitor
blood
pressure
(
systolic
,
diastolic
, and
mean
),
central
venous
/
right
atrial
pressure
,
pulmonary
artery
pressure
(
systolic
,
diastolic
, and
mean
), and
pulmonary
capillary
/
artery
wedge
pressure
[
C0512999
] [
U004982
]
----
Monitor
blood
pressure
during
drug
therapy
for
lactation
suppression
[
C0513000
] [
U004983
]
----
Monitor
blood
pressure
while
patient
is
lying
,
sitting
, and
standing
, as
appropriate
[
C0513001
] [
U004984
]
----
Monitor
blood
pressure
,
pulse
, and
respiration
, as
appropriate
[
C0513002
] [
U004985
]
----
Monitor
blood
pressure
,
pulse
, and
respirations
before, during, and after
activity
, as
appropriate
[
C0513003
] [
U004986
]
----
Monitor
blood
pressure
,
pulse
,
respirations
,
temperature
, and
patient
response
during
dialysis
[
C0513004
] [
U004987
]
----
Monitor
blood
pressure
,
pulse
,
temperature
, and
respiratory
status
, as
appropriate
[
C0513005
] [
U004988
]
----
Monitor
body
weight
[
C0513007
] [
U004990
]
----
Monitor
bowel
habits
[
C0513008
] [
U004991
]
----
Monitor
bowel
sounds
[
C0513010
] [
U004993
]
----
Monitor
BP
,
heart
rate
, and
respiratory
status
[
C0512942
] [
U004922
]
----
Monitor
breast
engorgement
and
discomfort
[
C0513011
] [
U004994
]
----
Monitor
breathing
patterns
:
bradypnea
,
tachypnea
,
hyperventilation
,
Kussmaul
respirations
,
Cheyne-Stokes
respirations
,
apneustic
,
Biot
, and
ataxic
patterns
[
C0513012
] [
U004995
]
----
Monitor
BUN
,
creatine
,
total
protein
, and
albumin
levels
[
C0512943
] [
U004923
]
----
Monitor
calcium
levels
closely
in the
patient
receiving
large
numbers
of
blood
transfusions
[
C0513013
] [
U004996
]
----
Monitor
caloric
and
nutrient
intake
[
C0513014
] [
U004997
]
----
Monitor
calorie
intake
to
ensure
adequate
intake
[
C0513015
] [
U004998
]
----
Monitor
capillary
refill
by
applying
pressure
to a
fingernail
or
toenail
[
C0513016
] [
U004999
]
----
Monitor
cardiac
output
and/or
cardiac
index
and
left-ventricular
stroke
work
index
, as
appropriate
[
C0513019
] [
U005002
]
----
Monitor
cardiac
output
,
PCWP
,
SVR
, and
RAP
, using
invasive
hemodynamic
monitoring
as
appropriate
[
C0513020
] [
U005003
]
----
Monitor
cardiac
rhythm
and
rate
[
C0513021
] [
U005004
]
----
Monitor
cardiovascular
status
[
C0513023
] [
U005006
]
----
Monitor
carefully
for
physiological
causes
of
increased
confusion
that
may
be
acute
and
reversible
[
C0513024
] [
U005007
]
----
Monitor
catheter
site
and
dressings
to
check
for a
loose
catheter
or
wet
dressing
, and
notify
appropriate
personnel
per
agency
protocol
[
C0513025
] [
U005008
]
----
Monitor
cause
(s) of
increasing
serum
potassium
levels
(
e.g.
,
renal
failure
,
excessive
intake
, and
acidosis
), as
appropriate
[
C0513026
] [
U005009
]
----
Monitor
cerebral
perfusion
pressure
[
C0513027
] [
U005010
]
----
Monitor
changes
in
peripheral
edema
, as
appropriate
[
C0513028
] [
U005011
]
----
Monitor
changes
in
sleep
patterns
, as
appropriate
[
C0513029
] [
U005013
]
----
Monitor
changes
in
sleep
patterns
[
C0513029
] [
U005012
]
----
Monitor
chest
tube
tidaling
/
output
and
air
leaks
[
C0513030
] [
U005014
]
----
Monitor
chest
x-ray
reports
[
C0513031
] [
U005015
]
----
Monitor
child
for
extreme
compliance
, such as
passive
submission
to
invasive
procedures
[
C0513032
] [
U005016
]
----
Monitor
child
for
role
reversal
, such as
comforting
the
parent
, or
overactive
or
aggressive
behavior
[
C0513033
] [
U005017
]
----
Monitor
child
for
signs
of
failure
to
thrive
,
depression
,
apathy
,
developmental
delay
, or
malnutrition
[
C0513034
] [
U005018
]
----
Monitor
child
performing
self-catheterization
on a
regular
basis
, and
provide
continued
instruction
and
support
, as
needed
[
C0513035
] [
U005019
]
----
Monitor
child
/
dependent
adult
for
extreme
compliance
, such as
passive
submission
to
hospital
procedures
[
C0513036
] [
U005020
]
----
Monitor
circulation
and
color
of
fingers
/
toes
on
injured
extremity
[
C0513037
] [
U005021
]
----
Monitor
circulation
in
affected
body
part
[
C0513038
] [
U005022
]
----
Monitor
circulation
,
movement
, and
sensation
of
affected
extremity
[
C0513039
] [
U005023
]
----
Monitor
circulatory
status
:
BP
,
skin
color
,
skin
temperature
,
heart
sounds
,
heart
rate
and
rhythm
,
presence
and
quality
of
peripheral
pulses
, and
capillary
refill
[
C0513040
] [
U005024
]
----
Monitor
cleaning
of
nails
, according to
patient
's
self-care
ability
[
C0513041
] [
U005025
]
----
Monitor
cleanliness
and
general
condition
of
shoes
and
stockings
[
C0513042
] [
U005026
]
----
Monitor
closely
the
serum
potassium
levels
of
patients
taking
digitalis
and
diuretics
[
C0513043
] [
U005027
]
----
Monitor
clotting
times
and
adjust
heparin
administration
appropriately
[
C0513044
] [
U005028
]
----
Monitor
coagulation
profiles
every
6
hr
, as
appropriate
[
C0513045
] [
U005029
]
----
Monitor
coagulation
studies
and
complete
blood
count
(
CBC
) with
WBC
differential
[
C0513046
] [
U005030
]
----
Monitor
cognitive
functioning
, using a
standardized
assessment
tool
[
C0513049
] [
U005033
]
----
Monitor
color
,
odor
, and
clarity
of
urine
[
C0513050
] [
U005034
]
----
Monitor
color
,
quantity
, and
specific
gravity
of
urine
[
C0513051
] [
U005035
]
----
Monitor
color
,
temperature
, and
sensation
frequently
in
restrained
extremities
[
C0513052
] [
U005036
]
----
Monitor
comfort
level
, and
take
appropriate
action
[
C0513053
] [
U005037
]
----
Monitor
compliance
in taking
antiepileptic
medications
[
C0513054
] [
U005038
]
----
Monitor
coping
strategies
used by
patient
and
family
[
C0513055
] [
U005039
]
----
Monitor
core
body
temperature
, as
appropriate
[
C0513056
] [
U005040
]
----
Monitor
corneal
reflex
[
C0513057
] [
U005041
]
----
Monitor
cough
and
gag
reflex
[
C0513058
] [
U005042
]
----
Monitor
couple
's
relationship
to one another after
birth
of
infant
, as
appropriate
[
C0513059
] [
U005043
]
----
Monitor
craniotomy
/
laminectomy
dressing
for
drainage
[
C0513060
] [
U005044
]
----
Monitor
CSF
drainage
characteristics
:
color
,
clarity
, and
consistency
[
C0512945
] [
U004925
]
----
Monitor
cuff
pressures
every
4
to
8
hr
during
expiration
using a
three-way
stopcock
,
calibrated
syringe
, and
mercury
manometer
[
C0513061
] [
U005045
]
----
Monitor
current
family
relationships
[
C0513062
] [
U005046
]
----
Monitor
current
family
situation
[
C0513063
] [
U005047
]
----
Monitor
CVP
[
C0420201
] [
U004926
]
----
Monitor
daily
caloric
food
intake
[
C0513064
] [
U005048
]
----
Monitor
daily
calories
consumed
[
C0513065
] [
U005049
]
----
Monitor
daily
weight
[
C0513066
] [
U005050
]
----
Monitor
deep
tendon
reflexes
[
C0513067
] [
U005051
]
----
Monitor
deep
tendon
reflexes
during
rapid
magnesium
replacement
, as
precursor
to
cardiopulmonary
side
effects
[
C0513068
] [
U005052
]
----
Monitor
degree
of
bladder
distention
by
palpation
and
percussion
[
C0513069
] [
U005053
]
----
Monitor
degree
of
chest
discomfort
or
pain
[
C0513070
] [
U005054
]
----
Monitor
degree
of
shunt
,
vital
capacity
,
Vd
/
Vt
,
MVV
,
inspiratory
force
, and
FEV1
for
readiness
to
wean
from
mechanical
ventilation
,
based
on
agency
protocol
[
C0513071
] [
U005055
]
----
Monitor
delusions
for
presence
of
content
that is
self-harmful
or
violent
[
C0513072
] [
U005056
]
----
Monitor
deterioration
of
physical
and/or
mental
capabilities
[
C0513073
] [
U005057
]
----
Monitor
determinants
of
oxygen
delivery
(
e.g.
,
PaO2and
hemoglobin
levels
and
cardiac
output
), if
appropriate
[
C0513074
] [
U005058
]
----
Monitor
determinants
of
tissue
oxygen
delivery
(
e.g.
,
PaCO2
,
SaO2
, and
hemoglobin
levels
and
cardiac
output
), if
available
[
C0513075
] [
U005059
]
----
Monitor
determinants
of
tissue
oxygen
delivery
(
e.g.
,
PaO2
,
SaO2
, and
hemoglobin
levels
and
cardiac
output
), if
available
[
C0513075
] [
U005060
]
----
Monitor
determinants
of
tissue
oxygen
delivery
(
e.g.
,
PaO2
,
SaO2
, and
hemoglobin
levels
, and
cardiac
output
), if
available
[
C0513075
] [
U005061
]
----
Monitor
determination
of
oxygen
consumption
(
e.g.
,
SvO2
and
avDO2
levels
), if
available
[
C0513076
] [
U005062
]
----
Monitor
diet
and
fluid
requirements
[
C0513077
] [
U005063
]
----
Monitor
dilutional
cause
(s) of
decreasing
serum
potassium
levels
(
e.g.
,
administration
of
hypotonic
solutions
and
increased
water
retention
,
secondary
to
inappropriate
ADH
), as
appropriate
[
C0513078
] [
U005064
]
----
Monitor
direction
of
head
and
eyes
during
seizure
[
C0513079
] [
U005065
]
----
Monitor
drainage
trends
[
C0513080
] [
U005066
]
----
Monitor
drug
infusion
at
regular
intervals
[
C0513081
] [
U005067
]
----
Monitor
drug
regimen
[
C0513082
] [
U005068
]
----
Monitor
effectiveness
of
medication
[
C0513083
] [
U005069
]
----
Monitor
effectiveness
of
surgical
,
medical
,
pharmacological
, and
self-prescribed
treatments
[
C0513084
] [
U005070
]
----
Monitor
effectiveness
of the
medication
administration
modality
[
C0513085
] [
U005071
]
----
Monitor
effectiveness
of the
technology
on
patient
outcomes
[
C0513086
] [
U005072
]
----
Monitor
effects
of
medications
[
C0513087
] [
U005073
]
----
Monitor
effects
of
newborn
on
family
structure
[
C0513088
] [
U005074
]
----
Monitor
effects
of
prescribed
pharmaceuticals
, such as
calcium
channel
blockers
and
anticholinergics
[
C0513089
] [
U005075
]
----
Monitor
effects
of
ventilator
changes
on
oxygenation
:
ABG
,
SaO2
,
SvO2
,
end-tidal
CO2
,
Qsp
/
Qt
, and
A-aDO2
levels
and
patient
's
subjective
response
[
C0513090
] [
U005076
]
----
Monitor
EKG
changes
that
increase
risk
of
dysrhythmia
development
:
prolonged
QT
interval
,
frequent
premature
ventricular
contractions
, and
ectopy
close
to the
T
wave
[
C0512946
] [
U004927
]
----
Monitor
EKG
tracings
for
changes
related
to
abnormal
K
,
Ca
, and
Mg
levels
[
C0512947
] [
U004928
]
----
Monitor
electrolyte
levels
[
C0513091
] [
U005077
]
----
Monitor
electrolyte
,
BUN
, and
creatinine
levels
daily
[
C0513092
] [
U005078
]
----
Monitor
electrolyte
,
enzyme
, and
blood
sugar
levels
[
C0513093
] [
U005079
]
----
Monitor
elimination
patterns
, as
appropriate
[
C0513094
] [
U005080
]
----
Monitor
emotional
,
physical
, and
social
response
to
recreational
activity
[
C0513095
] [
U005081
]
----
Monitor
emotional
,
physical
,
social
, and
spiritual
response
to
activity
[
C0513096
] [
U005082
]
----
Monitor
end-title
CO2
level
, as
appropriate
[
C0513097
] [
U005083
]
----
Monitor
endurance
of
caregiver
[
C0513098
] [
U005084
]
----
Monitor
energy
level
,
malaise
,
fatigue
, and
weakness
[
C0513099
] [
U005085
]
----
Monitor
environment
for
flammable
substance
or
breaks
in
precautions
[
C0513100
] [
U005086
]
----
Monitor
environment
for
possible
fire
[
C0513101
] [
U005087
]
----
Monitor
environment
for
potential
safety
hazards
[
C0513102
] [
U005088
]
----
Monitor
environment
where
eating
occurs
[
C0513103
] [
U005089
]
----
Monitor
EOMs
and
gaze
characteristics
[
C0512948
] [
U004929
]
----
Monitor
exercise
tolerance
(
e.g.
,
presence
of such
symptoms
as
breathlessness
,
rapid
pulse
,
pallor
,
lightheadedness
, and
joint
/
muscle
pain
or
swelling
) during
exercise
[
C0513104
] [
U005090
]
----
Monitor
external
fixation
device
[
C0513105
] [
U005091
]
----
Monitor
extremities
for
areas
of
heat
,
redness
,
pain
, or
swelling
[
C0513106
] [
U005092
]
----
Monitor
facial
symmetry
[
C0513107
] [
U005093
]
----
Monitor
family
boundaries
as an
attempt
to
change
distance
between
family
subsystems
[
C0513108
] [
U005094
]
----
Monitor
family
coping
during
labor
[
C0513109
] [
U005095
]
----
Monitor
family
interaction
problems
related
to
care
of
patient
[
C0513110
] [
U005096
]
----
Monitor
family
's
ability
to
perform
tasks
appropriate
to
family
developmental
stage
[
C0513112
] [
U005098
]
----
Monitor
family
's and
child
's
level
of
frustration
and
stress
[
C0513113
] [
U005099
]
----
Monitor
family
structure
and
roles
[
C0513111
] [
U005097
]
----
Monitor
fetal
breathing
movements
,
gross
movements
, and
tone
[
C0513114
] [
U005100
]
----
Monitor
fetal
heart
rate
[
C0180847
] [
U005101
]
----
Monitor
fetal
heart
rate
during and after
contractions
to
detect
decelerations
or
accelerations
[
C0513115
] [
U005102
]
----
Monitor
fetal
heart
rate
electronically
[
C0513116
] [
U005103
]
----
Monitor
fetal
heart
rate
for
bradycardia
(less than
110
beats
per
minute
) or
tachycardia
(
greater
than
160
beats
per
minute
)
lasting
longer
than
10
min
, if
appropriate
[
C0513117
] [
U005104
]
----
Monitor
fetal
vital
signs
, using
auscultation
and
palpation
or
electronic
fetal
monitor
, as
appropriate
[
C0513119
] [
U005106
]
----
Monitor
fit
of
bracing
devices
,
prosthesis
,
shoes
, and
clothing
[
C0513120
] [
U005107
]
----
Monitor
fluid
and
electrolyte
levels
,
liver
function
tests
,
blood
counts
, and
arterial
blood
gas
levels
[
C0513121
] [
U005108
]
----
Monitor
fluid
and
electrolyte
status
[
C0513122
] [
U005109
]
----
Monitor
fluid
and
nutritional
intake
[
C0513123
] [
U005110
]
----
Monitor
fluid
intake
[
C0513125
] [
U005112
]
----
Monitor
fluid
status
(
including
I&
O
), as
appropriate
[
C0513126
] [
U005113
]
----
Monitor
fluid
status
, as
appropriate
[
C0513126
] [
U005114
]
----
Monitor
follicular
growth
throughout
ovulation
, as
appropriate
[
C0513128
] [
U005117
]
----
Monitor
food
preferences
and
choices
[
C0513129
] [
U005118
]
----
Monitor
food
/
fluid
ingested
and
calculate
daily
caloric
intake
, as
appropriate
[
C0513130
] [
U005119
]
----
Monitor
for a
parent
who
holds
newborn
at
arm
's
length
,
handles
newborn
awkwardly
,
asks
for
excessive
assistance
, and
verbalizes
or
demonstrates
discomfort
in
caring
for the
child
[
C0513150
] [
U005139
]
----
Monitor
for a
parent
who
holds
newborn
at
arm
's
length
,
handles
newborn
awkwardly
, or
asks
for
excessive
assistance
[
C0513151
] [
U005140
]
----
Monitor
for a
progressive
deterioration
in the
physical
and
emotional
care
provided
to a
child
/
dependent
adult
in the
family
[
C0513152
] [
U005141
]
----
Monitor
for a
progressive
deterioration
in the
physical
and
emotional
state
of the
infant
/
child
[
C0513153
] [
U005142
]
----
Monitor
for a
widening
or
narrowing
pulse
pressure
[
C0513154
] [
U005143
]
----
Monitor
for
abnormal
responses
to
three
primary
types
of
stimuli
:
sensory
,
visual
, and
auditory
[
C0513156
] [
U005145
]
----
Monitor
for
abnormal
serum
electrolyte
levels
, as
available
[
C0513157
] [
U005146
]
----
Monitor
for
abnormal
serum
electrolytes
, as
available
[
C0513157
] [
U005147
]
----
Monitor
for
acid-base
imbalance
[
C0513158
] [
U005148
]
----
Monitor
for
acute
laryngeal
spasm
and
tetany
requiring
emergency
airway
management
[
C0513159
] [
U005149
]
----
Monitor
for
adequate
bowel
evacuation
[
C0513160
] [
U005150
]
----
Monitor
for
adverse
effects
of
mechanical
ventilation
:
infection
,
barotrauma
, and
reduced
cardiac
output
[
C0513161
] [
U005151
]
----
Monitor
for
adverse
effects
of the
drug
[
C0513162
] [
U005152
]
----
Monitor
for
adverse
therapeutic
responses
[
C0513164
] [
U005154
]
----
Monitor
for
alertness
and
presence
of
gag
reflex
, as
appropriate
[
C0513165
] [
U005155
]
----
Monitor
for
alterations
in
skin
integrity
and
treat
appropriately
[
C0513166
] [
U005156
]
----
Monitor
for an
increase
in the
anion
gap
(>
14
mEq
/
L
),
signaling
an
increased
production
or
decreased
excretion
of
acid
products
[
C0513167
] [
U005157
]
----
Monitor
for and
correct
oxygen
deficits
,
acid-base
imbalances
, and
electrolyte
imbalances
, which
may
precipitate
dysrhythmias
[
C0513168
] [
U005158
]
----
Monitor
for and
report
signs
and
symptoms
of
hypothermia
and
hyperthermia
[
C0513169
] [
U005159
]
----
Monitor
for and
treat
life-threatening
injuries
or
acute
needs
[
C0513170
] [
U005160
]
----
Monitor
for and
treat
ventricular
defibrillation
[
C0513171
] [
U005161
]
----
Monitor
for
anticoagulant
therapy
side
effects
[
C0513172
] [
U005162
]
----
Monitor
for
apprehension
,
increased
anxiety
, and
changes
in
mental
status
[
C0513173
] [
U005163
]
----
Monitor
for
arterial
insufficiency
in
lower
legs
[
C0513174
] [
U005164
]
----
Monitor
for
associated
acid-base
imbalances
[
C0513175
] [
U005165
]
----
Monitor
for
associated
excesses
of
bicarbonate
(
e.g.
,
hyperaldosteronism
,
glucocorticoid
excess
, and
licorice
abuse
), as
appropriate
[
C0513176
] [
U005166
]
----
Monitor
for
bladder
distention
[
C0513178
] [
U005168
]
----
Monitor
for
bleeding
at
injury
site
[
C0513179
] [
U005169
]
----
Monitor
for
bleeding
tendencies
in
high-risk
patient
[
C0513180
] [
U005170
]
----
Monitor
for
bloated
feeling
,
abdominal
distension
,
cramping
pains
, and
excessive
passage
of
gas
from the
mouth
or
anus
[
C0513181
] [
U005171
]
----
Monitor
for
blood
reaction
, if
appropriate
[
C0513182
] [
U005172
]
----
Monitor
for
body
image
distortions
and
anorexia
[
C0513183
] [
U005173
]
----
Monitor
for
bowel
incontinence
[
C0513184
] [
U005174
]
----
Monitor
for
bowel
perforation
or
fluid
leaks
[
C0513185
] [
U005175
]
----
Monitor
for
bradycardia
[
C0513186
] [
U005176
]
----
Monitor
for
bubbling
of the
suction
chamber
of the
chest
tube
drainage
system
and
tidaling
in
waterseal
chamber
[
C0513187
] [
U005177
]
----
Monitor
for
cardiopulmonary
manifestations
of
metabolic
acidosis
(
e.g.
,
hypotension
,
hypoxia
,
arrythmias
, and
Kussmaul
respiration
), as
appropriate
[
C0513193
] [
U005183
]
----
Monitor
for
causes
of
increasing
calcium
levels
(
e.g.
,
indications
of
severe
dehydration
and
renal
failure
), as
appropriate
[
C0513199
] [
U005189
]
----
Monitor
for
causes
of
possible
HCO3
deficit
, such as
diarrhea
,
renal
failure
,
tissue
hypoxia
,
lactic
acidosis
,
diabetic
ketoacidosis
,
malnutrition
, and
salicylate
overdose
[
C0513201
] [
U005191
]
----
Monitor
for
central
and
peripheral
cyanosis
[
C0513202
] [
U005192
]
----
Monitor
for
cerebral
ischemia
or
indications
of
insufficient
cerebral
blood
flow
or
cerebral
perfusion
pressure
[
C0513203
] [
U005193
]
----
Monitor
for
change
in
energy
level
/
malaise
[
C0513204
] [
U005194
]
----
Monitor
for
changes
in
sensation
and
orientation
[
C0513205
] [
U005195
]
----
Monitor
for
Chvostek
and/or
Trousseau
sign
[
C0513139
] [
U005128
]
----
Monitor
for
clinical
signs
and
symptoms
of
overhydration
/
fluid
excess
[
C0513206
] [
U005196
]
----
Monitor
for
clubbing
of
nail
beds
[
C0513207
] [
U005197
]
----
Monitor
for
CNS
manifestations
of
metabolic
acidosis
(
e.g.
,
headache
,
drowsiness
,
decreased
mentation
,
seizures
, and
coma
), as
appropriate
[
C0513137
] [
U005126
]
----
Monitor
for
complications
of
immobility
[
C0513208
] [
U005198
]
----
Monitor
for
constipation
[
C0513209
] [
U005199
]
----
Monitor
for
continued
calcium
loss
(
e.g.
,
loop
diuretics
,
renal
tubular
dysfunction
, and
loss
of
exudates
through
burn
or
infection
), as
appropriate
[
C0513210
] [
U005200
]
----
Monitor
for
convulsions
,
seizures
, and
CNS
depression
or
stimulation
[
C0513211
] [
U005201
]
----
Monitor
for
correct
placement
of the
tube
by
inspecting
oral
cavity
,
checking
pH
level
of
aspirate
, and
noting
placement
per
x-ray
, as
appropriate
[
C0513212
] [
U005202
]
----
Monitor
for
covert
alcohol
consumption
during
detoxification
[
C0513213
] [
U005203
]
----
Monitor
for
crepitus
around
chest
tube
site
[
C0513214
] [
U005204
]
----
Monitor
for
crepitus
, as
appropriate
[
C0513215
] [
U005205
]
----
Monitor
for
CSF
rhinorrhea
/
otorrhea
[
C0513138
] [
U005127
]
----
Monitor
for
Cushing
response
[
C0513140
] [
U005129
]
----
Monitor
for
decrease
in
exhale
volume
and
increase
in
inspiratory
pressure
in
patients
receiving
mechanical
ventilation
[
C0513216
] [
U005207
]
----
Monitor
for
decrease
in
exhale
volume
and
increase
in
inspiratory
pressure
[
C0513216
] [
U005206
]
----
Monitor
for
decreasing
bicarbonate
from
excessive
nonvolatile
acids
(
e.g.
,
renal
failure
,
diabetic
ketoacidosis
,
tissue
hypoxia
, and
starvation
), as
appropriate
[
C0513217
] [
U005208
]
----
Monitor
for
decreasing
levels
of
consciousness
[
C0513218
] [
U005209
]
----
Monitor
for
decreasing
levels
of
magnesium
resulting
from
decreased
absorption
of
magnesium
(
e.g.
,
surgical
resection
of
bowel
,
pancreatic
insufficiency
, and
increased
dietary
intake
of
calcium
), as
appropriate
[
C0513219
] [
U005210
]
----
Monitor
for
defensiveness
about the
past
[
C0513224
] [
U005215
]
----
Monitor
for
delirium
tremens
[
C0513225
] [
U005216
]
----
Monitor
for
depression
and/or
suicidal
tendencies
[
C0513226
] [
U005217
]
----
Monitor
for
diarrhea
[
C0513228
] [
U005219
]
----
Monitor
for
digitalis
toxicity
(
e.g.
,
report
serum
levels
above
therapeutic
range
,
monitor
heart
rate
and
rhythm
before
administering
dose
, and
monitor
for
side
effects
), as
appropriate
[
C0513229
] [
U005220
]
----
Monitor
for
distended
neck
veins
,
crackles
in the
lungs
,
peripheral
edema
, and
weight
gain
[
C0513230
] [
U005221
]
----
Monitor
for
drainage
from
ears
, as
appropriate
[
C0513231
] [
U005222
]
----
Monitor
for
dry
,
flaky
skin
with
depigmentation
[
C0513232
] [
U005223
]
----
Monitor
for
dry
,
thin
hair
that is
easy
to
pluck
[
C0513233
] [
U005224
]
----
Monitor
for
dyspnea
and
events
that
improve
and
worsen
it [
C0513234
] [
U005225
]
----
Monitor
for
dyspnea
,
fatigue
,
tachypnea
, and
orthopnea
[
C0513235
] [
U005226
]
----
Monitor
for
dyspnea
,
snoring
, or
inspiratory
crowing
when
oro
/
nasopharyngeal
airway
is in
place
[
C0513236
] [
U005227
]
----
Monitor
for
early
compensatory
responses
to
fluid
loss
:
increased
heart
rate
,
decreased
BP
,
orthostatic
hypotension
,
decreased
urinary
output
,
narrowed
pulse
pressure
,
decreased
capillary
refill
,
apprehension
,
pale
and
cool
skin
, and
diaphoresis
[
C0513237
] [
U005228
]
----
Monitor
for
early
signs
of
allergic
reactions
:
wheezing
,
hoarseness
,
chest
tightness
,
dyspnea
,
itching
,
hives
and
wheals
,
angioedema
,
GI
upset
,
anxiety
, and
restlessness
[
C0513238
] [
U005229
]
----
Monitor
for
early
signs
of
cardiogenic
shock
:
declining
cardiac
output
and
urinary
output
,
increasing
SVR
and
PCWP
,
crackles
in the
lungs
,
S3
and
S4
heart
sounds
, and
tachycardia
[
C0513239
] [
U005230
]
----
Monitor
for
early
signs
of
septic
shock
:
warm
,
flushed
,
dry
,
skin
;
increasing
cardiac
output
and
temperature
; and
declining
SVR
and
PAP
[
C0513240
] [
U005231
]
----
Monitor
for
electrolyte
abnormalities
[
C0513241
] [
U005232
]
----
Monitor
for
electrolyte
imbalance
[
C0513242
] [
U005233
]
----
Monitor
for
electrolyte
imbalances
associated
with
hypercalcemia
(
e.g.
,
hypo-
or
hyperphosphatemia
,
hyperchloremic
acidosis
, and
hypokalemia
from
diuresis
), as
appropriate
[
C0513243
] [
U005234
]
----
Monitor
for
electrolyte
imbalances
associated
with
hypermagnesemia
(
e.g.
,
elevated
BUN
and
Cr
levels
), as
appropriate
[
C0513244
] [
U005235
]
----
Monitor
for
electrolyte
imbalances
associated
with
hyperphosphatemia
(
e.g.
,
hypomagnesemia
,
hypocalcemia
,
respiratory
acidosis
,
serum
and
urine
phosphate
levels
,
serum
and
urine
calcium
and
magnesium
levels
), as
appropriate
[
C0513245
] [
U005236
]
----
Monitor
for
electrolyte
imbalances
associated
with
hypocalcemia
(
e.g.
,
hyperphosphatemia
,
hypomagnesemia
, and
alkalosis
), as
appropriate
[
C0513246
] [
U005237
]
----
Monitor
for
electrolyte
imbalances
associated
with
hypomagnesemia
(
e.g.
,
hypokalemia
,
hypocalcemia
, and
hypochloremic
alkalosis
), as
appropriate
[
C0513247
] [
U005238
]
----
Monitor
for
electrolyte
imbalances
associated
with
hyponatremia
(
e.g.
,
hypokalemia
,
metabolic
acidosis
, and
hypoglycemia
), as
appropriate
[
C0513248
] [
U005239
]
----
Monitor
for
electrolyte
imbalances
associated
with
hypophosphatemia
(
e.g.
,
hypokalemia
;
hypomagnesemia
;
respiratory
alkalosis
;
metabolic
acidosis
; and
serum
and
urine
phosphate
,
calcium
, and
magnesium
levels
), as
appropriate
[
C0513249
] [
U005240
]
----
Monitor
for
electrolyte
imbalances
associated
with
metabolic
acidosis
(
e.g.
,
hyponatremia
,
hyper-
or
hypokalemia
,
hypocalcemia
,
hypophosphatemia
, and
hypomagnesemia
), as
appropriate
[
C0513250
] [
U005241
]
----
Monitor
for
electrolyte
imbalances
associated
with
metabolic
alkalosis
(
e.g.
,
hypokalemia
,
hypercalcemia
, and
hypochloremia
), as
appropriate
[
C0513251
] [
U005242
]
----
Monitor
for
electrolyte
imbalances
,
particularly
hypokalemia
and
hypophosphatemia
[
C0513252
] [
U005243
]
----
Monitor
for
episodes
of
dizziness
associated
with
ear
problems
, as
appropriate
[
C0513253
] [
U005244
]
----
Monitor
for
evidence
of
misadministration
or
diversion
of
controlled
substances
[
C0513254
] [
U005245
]
----
Monitor
for
exacerbation
of
tetany
resulting
from
hyperventilation
or
pressure
on
efferent
nerves
(
e.g.
, by
crossing
legs
), as
appropriate
[
C0513255
] [
U005246
]
----
Monitor
for
excessive
diuresis
[
C0513256
] [
U005247
]
----
Monitor
for
extreme
compliance
to
caretakers
'
demands
or
passive
submission
to
invasive
procedures
[
C0513257
] [
U005248
]
----
Monitor
for
fever
and
leukocytosis
[
C0513258
] [
U005249
]
----
Monitor
for
fluid
loss
and
associated
loss
of
electrolytes
, as
appropriate
[
C0513260
] [
U005251
]
----
Monitor
for
fluid
overload
[
C0513261
] [
U005252
]
----
Monitor
for
fluid
overload
and
physical
reactions
[
C0513262
] [
U005253
]
----
Monitor
for
fluid
overload
and
transfusion
reactions
[
C0513263
] [
U005254
]
----
Monitor
for
fluid
overload
resulting
from
associated
renal
failure
, as
appropriate
[
C0513264
] [
U005255
]
----
Monitor
for
fluid
overload
resulting
from
hydration
therapy
(
e.g.
,
daily
weight
,
urine
output
,
jugular
vein
distention
,
lung
sounds
, and
right
atrial
pressure
), as
appropriate
[
C0513265
] [
U005256
]
----
Monitor
for
forward
progression
of
pulmonary
catheter
resulting
in
spontaneous
wedge
, and
notify
physician
if it
occurs
[
C0513266
] [
U005257
]
----
Monitor
for
GI
loss
of
acid
(
e.g.
,
vomiting
,
NG
suctioning
, and
high
chloride
content
diarrhea
), as
appropriate
[
C0513141
] [
U005130
]
----
Monitor
for
GI
manifestations
of
metabolic
acidosis
(
e.g.
,
anorexia
,
nausea
, and
vomiting
), as
appropriate
[
C0513147
] [
U005136
]
----
Monitor
for
hoarseness
and
voice
changes
every
hour
in
patients
with
facial
burns
[
C0513268
] [
U005259
]
----
Monitor
for
hyperkalemia
associated
with a
blood
reaction
, if
appropriate
[
C0513269
] [
U005260
]
----
Monitor
for
hypertension
and
tachycardia
[
C0513270
] [
U005261
]
----
Monitor
for
hypoglycemia
[
C0513272
] [
U005263
]
----
Monitor
for
hypophosphatemia
associated
with
respiratory
alkalosis
, as
appropriate
[
C0513273
] [
U005264
]
----
Monitor
for
hypotension
and
cardiac
arrhythmias
[
C0513274
] [
U005265
]
----
Monitor
for
immediate
complications
, such as
bleeding
,
nerve
or
tendon
damage
,
cardiac
decompression
,
respiratory
distress
, or
catheter
embolism
[
C0513275
] [
U005266
]
----
Monitor
for
impending
respiratory
failure
[
C0513276
] [
U005267
]
----
Monitor
for
incision
/
stoma
healing
[
C0513277
] [
U005268
]
----
Monitor
for
increased
actions
of
medications
as
rewarming
occurs
[
C0513278
] [
U005269
]
----
Monitor
for
increased
restlessness
,
anxiety
, and
air
hunger
[
C0513279
] [
U005270
]
----
Monitor
for
increasing
excretion
of
magnesium
(
e.g.
,
diuretics
,
renal
disorders
,
renal
excretion
after
transplant
,
hypercalcemia
,
diarrhea
,
fistulas
,
prolonged
NG
suction
,
burns
,
hyperglycemia
,
hyperthyroidism
, and
prolonged
cardiopulmonary
bypass
), as
appropriate
[
C0513280
] [
U005271
]
----
Monitor
for
indications
of
chronic
respiratory
acidosis
(
e.g.
,
barrel
chest
,
clubbing
of
nails
,
pursed-lips
breathing
, and
use
of
accessory
muscles
), as
appropriate
[
C0513281
] [
U005272
]
----
Monitor
for
indications
of
fluid
overload
/
retention
(
e.g.
,
crackles
,
elevated
CVP
or
pulmonary
capillary
wedge
pressure
,
edema
,
neck
vein
distention
, and
ascites
), as
appropriate
[
C0513283
] [
U005274
]
----
Monitor
for
indications
of
infection
of
oral
mucous
membranes
[
C0513285
] [
U005276
]
----
Monitor
for
indications
of
kidney
stone
formation
(
e.g.
,
intermittent
pain
,
nausea
,
vomiting
, and
hematuria
)
resulting
from
calcium
accumulation
, as
appropriate
[
C0513286
] [
U005277
]
----
Monitor
for
indications
of
urinary
tract
infection
[
C0513287
] [
U005278
]
----
Monitor
for
indicators
of
nonrelaxation
, such as
movement
,
uneasy
breathing
,
talking
, and
coughing
[
C0513288
] [
U005279
]
----
Monitor
for
indicators
of
stress
[
C0513289
] [
U005280
]
----
Monitor
for
infection
, as
appropriate
[
C0513290
] [
U005281
]
----
Monitor
for
infection
,
especially
of
edematous
areas
[
C0513291
] [
U005282
]
----
Monitor
for
infiltration
and
infection
[
C0513292
] [
U005283
]
----
Monitor
for
insensible
fluid
loss
[
C0513293
] [
U005284
]
----
Monitor
for
irritation
,
infiltration
, and
inflammation
at
injection
site
[
C0513295
] [
U005287
]
----
Monitor
for
IV
patency
before
administration
of
IV
medication
[
C0513149
] [
U005138
]
----
Monitor
for
lingering
suicidal
tendencies
[
C0513296
] [
U005288
]
----
Monitor
for
local
irritation
from
topical
application
of
medications
[
C0513297
] [
U005289
]
----
Monitor
for
local
,
systemic
, and
adverse
effects
of the
medication
[
C0513298
] [
U005290
]
----
Monitor
for
loss
of
acid
(
e.g.
,
vomiting
,
nasogastric
output
,
diarrhea
, and
diuresis
), as
appropriate
[
C0513299
] [
U005291
]
----
Monitor
for
loss
of
bicarbonate
(
e.g.
,
fistula
drainage
and
diarrhea
), as
appropriate
[
C0513300
] [
U005292
]
----
Monitor
for
manifestations
of
electrolyte
imbalance
[
C0513302
] [
U005294
]
----
Monitor
for
nausea
and
vomiting
[
C0513303
] [
U005295
]
----
Monitor
for
nausea
,
vomiting
, and
diarrhea
[
C0513304
] [
U005296
]
----
Monitor
for
neurological
and/or
neuromuscular
manifestations
of
respiratory
alkalosis
(
e.g.
,
paresthesias
,
tetany
, and
seizures
), as
appropriate
[
C0513308
] [
U005300
]
----
Monitor
for
noisy
respirations
, such as
crowing
or
snoring
[
C0513315
] [
U005307
]
----
Monitor
for
nontherapeutic
drug
interactions
[
C0513316
] [
U005308
]
----
Monitor
for
optimal
fluid
and
electrolyte
status
[
C0513317
] [
U005309
]
----
Monitor
for
over-correction
and
hypercalcemia
[
C0513318
] [
U005310
]
----
Monitor
for
pain
in
affected
area
[
C0513319
] [
U005311
]
----
Monitor
for
pale
,
reddened
, and
dry
conjunctival
tissue
[
C0513320
] [
U005312
]
----
Monitor
for
paranoia
and
hesitancy
to
trust
others during the
detoxification
period
[
C0513321
] [
U005313
]
----
Monitor
for
paresthesia
:
numbness
and
tingling
[
C0513322
] [
U005314
]
----
Monitor
for
paresthesia
:
numbness
,
tingling
,
hyperesthesia
, and
hypoesthesia
[
C0513323
] [
U005315
]
----
Monitor
for
patient
's
inability
to
maintain
correct
posture
in
wheelchair
[
C0513324
] [
U005316
]
----
Monitor
for
peripheral
edema
,
jugular
vein
distension
, and
S3
and
S4
heart
sounds
[
C0513325
] [
U005317
]
----
Monitor
for
possible
causes
of
HCO3
excess
, such as
vomiting
,
gastric
suction
,
hyperaldosteronism
,
diuretic
therapy
,
hypochloremia
, and
excessive
ingestion
of
medications
containing
HCO3
[
C0513326
] [
U005318
]
----
Monitor
for
possible
causes
of
carbonic
acid
deficits
and
associated
hyperventilation
, such as
pain
,
CNS
lesions
,
fever
, and
mechanical
ventilation
[
C0513327
] [
U005319
]
----
Monitor
for
possible
causes
of
carbonic
acid
excess
and
respiratory
acidosis
, such as
airway
obstruction
,
depressed
ventilation
,
CNS
depression
,
neurological
disease
,
chronic
lung
disease
,
musculoskeletal
disease
,
chest
trauma
,
infection
,
ARDS
,
cardiac
failure
, and
use
of
respiratory
depressant
drugs
[
C0513328
] [
U005320
]
----
Monitor
for
possible
medication
allergies
,
interactions
, and
contraindications
[
C0513329
] [
U005321
]
----
Monitor
for
presence
of
bowel
sounds
every
4
to
8
hr
, as
appropriate
[
C0513331
] [
U005323
]
----
Monitor
for
presence
of
cardiac
arrhythmias
[
C0513332
] [
U005324
]
----
Monitor
for
presence
of
crackles
and
rhonchi
over
large
airways
[
C0513333
] [
U005325
]
----
Monitor
for
pronator
drift
[
C0513334
] [
U005326
]
----
Monitor
for
proper
placement
of the
tube
by
inspecting
oral
cavity
,
checking
for
gastric
residual
, or
listening
while
air
is
injected
and
withdrawn
, according to
agency
protocol
[
C0513335
] [
U005327
]
----
Monitor
for
pulmonary
edema
and
third
spacing
[
C0513336
] [
U005328
]
----
Monitor
for
pulsus
alternans
[
C0513339
] [
U005331
]
----
Monitor
for
pulsus
paradoxus
[
C0513340
] [
U005332
]
----
Monitor
for
rebound
hyperkalemia
[
C0513342
] [
U005334
]
----
Monitor
for
rebound
hypermagnesemia
, as
appropriate
[
C0513343
] [
U005335
]
----
Monitor
for
rebound
hypocalcemia
resulting
from
aggressive
treatment
of
hypercalcemia
[
C0513344
] [
U005336
]
----
Monitor
for
recurring
hypercalcemia
1
to
3
days
after
cessation
of
therapeutic
measures
[
C0513346
] [
U005338
]
----
Monitor
for
redness
,
exudate
, or
ulceration
[
C0513347
] [
U005339
]
----
Monitor
for
redness
,
swelling
, and
cracking
of
mouth
/
lips
[
C0513348
] [
U005340
]
----
Monitor
for
reduced
intake
through
malnutrition
or
prolonged
hyperalimentation
without
supplementation
, as
appropriate
[
C0513349
] [
U005341
]
----
Monitor
for
renal
loss
of
acid
(
e.g.
,
diuretic
therapy
), as
appropriate
[
C0513350
] [
U005342
]
----
Monitor
for
reoccurrence
of
anaphylaxis
within
24
hr
[
C0513352
] [
U005344
]
----
Monitor
for
repeated
visits
to
clinics
,
emergency
rooms
, or
physicians
'
offices
for "
accidental
"
injuries
;
inadequate
health
care
monitoring
;
inadequate
surveillance
; or
inadequate
environmental
adaptations
[
C0513353
] [
U005346
]
----
Monitor
for
repeated
visits
to a
clinic
,
emergency
room
, or
physician
's
office
for
minor
problems
[
C0513354
] [
U005345
]
----
Monitor
for
repeated
visits
to
clinics
,
emergency
rooms
, or
physicians
'
offices
for
minor
problems
[
C0513354
] [
U005347
]
----
Monitor
for
respiratory
distress
[
C0513355
] [
U005348
]
----
Monitor
for
respiratory
distress
,
hypoglycemia
, and
anomalies
, if
mother
has
diabetes
[
C0513356
] [
U005349
]
----
Monitor
for
respiratory
muscle
fatigue
[
C0513357
] [
U005350
]
----
Monitor
for
rewarming
shock
[
C0513358
] [
U005351
]
----
Monitor
for
sealing
of
lips
during
eating
,
drinking
, and
swallowing
[
C0513359
] [
U005352
]
----
Monitor
for
seizure
activity
[
C0513360
] [
U005353
]
----
Monitor
for
sensation
of
fullness
,
nausea
, and
vomiting
[
C0513361
] [
U005354
]
----
Monitor
for
sensations
of
fullness
,
nausea
, and
vomiting
[
C0513361
] [
U005355
]
----
Monitor
for
shortness
of
breath
or
unequal
/
abnormal
breath
sounds
[
C0513362
] [
U005356
]
----
Monitor
for
side
effects
and
toxic
effects
of
chemotherapeutic
agents
[
C0513363
] [
U005357
]
----
Monitor
for
side
effects
of
IV
administration
of
ionized
calcium
(
e.g.
,
calcium
chloride
), such as
thrombophlebitis
,
soft
tissue
damage
with
extravasation
,
clotting
, and
thrombus
formation
, as
appropriate
[
C0513364
] [
U005359
]
----
Monitor
for
side
effects
of
IV
magnesium
replacement
(
e.g.
,
flushing
,
sweating
,
sensation
of
heat
, and
hypocalcemia
), as
appropriate
[
C0513365
] [
U005360
]
----
Monitor
for
side
effects
of
irrigation
solution
or
oral
medication
[
C0513366
] [
U005361
]
----
Monitor
for
side
effects
of
medication
administration
[
C0513367
] [
U005362
]
----
Monitor
for
side
effects
of
procedures
used to
ready
cervix
[
C0513369
] [
U005364
]
----
Monitor
for
side
effects
from
anticoagulant
medications
, if
appropriate
[
C0513741
] [
U005358
]
----
Monitor
for
signs
and
symptoms
associated
with
infusion
phlebitis
and
local
infection
[
C0513372
] [
U005367
]
----
Monitor
for
signs
and
symptoms
associated
with
local
and
systemic
infection
[
C0513373
] [
U005368
]
----
Monitor
for
signs
and
symptoms
of
HCO3
deficit
and
metabolic
acidosis
:
Kussmaul
respirations
,
weakness
,
disorientation
,
headache
,
anorexia
,
coma
,
urinary
pH
level
of <
6
,
plasma
HCO3
level
of <
22
mEq
/
L
,
plasma
pH
level
of <
7
.
35
, BE of <-
2
mEq
/
L
,
associated
hyperkalemia
, and
possible
CO2deficit
[
C0513374
] [
U005369
]
----
Monitor
for
signs
and
symptoms
of
HCO3
excess
and
metabolic
alkalosis
:
numbness
and
tingling
of the
extremities
,
muscular
hypertonicity
,
shallow
respirations
with
pause
,
bradycardia
,
tetany
,
urinary
pH
level
of >
7
,
plasma
HCO3
level
of >
26
mEq
/
L
,
plasma
pH
level
of >
7
.
45
, BE of >
2
mEq
/
L
,
associated
hypokalemia
, and
possible
CO2
retention
[
C0513375
] [
U005370
]
----
Monitor
for
signs
and
symptoms
of
ascites
[
C0513376
] [
U005371
]
----
Monitor
for
signs
and
symptoms
of
aspiration
[
C0513377
] [
U005372
]
----
Monitor
for
signs
and
symptoms
of
bowel
rupture
and/or
peritonitis
[
C0513378
] [
U005373
]
----
Monitor
for
signs
and
symptoms
of
carbonic
acid
deficit
and
respiratory
alkalosis
:
frequent
sighing
and
yawning
,
tetany
,
paresthesia
,
muscular
twitching
,
palpitations
,
tingling
and
numbness
,
dizziness
,
blurred
vision
,
diaphoresis
,
dry
mouth
,
convulsions
,
pH
level
of >
7
.
45
,
PaCO2
<
35
mm
Hg
,
associated
hyperchloremia
, and
possible
HCO3
deficit
[
C0513379
] [
U005374
]
----
Monitor
for
signs
and
symptoms
of
carbonic
acid
excess
and
respiratory
acidosis
:
hand
tremor
with
extensions
of
arms
,
confusion
,
drowsiness
progressing
to
coma
,
headache
,
slowed
verbal
response
,
nausea
,
vomiting
,
tachycardia
,
warm
sweaty
extremities
,
pH
level
of <
7
.
35
,
PaCO2
level
of >
45
mm
Hg
,
associated
hypochloremia
, and
possible
HCO3
excess
[
C0513380
] [
U005375
]
----
Monitor
for
signs
and
symptoms
of
constipation
[
C0513381
] [
U005376
]
----
Monitor
for
signs
and
symptoms
of
diarrhea
[
C0513382
] [
U005377
]
----
Monitor
for
signs
and
symptoms
of
diarrhea
,
constipation
, and
impaction
[
C0513383
] [
U005378
]
----
Monitor
for
signs
and
symptoms
of
drug
toxicity
[
C0513384
] [
U005379
]
----
Monitor
for
signs
and
symptoms
of
extravasation
of
fluids
or
medications
,
infection
, or
fat
embolism
[
C0513385
] [
U005380
]
----
Monitor
for
signs
and
symptoms
of
fluid
and
electrolyte
imbalance
[
C0513386
] [
U005381
]
----
Monitor
for
signs
and
symptoms
of
fluid
retention
[
C0513387
] [
U005382
]
----
Monitor
for
signs
and
symptoms
of
glossitis
and
stomatitis
[
C0513388
] [
U005383
]
----
Monitor
for
signs
and
symptoms
of
hypercalcemia
:
deep
bone
pain
,
excessive
thirst
,
anorexia
,
lethargy
,
weakened
muscles
,
shortened
QT
segment
,
wide
T
wave
,
widened
QRS
complex
, and
prolonged
P-R
interval
[
C0513389
] [
U005384
]
----
Monitor
for
signs
and
symptoms
of
hyperchloremia
:
weakness
;
lethargy
;
deep
,
rapid
breathing
; and
coma
[
C0513390
] [
U005385
]
----
Monitor
for
signs
and
symptoms
of
hyperglycemia
:
polyuria
,
polydipsia
,
polyphagia
,
weakness
,
lethargy
,
malaise
,
blurring
of
vision
, or
headache
[
C0513391
] [
U005386
]
----
Monitor
for
signs
and
symptoms
of
hypermagnesemia
:
muscle
weakness
,
inability
to
swallow
,
hyporeflexia
,
hypotension
,
bradycardia
,
CNS
depression
,
respiratory
depression
,
lethargy
,
coma
, and
depression
[
C0513392
] [
U005387
]
----
Monitor
for
signs
and
symptoms
of
hypernatremia
:
extreme
thirst
;
fever
;
dry
,
sticky
mucous
membranes
;
altered
mentation
; and
seizures
[
C0513393
] [
U005388
]
----
Monitor
for
signs
and
symptoms
of
hyperphosphatemia
:
tachycardia
,
nausea
,
diarrhea
,
abdominal
cramps
,
muscle
weakness
,
flaccid
paralysis
, and
increased
reflexes
[
C0513394
] [
U005389
]
----
Monitor
for
signs
and
symptoms
of
hypocalcemia
:
irritability
,
muscle
tetany
,
muscle
cramps
,
decreased
cardiac
output
,
prolonged
ST
segment
and
QT
interval
,
bleeding
, and
fractures
[
C0513395
] [
U005390
]
----
Monitor
for
signs
and
symptoms
of
hypochloremia
:
hyperirritability
,
tetany
,
muscular
excitability
,
slow
respirations
, and
hypotension
[
C0513396
] [
U005391
]
----
Monitor
for
signs
and
symptoms
of
hypoglycemia
:
pallor
,
diaphoresis
,
tachycardia
,
palpitations
,
hunger
,
parasthesia
,
shakiness
,
inability
to
concentrate
,
confusion
,
slurred
speech
,
irrational
or
uncontrolled
behavior
,
blurred
vision
,
somnolence
,
inability
to
arouse
from
sleep
, or
seizures
[
C0513397
] [
U005392
]
----
Monitor
for
signs
and
symptoms
of
hypokalemia
:
muscular
weakness
,
cardiac
irregularities
(
PVC
),
prolonged
QT
interval
,
flattened
or
depressed
T
wave
,
depressed
ST
segment
,
presence
of
U
wave
,
paresthesia
,
decreased
reflexes
,
anorexia
,
decreased
GI
motility
,
dizziness
,
confusion
,
increased
sensitivity
to
digitalis
, and
depressed
respirations
[
C0513398
] [
U005393
]
----
Monitor
for
signs
and
symptoms
of
hypomagnesemia
:
respiratory
muscle
depression
,
mental
apathy
,
confusion
,
facial
tics
,
spasticity
, and
cardiac
dysrthymias
[
C0513399
] [
U005394
]
----
Monitor
for
signs
and
symptoms
of
hypophosphatemia
:
bleeding
tendencies
,
muscular
weakness
,
paresthesia
,
hemolytic
anemia
,
depressed
white
cell
function
,
nausea
,
vomiting
,
anorexia
, and
bone
demineralization
[
C0513400
] [
U005395
]
----
Monitor
for
signs
and
symptoms
of
impaction
[
C0513401
] [
U005396
]
----
Monitor
for
signs
and
symptoms
of
infection
in the
wound
[
C0513402
] [
U005397
]
----
Monitor
for
signs
and
symptoms
of
pneumothorax
[
C0513404
] [
U005399
]
----
Monitor
for
signs
and
symptoms
of
systemic
infection
,
anemia
, and
bleeding
[
C0513405
] [
U005400
]
----
Monitor
for
signs
and
symptoms
of
urinary
retention
[
C0513406
] [
U005401
]
----
Monitor
for
signs
of
bleeding
; for
example
,
test
stool
and
NG
drainage
for
blood
[
C0513407
] [
U005403
]
----
Monitor
for
signs
of
catheter
occlusion
[
C0513408
] [
U005404
]
----
Monitor
for
signs
of
hyperbilirubinemia
[
C0513411
] [
U005407
]
----
Monitor
for
signs
of
impending
renal
failure
(
e.g.
,
increased
BUN
and
creatinine
levels
,
myoglobinemia
, and
decreased
urine
output
), as
appropriate
[
C0513412
] [
U005408
]
----
Monitor
for
signs
of
inadequate
tissue
oxygenation
[
C0513413
] [
U005409
]
----
Monitor
for
signs
of
infection
[
C0513414
] [
U005410
]
----
Monitor
for
signs
of
neglect
in
high-risk
families
[
C0513416
] [
U005413
]
----
Monitor
for
signs
of
oxygen
toxicity
and
absorption
atelectasis
[
C0513417
] [
U005414
]
----
Monitor
for
signs
of
pregnancy-induced
hypertension
(
e.g.
,
hypertension
,
headache
,
blurred
vision
,
nausea
,
vomiting
,
visual
alterations
,
hyperreflexia
,
edema
, and
proteinuria
), as
appropriate
[
C0513418
] [
U005415
]
----
Monitor
for
signs
of
premature
labor
(
e.g.
, >
4
contractions
per
hour
,
backache
,
cramping
,
show
, and
pelvic
pressure
from
20
to
37
weeks
of
gestation
), as
appropriate
[
C0513419
] [
U005416
]
----
Monitor
for
signs
of
respiratory
distress
[
C0513420
] [
U005417
]
----
Monitor
for
signs
of
respiratory
muscle
fatigue
(
e.g.
,
abrupt
rise
in
PaCO2
level
;
rapid
,
shallow
ventilation
; and
paradoxical
abdominal
wall
motion
),
hypoxemia
, and
tissue
hypoxia
while
weaning
is in
process
[
C0513421
] [
U005418
]
----
Monitor
for
signs
of
urinary
tract
infection
, as
appropriate
[
C0513422
] [
U005419
]
----
Monitor
for
signs
/
symptoms
of
ascites
[
C0513376
] [
U005420
]
----
Monitor
for
signs
/
symptoms
of
hyperkalemia
:
irritability
,
restlessness
,
anxiety
,
nausea
,
vomiting
,
abdominal
cramps
,
weakness
,
flaccid
paralysis
,
circumorial
numbness
and
tingling
,
tachycardia
progressing
to
bradycardia
,
ventricular
tachycardia
/
fibrillation
,
tall
peaked
T
waves
,
flattened
P
wave
,
broad
slurred
QRS
complex
, and
heart
block
progressing
to
asystole
[
C0513423
] [
U005421
]
----
Monitor
for
signs
/
symptoms
of
hyponatremia
:
disorientation
,
muscle
twitching
,
nausea
and
vomiting
,
abdominal
cramps
,
headaches
,
seizures
,
lethargy
and
withdrawal
, and
coma
[
C0513424
] [
U005422
]
----
Monitor
for
skin
breakdown
from
friction
of
oxygen
device
[
C0513426
] [
U005424
]
----
Monitor
for
sources
of
pressure
and
friction
[
C0513427
] [
U005425
]
----
Monitor
for
spoon-shaped
,
brittle
,
ridged
nails
[
C0513428
] [
U005426
]
----
Monitor
for
statements
that
identify
body
image
perceptions
concerned
with
body
shape
and
body
weight
[
C0513429
] [
U005427
]
----
Monitor
for
symptoms
associated
with
hypothermia
:
fatigue
,
weakness
,
confusion
,
apathy
,
impaired
coordination
,
slurred
speech
,
shivering
, and
change
in
skin
color
[
C0513430
] [
U005428
]
----
Monitor
for
symptoms
of
inadequate
coronary
artery
perfusion
(
e.g.
,
ST
changes
on
EKG
or
angina
), as
appropriate
[
C0513431
] [
U005429
]
----
Monitor
for
symptoms
of
postpartum
depression
[
C0513433
] [
U005431
]
----
Monitor
for
systemic
and
localized
signs
and
symptoms
of
infection
[
C0513435
] [
U005434
]
----
Monitor
for the
therapeutic
and
adverse
effects
of the
medication
, as
appropriate
[
C0513436
] [
U005435
]
----
Monitor
for
therapeutic
effects
of
topical
anesthetics
,
oral
protective
pastes
, and
topical
or
systemic
analgesics
, as
appropriate
[
C0513438
] [
U005437
]
----
Monitor
for
thrombophlebitis
and
deep
vein
thrombosis
[
C0513439
] [
U005438
]
----
Monitor
for
tracking
response
[
C0513440
] [
U005439
]
----
Monitor
for
tremor
[
C0513441
] [
U005440
]
----
Monitor
for
underlying
medical
disease
that can
lead
to
electrolyte
imbalance
[
C0513443
] [
U005442
]
----
Monitor
for
underreactions
or
overreactions
on the
part
of an
adult
[
C0513444
] [
U005443
]
----
Monitor
for
unintentional
potassium
intake
(
e.g.
,
penicillin
G
potassium
or
dietary
), as
appropriate
[
C0513445
] [
U005444
]
----
Monitor
for
urinary
function
[
C0513446
] [
U005445
]
----
Monitor
for
urinary
retention
and/or
renal
failure
[
C0513447
] [
U005446
]
----
Monitor
for
visual
disturbance
:
diplopia
,
nystagmus
,
visual
field
cuts
,
blurred
vision
, and
visual
acuity
[
C0513448
] [
U005447
]
----
Monitor
for
worsening
electrolyte
imbalance
with
correction
of the
acid-base
imbalance
[
C0513449
] [
U005448
]
----
Monitor
frequency
of
ear
infections
[
C0513450
] [
U005449
]
----
Monitor
frequency
of
self-negating
verbalizations
[
C0513451
] [
U005450
]
----
Monitor
frequency
of
statements
of
self-criticism
[
C0513452
] [
U005451
]
----
Monitor
functional
ability
while
bathing
[
C0513453
] [
U005452
]
----
Monitor
gait
,
balance
, and
fatigue
level
with
ambulation
[
C0513454
] [
U005453
]
----
Monitor
gastrointestinal
function
, as
appropriate
[
C0513455
] [
U005454
]
----
Monitor
gestational
sac
growth
and
location
[
C0513457
] [
U005456
]
----
Monitor
GI
cause
(s) of
decreasing
serum
potassium
levels
(
e.g.
,
diarrhea
,
fistulas
,
vomiting
, and
continuous
NG
suction
), as
appropriate
[
C0512949
] [
U004930
]
----
Monitor
GI
functioning
and
distention
to
prevent
reduced
diaphragmatic
movement
, as
appropriate
[
C0512950
] [
U004931
]
----
Monitor
grip
strength
[
C0513458
] [
U005457
]
----
Monitor
growth
and
development
[
C0513459
] [
U005458
]
----
Monitor
gums
for
swelling
,
sponginess
,
receding
, and
increased
bleeding
[
C0513460
] [
U005459
]
----
Monitor
hallucinations
for
presence
of
content
that is
violent
or
self-harmful
[
C0513461
] [
U005460
]
----
Monitor
heart
rate
[
C0542284
] [
U005461
]
----
Monitor
heart
rate
and
rhythm
[
C0513462
] [
U005462
]
----
Monitor
heart
tones
[
C0513463
] [
U005463
]
----
Monitor
hemodynamic
response
[
C0513464
] [
U005464
]
----
Monitor
hemodynamic
response
to the
dysrhythmia
[
C0513465
] [
U005465
]
----
Monitor
hemodynamic
waveforms
for
changes
in
cardiovascular
function
[
C0513467
] [
U005469
]
----
Monitor
hemoglobin
and
hematocrit
levels
, if
appropriate
[
C0513468
] [
U005470
]
----
Monitor
hemoglobin
level
[
C0513469
] [
U005471
]
----
Monitor
hemoglobin
/
hematocrit
levels
[
C0513468
] [
U005472
]
----
Monitor
hydration
level
of
feet
[
C0513470
] [
U005473
]
----
Monitor
hydration
status
(
e.g.
,
moist
mucous
membranes
,
adequacy
of
pulses
, and
orthostatic
blood
pressure
), as
appropriate
[
C0513471
] [
U005474
]
----
Monitor
ICP
and
CPP
[
C0512952
] [
U004933
]
----
Monitor
improvement
in
patient
's
posture
/
body
mechanics
[
C0513472
] [
U005475
]
----
Monitor
incision
for
signs
and
symptoms
of
infection
[
C0513473
] [
U005476
]
----
Monitor
increased
filling
of
breasts
in
response
to
nursing
and/or
pumping
[
C0513474
] [
U005477
]
----
Monitor
individual
behavior
that
may
be
disruptive
or
detrimental
to overall
well-being
of others [
C0513475
] [
U005478
]
----
Monitor
infant
's
ability
to
suck
[
C0513478
] [
U005481
]
----
Monitor
infant
's
height
and
weight
[
C0513479
] [
U005482
]
----
Monitor
infant
's
physiological
status
(
e.g.
,
color
,
temperature
,
heart
rate
, and
apnea
), and
discontinue
kangaroo
care
if
infant
becomes
physiologically
compromised
or
agitated
[
C0513480
] [
U005483
]
----
Monitor
infant
weight
, as
appropriate
[
C0513476
] [
U005479
]
----
Monitor
infused
and
returned
volume
of
peritoneal
dialysate
, as
appropriate
[
C0513481
] [
U005484
]
----
Monitor
insertion
site
for
infection
[
C0513482
] [
U005485
]
----
Monitor
intake
and
output
[
C0204708
] [
U005486
]
----
Monitor
intake
and
output
of
fluids
, as
appropriate
[
C0513127
] [
U005487
]
----
Monitor
intake
and
output
, as
appropriate
[
C0513127
] [
U005488
]
----
Monitor
intake
/
output
,
urine
output
, and
daily
weight
, if
appropriate
[
C0513483
] [
U005489
]
----
Monitor
intake
/
output
,
urine
output
, and
patient
weight
, as
appropriate
[
C0513484
] [
U005490
]
----
Monitor
intracellular
shifts
causing
decreasing
serum
potassium
levels
(
e.g.
,
metabolic
alkalosis
;
dietary
,
especially
carbohydrate
,
intake
; and
administration
of
insulin
), as
appropriate
[
C0513485
] [
U005491
]
----
Monitor
intrauterine
pressure
readings
[
C0513486
] [
U005492
]
----
Monitor
intravenous
flow
rate
and
intravenous
site
during
infusion
[
C0513487
] [
U005493
]
----
Monitor
invasive
hemodynamic
parameters
, as
appropriate
[
C0513488
] [
U005494
]
----
Monitor
isolation
techniques
, as
appropriate
[
C0513489
] [
U005495
]
----
Monitor
IV
site
for
signs
and
symptoms
of
infiltration
,
phlebitis
, and
local
infection
[
C0512953
] [
U004934
]
----
Monitor
IV
site
for
signs
of
infiltration
or
infection
, if
appropriate
[
C0512954
] [
U004935
]
----
Monitor
lab
values
associated
with
hypernatremia
(
e.g.
,
hyperchloremia
and
hyperglycemia
), as
appropriate
[
C0513490
] [
U005496
]
----
Monitor
lab
values
for
changes
in
oxygenation
or
acid-base
balance
, as
appropriate
[
C0513492
] [
U005498
]
----
Monitor
lab
values
for
electrolytes
, which
may
increase
the
risk
of
dysrrhythmias
(
e.g.
,
serum
potassium
and
magnesium
), as
appropriate
[
C0513493
] [
U005499
]
----
Monitor
lab
values
:
serum
and
urine
osmolality
,
sodium
, and
potassium
levels
[
C0513494
] [
U005500
]
----
Monitor
labor
progress
closely
,
being
alert
to
signs
of
abnormal
labor
progress
[
C0513495
] [
U005501
]
----
Monitor
laboratory
results
to
detect
possible
catheter-induced
infection
[
C0513498
] [
U005504
]
----
Monitor
laboratory
values
,
especially
Hgb
and
Hct
levels
,
clotting
profile
,
ABG
and
electrolyte
levels
,
cultures
, and
chemistry
profile
[
C0513499
] [
U005505
]
----
Monitor
lack
of
follow-through
in
goal
attainment
[
C0513500
] [
U005506
]
----
Monitor
latex-free
environment
[
C0513501
] [
U005507
]
----
Monitor
learning
needs
of the
family
[
C0513502
] [
U005508
]
----
Monitor
legs
and
feet
for
edema
[
C0513503
] [
U005509
]
----
Monitor
letdown
reflex
[
C0513504
] [
U005510
]
----
Monitor
level
of
awareness
/
sensory
/
motor
function
[
C0513505
] [
U005511
]
----
Monitor
level
of
consciousness
[
C0513506
] [
U005512
]
----
Monitor
level
of
consciousness
,
cough
reflex
,
gag
reflex
, and
swallowing
ability
[
C0513507
] [
U005513
]
----
Monitor
level
of
orientation
[
C0513508
] [
U005514
]
----
Monitor
level
of
responsibility
that
patient
assumes
[
C0513509
] [
U005515
]
----
Monitor
level
of
sensory
blockade
at
appropriate
intervals
and
record
on
flow
sheet
[
C0513510
] [
U005516
]
----
Monitor
levels
of
self-esteem
over
time
, as
appropriate
[
C0513511
] [
U005517
]
----
Monitor
lips
,
tongue
,
mucous
membranes
,
tonsillar
fossae
, and
gums
for
moisture
,
color
,
texture
,
presence
of
debris
, and
infection
, using
good
lighting
and a
tongue
blade
[
C0513512
] [
U005518
]
----
Monitor
liver
function
tests
, if
appropriate
[
C0513513
] [
U005519
]
----
Monitor
location
and
nature
of
discomfort
or
pain
during
movement
/
activity
[
C0513514
] [
U005520
]
----
Monitor
lochia
for
character
,
amount
,
odor
, and
presence
of
clots
[
C0513515
] [
U005521
]
----
Monitor
loss
of
bicarbonate
through the
GI
tract
(
e.g.
,
diarrhea
,
pancreatic
fistula
,
small
bowel
fistula
, and
ileal
conduit
), as
appropriate
[
C0513516
] [
U005522
]
----
Monitor
lung
sounds
[
C0513517
] [
U005523
]
----
Monitor
lymphocyte
and
electrolyte
levels
[
C0513518
] [
U005524
]
----
Monitor
male
newborn
's
response
to
circumcision
[
C0513519
] [
U005525
]
----
Monitor
maternal
and
fetal
vital
signs
before
induction
[
C0513520
] [
U005526
]
----
Monitor
maternal
color
,
level
of
consciousness
, and
pain
[
C0513521
] [
U005527
]
----
Monitor
maternal
skill
with
latching
infant
to the
nipple
[
C0513522
] [
U005528
]
----
Monitor
maternal
vital
signs
[
C0513523
] [
U005529
]
----
Monitor
maternal
vital
signs
between
contractions
, per
protocol
or as
needed
[
C0513524
] [
U005530
]
----
Monitor
maternal
vital
signs
every
15
minutes
or more
frequently
, as
appropriate
[
C0513525
] [
U005531
]
----
Monitor
maternal
vital
signs
, as
needed
,
based
on
amount
of
blood
loss
[
C0513526
] [
U005532
]
----
Monitor
maternal
vital
signs
,
fetal
heart
rate
, and
uterine
activity
every
15
min
during
initiation
of
IV
tocolysis
[
C0513527
] [
U005533
]
----
Monitor
mechanical
ventilator
readings
,
noting
increases
in
inspiratory
pressures
and
decreases
in
tidal
volume
, as
appropriate
[
C0513529
] [
U005535
]
----
Monitor
mechanical
ventilator
settings
for
high-minute
ventilation
(
e.g.
,
rate
,
mode
, and
tidal
volume
), as
appropriate
[
C0513530
] [
U005536
]
----
Monitor
mood
changes
[
C0513531
] [
U005537
]
----
Monitor
mucous
membranes
,
skin
turgor
, and
thirst
[
C0513532
] [
U005538
]
----
Monitor
muscle
tone
,
motor
movement
,
gait
, and
proprioception
[
C0513533
] [
U005539
]
----
Monitor
nails
for any
changes
[
C0513534
] [
U005540
]
----
Monitor
neurological
functioning
[
C0513535
] [
U005541
]
----
Monitor
neurological
status
[
C0513538
] [
U005544
]
----
Monitor
neurological
status
closely
and
compare
to
baseline
[
C0513539
] [
U005546
]
----
Monitor
neurological
status
for
possible
head
or
spinal
injuries
[
C0513540
] [
U005547
]
----
Monitor
neurological
status
on an
ongoing
basis
[
C0513541
] [
U005548
]
----
Monitor
new
parent
's
reactions
to
infant
,
observing
for
feelings
of
disgust
,
fear
, or
unrealistic
expectations
[
C0513542
] [
U005549
]
----
Monitor
new
parents
'
reactions
to their
infant
,
observing
for
feelings
of
disgust
,
fear
, or
disappointment
in
gender
[
C0513543
] [
U005550
]
----
Monitor
newborn
's
color
[
C0513544
] [
U005551
]
----
Monitor
newborn
's first
feeding
[
C0513545
] [
U005552
]
----
Monitor
newborn
's
temperature
until
stabilized
[
C0513546
] [
U005553
]
----
Monitor
newborn
's
temperature
, until
stabilized
[
C0513546
] [
U005554
]
----
Monitor
newborn
's
weight
[
C0513547
] [
U005555
]
----
Monitor
nutrition
and
weight
[
C0513548
] [
U005556
]
----
Monitor
nutrition
status
[
C0513549
] [
U005557
]
----
Monitor
nutritional
status
, as
appropriate
[
C0513549
] [
U005561
]
----
Monitor
nutritional
status
[
C0513549
] [
U005559
]
----
Monitor
nutritional
intake
to
ensure
adequate
energy
resources
[
C0513550
] [
U005558
]
----
Monitor
nutritional
status
and
weight
[
C0513551
] [
U005560
]
----
Monitor
or
assist
with
cleaning
of
nails
, according to
patient
's
self-care
ability
[
C0513552
] [
U005562
]
----
Monitor
or
assist
with
trimming
of
nails
, according to
self-care
ability
[
C0513553
] [
U005563
]
----
Monitor
oral
mucosa
on a
regular
basis
[
C0513554
] [
U005564
]
----
Monitor
orthostatic
blood
pressure
and
change
in
cardiac
rhythm
, as
appropriate
[
C0513555
] [
U005565
]
----
Monitor
orthostatic
blood
pressure
and
pulse
before the first
attempt
at
ambulation
[
C0513556
] [
U005566
]
----
Monitor
orthostatic
blood
pressure
and
pulse
, as
indicated
[
C0513557
] [
U005567
]
----
Monitor
oxygen
equipment
to
ensure
that it is not
interfering
with the
patient
's
attempts
to
breathe
[
C0513560
] [
U005570
]
----
Monitor
oxygen
saturation
, as
appropriate
[
C0513561
] [
U005571
]
----
Monitor
oxygen
status
[
C0513562
] [
U005572
]
----
Monitor
oxygenation
[
C0513563
] [
U005573
]
----
Monitor
oxygenation
and
initiate
measures
to
promote
adequate
oxygenation
of
vital
organs
[
C0513564
] [
U005574
]
----
Monitor
P
and
BP
[
C0512955
] [
U004936
]
----
Monitor
pacemaker
functioning
, if
appropriate
[
C0513565
] [
U005575
]
----
Monitor
pain
[
C0513566
] [
U005576
]
----
Monitor
pain
level
during
labor
[
C0513567
] [
U005577
]
----
Monitor
parent-child
interactions
and
record
observations
as
appropriate
[
C0513572
] [
U005583
]
----
Monitor
parent-child
interactions
and
record
observations
[
C0513572
] [
U005582
]
----
Monitor
parent-infant
interactions
,
noting
behaviors
thought
to
indicate
attachment
[
C0513573
] [
U005584
]
----
Monitor
parent
's
adaptation
to
parenthood
[
C0513568
] [
U005578
]
----
Monitor
parent
's
emotional
reaction
to
kangaroo
care
[
C0513569
] [
U005579
]
----
Monitor
parent
's
self-perception
as a
parent
[
C0513570
] [
U005580
]
----
Monitor
parent
's
skill
in
recognizing
the
infant
's
physiological
needs
[
C0513571
] [
U005581
]
----
Monitor
parent
/
child
interactions
during
feeding
, as
appropriate
[
C0513574
] [
U005585
]
----
Monitor
participation
in
fatigue-producing
activities
during
wakefulness
to
prevent
overtiredness
[
C0513575
] [
U005586
]
----
Monitor
patency
of
catheter
,
noting
any
difficulty
in
drainage
[
C0513576
] [
U005587
]
----
Monitor
patency
of
chest
tube
by
stripping
and
milking
tube
[
C0513577
] [
U005588
]
----
Monitor
patient
after
procedure
, as
appropriate
[
C0513578
] [
U005589
]
----
Monitor
patient
and
line
for
complications
[
C0513579
] [
U005590
]
----
Monitor
patient
and
system
frequently
during
retrieval
[
C0513580
] [
U005591
]
----
Monitor
patient
at
risk
for
increasing
calcium
levels
due
to
bone
resorption
(
e.g.
,
spinal
cord
injury
,
solid
tumor
, and
renal
transplant
), as
appropriate
[
C0513581
] [
U005592
]
----
Monitor
patient-caretaker
interactions
and
record
observations
[
C0513654
] [
U005666
]
----
Monitor
patient
continuously
during
use
and on
deflation
of
tourniquet
[
C0513582
] [
U005593
]
----
Monitor
patient
every
shift
for
dryness
of the
oral
mucosa
[
C0513584
] [
U005595
]
----
Monitor
patient
for
adverse
effects
,
toxicity
, and
interactions
of the
administered
medications
[
C0513585
] [
U005596
]
----
Monitor
patient
for
allergic
reactions
to
new
medications
,
formulas
,
foods
, and/or
test
dyes
[
C0513586
] [
U005597
]
----
Monitor
patient
for
alterations
in
physical
or
cognitive
function
that might
lead
to
unsafe
behavior
[
C0513587
] [
U005598
]
----
Monitor
patient
for
anorexia
,
nausea
,
vomiting
,
changes
in
taste
,
esophagitis
, and
diarrhea
, as
appropriate
[
C0513588
] [
U005599
]
----
Monitor
patient
for
anxiety
[
C0513589
] [
U005600
]
----
Monitor
patient
for
behaviors
related
to
eating
,
weight
loss
, and
weight
gain
[
C0513590
] [
U005601
]
----
Monitor
patient
for
bleeding
and
cramping
[
C0513591
] [
U005602
]
----
Monitor
patient
for
evidence
of
excess
physical
and
emotional
fatigue
[
C0513592
] [
U005603
]
----
Monitor
patient
for
medication
side
effects
and
desired
behavioral
outcomes
[
C0513594
] [
U005605
]
----
Monitor
patient
for
medication
side
effects
and
desired
outcomes
[
C0513595
] [
U005606
]
----
Monitor
patient
for
medication
side
effects
and
desired
therapeutic
effects
[
C0513596
] [
U005607
]
----
Monitor
patient
for
medication
side
effects
and
impact
on
mood
[
C0513597
] [
U005608
]
----
Monitor
patient
for
occurrence
/
nonoccurrence
of the
desired
behaviors
[
C0513598
] [
U005609
]
----
Monitor
patient
for
possible
aspiration
, as
appropriate
[
C0513599
] [
U005610
]
----
Monitor
patient
for
potential
injury
[
C0513600
] [
U005611
]
----
Monitor
patient
for
self-harmful
impulses
that
may
progress
to
suicidal
thoughts
/
gestures
[
C0513601
] [
U005612
]
----
Monitor
patient
for
signs
and
symptoms
of a
systemic
reaction
[
C0513602
] [
U005613
]
----
Monitor
patient
for the
therapeutic
effect
of the
medication
[
C0513603
] [
U005614
]
----
Monitor
patient
for
therapeutic
effects
,
adverse
effects
,
drug
toxicity
, and
drug
interactions
[
C0513604
] [
U005615
]
----
Monitor
patient
on
digitalis
for
toxicity
resulting
from
hypokalemia
associated
with
metabolic
alkalosis
, as
appropriate
[
C0513605
] [
U005616
]
----
Monitor
patient
response
and
discontinue
humor
strategy
, if
ineffective
[
C0513606
] [
U005617
]
----
Monitor
patient
response
to
fluid
challenge
[
C0513607
] [
U005618
]
----
Monitor
patient
's
ability
for
independent
self-care
[
C0513614
] [
U005625
]
----
Monitor
patient
's
ability
to
cough
effectively
[
C0513615
] [
U005626
]
----
Monitor
patient
's
ability
to do
self-care
activities
[
C0513616
] [
U005627
]
----
Monitor
patient
's
ability
to
dress
self
[
C0513617
] [
U005628
]
----
Monitor
patient
's
ability
to
tolerate
removal
of
oxygen
while
eating
[
C0513618
] [
U005629
]
----
Monitor
patient
's
ability
to
verbalize
feelings
[
C0513619
] [
U005630
]
----
Monitor
patient
's and
family
members
'
response
to
presence
of
external
drainage
devices
[
C0513620
] [
U005631
]
----
Monitor
patient
's and
family
's
satisfaction
with
care
[
C0513621
] [
U005632
]
----
Monitor
patient
's
anxiety
related
to
need
for
oxygen
therapy
[
C0513622
] [
U005633
]
----
Monitor
patient
's
behavior
during
therapy
[
C0513623
] [
U005634
]
----
Monitor
patient
's
emotional
response
when
placed
in
situations
that
involve
food
and
eating
[
C0513624
] [
U005635
]
----
Monitor
patient
's
emotional
,
cardiovascular
, and
functional
responses
to
exercise
protocol
[
C0513625
] [
U005636
]
----
Monitor
patient
's
gait
and
weight
distribution
on
feet
[
C0513626
] [
U005637
]
----
Monitor
patient
's
hemodynamic
response
to
dialysis
, as
appropriate
[
C0513627
] [
U005638
]
----
Monitor
patient
's
hemodynamic
response
to
dialysis
, as
patient
[
C0513628
] [
U005639
]
----
Monitor
patient
's
ICP
and
neurological
response
to
care
activities
[
C0513613
] [
U005624
]
----
Monitor
patient
's
mobility
and
activity
[
C0513629
] [
U005640
]
----
Monitor
patient
's
mood
for
response
to
ECT
or
phototherapy
[
C0513630
] [
U005641
]
----
Monitor
patient
's
need
for
adaptive
devices
for
personal
hygiene
,
dressing
,
grooming
,
toileting
, and
eating
[
C0513631
] [
U005642
]
----
Monitor
patient
's
nonverbal
messages
[
C0513632
] [
U005643
]
----
Monitor
patient
's
oxygen
response
(
e.g.
,
pulse
rate
,
cardiac
rhythm
, and
respiratory
rate
) to
self-care
or
nursing
activities
[
C0513633
] [
U005644
]
----
Monitor
patient
's
oxygen
status
(
SaO2
and
SvO2
levels
) and
hemodynamic
status
(
MAP
level
and
cardiac
rhythms
)
immediately
before, during, and after
suctioning
[
C0513634
] [
U005645
]
----
Monitor
patient
's
pain
before and after
catheter
insertion
, as
appropriate
[
C0513635
] [
U005646
]
----
Monitor
patient
's
position
intraoperatively
[
C0513636
] [
U005647
]
----
Monitor
patient
's
progress
on
current
ventilator
settings
and make
appropriate
changes
as
ordered
[
C0513637
] [
U005648
]
----
Monitor
patient
's
prothrombin
time
(
PT
) and
partial
thromboplastin
time
(
PTT
) to
keep
1
to
2
times
normal
, as
appropriate
[
C0513638
] [
U005649
]
----
Monitor
patient
's
prothrombin
time
(
PT
) and
partial
thromboplastin
time
(
PTT
) to
keep
1
to
2
times
normal
, as
appropriate
[
C0513638
] [
U005650
]
----
Monitor
patient
's
respiratory
secretions
[
C0513639
] [
U005651
]
----
Monitor
patient
's
response
to
antiarrhythmic
medications
[
C0513640
] [
U005652
]
----
Monitor
patient
's
response
to
balance
exercises
[
C0513641
] [
U005653
]
----
Monitor
patient
's
response
to
exercise
program
[
C0513642
] [
U005654
]
----
Monitor
patient
's
response
to
family
visitation
[
C0513643
] [
U005655
]
----
Monitor
patient
's
response
to
prescribed
electrolyte
therapy
[
C0513644
] [
U005656
]
----
Monitor
patient
's
response
to
removal
of
restraints
[
C0513645
] [
U005657
]
----
Monitor
patient
's
response
to
research
protocol
[
C0513646
] [
U005658
]
----
Monitor
patient
's
self-exercise
for
correct
performance
[
C0513647
] [
U005659
]
----
Monitor
patient
's
sleep
pattern
, and
note
physical
(
e.g.
,
sleep
apnea
,
obstructed
airway
,
pain
/
discomfort
, and
urinary
frequency
) and/or
psychological
(
e.g.
,
fear
or
anxiety
)
circumstances
that
interrupt
sleep
[
C0513648
] [
U005660
]
----
Monitor
patient
's
statements
of
self-worth
[
C0513649
] [
U005661
]
----
Monitor
patient
's
temperature
, using a
low-recording
thermometer
if
necessary
[
C0513650
] [
U005662
]
----
Monitor
patient
's
tongue
movements
while
eating
[
C0513651
] [
U005663
]
----
Monitor
patient
's
use
of
crutches
or other
walking
aids
[
C0513652
] [
U005664
]
----
Monitor
patient
's
weight
change
before and after
dialysis
, if
appropriate
[
C0513653
] [
U005665
]
----
Monitor
patient
satisfaction
with
pain
management
at
specified
intervals
[
C0513608
] [
U005619
]
----
Monitor
patient
status
during
procedure
[
C0513609
] [
U005620
]
----
Monitor
patient
to
determine
need
for
PRN
medications
, as
appropriate
[
C0513610
] [
U005621
]
----
Monitor
patient
tolerance
via
SaO2
,
respiratory
rhythm
and
rate
,
cardiac
rhythm
and
rate
, and
comfort
levels
[
C0513611
] [
U005622
]
----
Monitor
patient
weight
on
routine
basis
[
C0513612
] [
U005623
]
----
Monitor
patients
'
response
when they
learn
about own
genetic
risk
factors
[
C0513655
] [
U005667
]
----
Monitor
PAWP
and
PAP
[
C0512956
] [
U004937
]
----
Monitor
peak
airway
pressure
(for
airway
clearance
,
signs
of
pneumothorax
,
airway
occlusion
, and
airway
malpositioning
), if
available
[
C0513656
] [
U005668
]
----
Monitor
peripheral
perfusion
[
C0513657
] [
U005669
]
----
Monitor
peripheral
perfusion
distal
to
catheter
insertion
site
every
4
hr
or as
appropriate
[
C0513658
] [
U005670
]
----
Monitor
peripheral
pulses
,
capillary
refill
, and
temperature
and
color
of
extremities
[
C0513659
] [
U005671
]
----
Monitor
PFT
values
,
particularly
vital
capacity
,
maximal
inspiratory
force
,
forced
expiratory
volume
in
1
second
(
VEV1
), and
FEV1
/
FVC
, as
available
[
C0512957
] [
U004938
]
----
Monitor
physical
and
mental
capacities
to
participate
in
recreational
activities
[
C0513660
] [
U005672
]
----
Monitor
physical
and
psychosocial
status
closely
throughout
pregnancy
[
C0513661
] [
U005673
]
----
Monitor
physical
status
of
patient
[
C0513663
] [
U005675
]
----
Monitor
physiological
parameters
(
vital
signs
and
electrolyte
levels
), as
needed
[
C0513664
] [
U005678
]
----
Monitor
pin
insertion
sites
[
C0513665
] [
U005679
]
----
Monitor
position
of
oxygen
delivery
device
[
C0513666
] [
U005680
]
----
Monitor
positioning
and
traction
devices
, as
appropriate
[
C0513667
] [
U005681
]
----
Monitor
possible
sources
of
fluid
loss
:
chest
tube
,
wound
, and
nasogastric
drainage
;
diarrhea
;
vomiting
; and
increasing
abdominal
and
extremity
girth
[
C0513668
] [
U005682
]
----
Monitor
postictal
period
duration
and
characteristics
[
C0513669
] [
U005683
]
----
Monitor
potassium
levels
after
diuresis
[
C0513670
] [
U005684
]
----
Monitor
potential
for
inappropriate
aggression
and
intervene
before its
expression
[
C0513671
] [
U005685
]
----
Monitor
prescribed
medication
regimen
, as
appropriate
[
C0513673
] [
U005687
]
----
Monitor
presence
and
quality
of
pulses
[
C0513674
] [
U005688
]
----
Monitor
pressure
tubing
for
bubbles
[
C0513675
] [
U005689
]
----
Monitor
progress
of
granulating
tissue
[
C0513676
] [
U005690
]
----
Monitor
prothrombin
(
PT
) and
partial
thromboplastin
(
PTT
)
times
, if using
hetastarch
as a
volume
expander
[
C0513678
] [
U005692
]
----
Monitor
psychosocial
adjustment
of
patient
and
family
during
pregnancy
[
C0513679
] [
U005693
]
----
Monitor
psychosocial
status
of
family
[
C0513680
] [
U005694
]
----
Monitor
pulmonary
artery
and
systemic
arterial
waveforms
; if
dampening
occurs
,
check
tubing
for
kinks
or
air
bubbles
,
check
connections
,
aspirate
clot
from
tip
of
catheter
,
gently
flush
system
, or
assist
with
repositioning
of
catheter
[
C0513681
] [
U005695
]
----
Monitor
pulmonary
artery
tracing
for
spontaneous
wedge
of
catheter
, if
appropriate
[
C0513682
] [
U005696
]
----
Monitor
pulmonary
capillary
/
artery
wedge
pressure
and
central
venous
/
right-atrial
pressure
, if
appropriate
[
C0513683
] [
U005697
]
----
Monitor
pulmonary
status
[
C0513685
] [
U005699
]
----
Monitor
pulse
oximetry
[
C0513686
] [
U005700
]
----
Monitor
pulses
distal
to
bleeding
site
[
C0513687
] [
U005701
]
----
Monitor
pupillary
size
,
shape
,
symmetry
, and
reactivity
[
C0513688
] [
U005702
]
----
Monitor
pushing
progress
,
fetal
descent
,
fetal
heart
rate
, and
maternal
vital
signs
, per
protocol
[
C0513689
] [
U005703
]
----
Monitor
quality
and
number
of
respirations
[
C0513690
] [
U005704
]
----
Monitor
quality
of
employee
's
relationships
with other
health
care
providers
[
C0513691
] [
U005705
]
----
Monitor
quality
of
work
performance
[
C0513692
] [
U005706
]
----
Monitor
rate
,
rhythm
,
depth
, and
effort
of
respirations
[
C0513693
] [
U005707
]
----
Monitor
readiness
for
discharge
[
C0513694
] [
U005708
]
----
Monitor
recent
memory
,
attention
span
,
past
memory
,
mood
,
affect
, and
behaviors
[
C0513695
] [
U005709
]
----
Monitor
recorded
intake
for
nutritional
content
and
calories
[
C0513696
] [
U005710
]
----
Monitor
relationships
among
family
members
[
C0513697
] [
U005711
]
----
Monitor
renal
cause
(s) of
decreasing
serum
potassium
levels
(
e.g.
,
diuretics
,
diuresis
,
metabolic
alkalosis
, and
potassium-losing
nephritis
), as
appropriate
[
C0513698
] [
U005712
]
----
Monitor
renal
failure
resulting
in
increasing
serum
phosphate
levels
[
C0513699
] [
U005713
]
----
Monitor
renal
function
(
e.g.
,
BUN
and
CR
levels
), if
appropriate
[
C0513700
] [
U005714
]
----
Monitor
renal
function
(
e.g.
,
BUN
and
Cr
levels
), if
appropriate
[
C0513700
] [
U005715
]
----
Monitor
renal
function
during
parental
phosphate
supplementations
, as
appropriate
[
C0513701
] [
U005716
]
----
Monitor
renal
functions
,
EKG
, and
serum
potassium
levels
during
replacement
, as
appropriate
[
C0513702
] [
U005717
]
----
Monitor
respirations
[
C0199438
] [
U005719
]
----
Monitor
respiratory
and
oxygenation
status
, as
appropriate
[
C0513704
] [
U005721
]
----
Monitor
respiratory
and
oxygenation
status
[
C0513704
] [
U005720
]
----
Monitor
respiratory
pattern
[
C0513705
] [
U005722
]
----
Monitor
respiratory
rate
and
breathing
pattern
[
C0513707
] [
U005724
]
----
Monitor
respiratory
status
[
C0513709
] [
U005726
]
----
Monitor
respiratory
status
for
symptoms
of
heart
failure
[
C0513710
] [
U005728
]
----
Monitor
respiratory
status
,
noting
signs
of
respiratory
distress
:
tachypnea
,
nasal
flaring
,
grunting
,
retractions
,
rhonchi
, or
rales
[
C0513711
] [
U005729
]
----
Monitor
respiratory
status
:
ABG
Levels
,
pulse
oximetry
,
depth
,
pattern
,
rate
, and
effort
[
C0513712
] [
U005730
]
----
Monitor
respiratory
status
:
rate
,
rhythm
, and
depth
of
respirations
;
PaO2
,
pCO2
,
pH
, and
bicarbonate
levels
[
C0513713
] [
U005731
]
----
Monitor
respiratory
,
cardiac
, and
neurological
status
[
C0513714
] [
U005732
]
----
Monitor
response
to
medications
[
C0513715
] [
U005733
]
----
Monitor
response
to
stimuli
:
verbal
,
tactile
, and
noxious
[
C0513716
] [
U005734
]
----
Monitor
results
of
pulmonary
function
tests
,
particularly
vital
capacity
,
maximal
inspiratory
force
,
forced
expiratory
volume
in
1
second
(
FEV1
), and
FEV1
/
FVC
, as
appropriate
[
C0513717
] [
U005735
]
----
Monitor
return
of
sensorium
and
motor
function
[
C0513718
] [
U005736
]
----
Monitor
returned
peritoneal
dialysate
for
indications
of
complications
(
e.g.
infection
,
excessive
bleeding
, and
clots
), as
appropriate
[
C0513719
] [
U005737
]
----
Monitor
room
temperature
[
C0513720
] [
U005738
]
----
Monitor
safe
food
preparation
[
C0513721
] [
U005739
]
----
Monitor
safety
of
infant
's
environment
[
C0513722
] [
U005740
]
----
Monitor
scalp
daily
[
C0513723
] [
U005741
]
----
Monitor
seclusion
area
for
temperature
,
cleanliness
, and
safety
[
C0513724
] [
U005742
]
----
Monitor
self-care
ability
[
C0513725
] [
U005743
]
----
Monitor
self-care
ability
while in
orthosis
collar
/
bracing
device
[
C0513726
] [
U005744
]
----
Monitor
self-care
ability
while in
traction
[
C0513727
] [
U005745
]
----
Monitor
sense
of
smell
[
C0513728
] [
U005746
]
----
Monitor
sensorium
and
cognitive
abilities
[
C0513729
] [
U005747
]
----
Monitor
sequential
test
results
for
trends
or
gross
changes
[
C0513730
] [
U005748
]
----
Monitor
serum
albumin
and
total
protein
levels
, as
indicated
[
C0513731
] [
U005750
]
----
Monitor
serum
albumin
and
total
protein
levels
[
C0513731
] [
U005749
]
----
Monitor
serum
albumin
and
total
protein
levels
, if
available
[
C0513732
] [
U005751
]
----
Monitor
serum
albumin
,
lymphocyte
, and
electrolyte
levels
[
C0513733
] [
U005752
]
----
Monitor
serum
albumin
,
total
protein
,
electrolyte
, and
glucose
levels
and
chemistry
profile
[
C0513734
] [
U005753
]
----
Monitor
serum
and
urine
electrolyte
values
, as
appropriate
[
C0513735
] [
U005754
]
----
Monitor
serum
and
urine
osmolality
levels
[
C0513736
] [
U005755
]
----
Monitor
serum
bilirubin
levels
, per
protocol
or
practitioner
request
[
C0513737
] [
U005756
]
----
Monitor
serum
electrolyte
levels
[
C0513738
] [
U005757
]
----
Monitor
serum
glucose
and
treat
abnormal
levels
, as
appropriate
[
C0513739
] [
U005758
]
----
Monitor
sharp
/
dull
and/or
hot
/
cold
discrimination
[
C0513740
] [
U005759
]
----
Monitor
sharp
/
dull
or
hot
/
cold
discrimination
[
C0513740
] [
U005760
]
----
Monitor
side
effects
of
medication
administration
[
C0513367
] [
U005762
]
----
Monitor
side
effects
of
anticoagulant
medications
, if
appropriate
[
C0513741
] [
U005761
]
----
Monitor
size
and
character
of
hematoma
, if
present
[
C0513742
] [
U005763
]
----
Monitor
skin
and
bony
prominences
for
signs
of
skin
breakdown
[
C0513743
] [
U005764
]
----
Monitor
skin
and
mucous
membranes
for
areas
of
discoloration
and
bruising
[
C0513744
] [
U005765
]
----
Monitor
skin
color
[
C0513745
] [
U005766
]
----
Monitor
skin
color
and
temperature
[
C0513746
] [
U005767
]
----
Monitor
skin
color
,
temperature
, and
moistness
[
C0513747
] [
U005768
]
----
Monitor
skin
condition
[
C0513748
] [
U005769
]
----
Monitor
skin
condition
at
restraint
site
(s) [
C0513749
] [
U005770
]
----
Monitor
skin
condition
while
bathing
[
C0513750
] [
U005771
]
----
Monitor
skin
for
areas
of
redness
and
breakdown
[
C0513751
] [
U005772
]
----
Monitor
skin
for
excessive
dryness
and
moistness
[
C0513752
] [
U005773
]
----
Monitor
skin
for
rashes
and
abrasions
[
C0513753
] [
U005774
]
----
Monitor
skin
in
perianal
area
for
irritation
and
ulceration
[
C0513754
] [
U005775
]
----
Monitor
skin
integrity
of
nipples
[
C0513755
] [
U005776
]
----
Monitor
skin
integrity
under
bracing
device
/
orthosis
collar
[
C0513756
] [
U005777
]
----
Monitor
skin
integrity
under
supportive
appliance
[
C0513757
] [
U005778
]
----
Monitor
skin
temperature
[
C0513758
] [
U005779
]
----
Monitor
skin
turgor
, as
appropriate
[
C0513759
] [
U005780
]
----
Monitor
skinfold
measurements
:
triceps
skinfold
,
midarm
muscle
circumference
, and
midarm
circumference
[
C0513761
] [
U005782
]
----
Monitor
skin
,
especially
over
body
prominences
, for
signs
of
pressure
or
irritation
[
C0513760
] [
U005781
]
----
Monitor
speech
characteristics
:
fluency
,
presence
of
aphasias
, or
word-finding
difficulty
[
C0513762
] [
U005783
]
----
Monitor
spinal
/
epidural
anesthesic
level
[
C0513763
] [
U005784
]
----
Monitor
status
of
episiotomy
for
redness
,
edema
,
ecchymosis
,
discharge
, and
approximation
[
C0513764
] [
U005785
]
----
Monitor
status
of
known
health
risks
[
C0513765
] [
U005786
]
----
Monitor
status
of
rectal
prolapse
[
C0513766
] [
U005787
]
----
Monitor
sterile
field
for
break-in
sterility
and
correct
breaks
, as
indicated
[
C0513767
] [
U005788
]
----
Monitor
stoma
/
surrounding
tissue
healing
and
adaptation
to
ostomy
equipment
[
C0513768
] [
U005789
]
----
Monitor
sweating
patterns
[
C0513769
] [
U005790
]
----
Monitor
systemic
and
pulmonary
vascular
resistance
, as
appropriate
[
C0513770
] [
U005791
]
----
Monitor
technique
of
staff
who
perform
intermittent
catheterization
in
day
care
/
school
settings
and
document
as
required
by
state
regulations
[
C0513771
] [
U005792
]
----
Monitor
teeth
for
color
,
shine
, and
presence
of
debris
[
C0513772
] [
U005793
]
----
Monitor
temperature
and
WBC
count
[
C0513773
] [
U005794
]
----
Monitor
temperature
and
respiratory
status
[
C0513774
] [
U005795
]
----
Monitor
temperature
as
frequently
as is
appropriate
[
C0513775
] [
U005796
]
----
Monitor
temperature
at least every
2
hr
, as
appropriate
[
C0513776
] [
U005797
]
----
Monitor
temperature
closely
to
prevent
treatment-induced
hypothermia
[
C0513777
] [
U005798
]
----
Monitor
temperature
,
blood
pressure
,
respirations
,
pulse
, and
level
of
consciousness
at
appropriate
intervals
and
record
on
flow
sheet
[
C0513778
] [
U005799
]
----
Monitor
the
amount
and
nature
of
blood
loss
[
C0513779
] [
U005800
]
----
Monitor
the
amount
and
type
of
wound
drainage
present
with each
dressing
change
[
C0513780
] [
U005801
]
----
Monitor
the
amount
of
bleeding
into the
oropharynx
[
C0513781
] [
U005802
]
----
Monitor
the
device
regularly
to
ensure
proper
functioning
[
C0513782
] [
U005803
]
----
Monitor
the
effect
of
equipment
use
on the
physiological
,
psychological
, and
social
functioning
of the
patient
and
family
[
C0513783
] [
U005804
]
----
Monitor
the
effectiveness
of
measures
to
control
nausea
and
vomiting
[
C0513784
] [
U005805
]
----
Monitor
the
effectiveness
of
mechanical
ventilation
on
patient
's
physiological
and
psychological
status
[
C0513785
] [
U005806
]
----
Monitor
the
effectiveness
of
oxygen
therapy
, if
appropriate
[
C0513786
] [
U005807
]
----
Monitor
the
effects
of
position
change
on
oxygenation
:
ABG
,
SaO2
,
SvO2
,
end-tidal
CO2
,
Qsp
/
Qt
,
A-aDO2
levels
[
C0513787
] [
U005808
]
----
Monitor
the
environment
for
changes
in
safety
status
[
C0513788
] [
U005809
]
----
Monitor
the
healing
process
in the
incision
site
[
C0513789
] [
U005810
]
----
Monitor
the
oxygen
liter
flow
[
C0513790
] [
U005811
]
----
Monitor
the
patient
closely
for
hemorrhage
[
C0513791
] [
U005812
]
----
Monitor
the
patient
's
nutritional
status
[
C0513549
] [
U005819
]
----
Monitor
the
patient
's
EKG
, as
appropriate
[
C0513793
] [
U005814
]
----
Monitor
the
patient
's
activity
tolerance
[
C0513794
] [
U005815
]
----
Monitor
the
patient
's
emotional
state
[
C0513795
] [
U005816
]
----
Monitor
the
patient
's
level
of
consciousness
and
vital
signs
, as per
agency
protocol
[
C0513796
] [
U005817
]
----
Monitor
the
patient
's
level
of
orientation
/
confusion
[
C0513797
] [
U005818
]
----
Monitor
the
patient
's
response
to
procedure
[
C0513798
] [
U005820
]
----
Monitor
the
physiological
and
mental
status
of the
patient
immediately
after
ECT
[
C0513800
] [
U005822
]
----
Monitor
the
safety
of
items
being
brought
to the
environment
by
visitors
[
C0513801
] [
U005823
]
----
Monitor
the
serum
level
of
electrolytes
[
C0513738
] [
U005824
]
----
Monitor
tissue
perfusion
, as
appropriate
[
C0513802
] [
U005825
]
----
Monitor
to
ensure
that
patient
is
free
of
significant
infection
before
weaning
[
C0513803
] [
U005826
]
----
Monitor
tolerance
to
diet
progression
[
C0513804
] [
U005827
]
----
Monitor
tolerance
to
ingestion
of
ice
chips
and
water
[
C0513805
] [
U005828
]
----
Monitor
tongue
protrusion
[
C0513806
] [
U005829
]
----
Monitor
tourniquet
equipment
and
pressure
continuously
when used for an
IV
block
[
C0513807
] [
U005830
]
----
Monitor
traction
device
setup
[
C0513808
] [
U005831
]
----
Monitor
traction
devices
for
proper
setup
[
C0513809
] [
U005832
]
----
Monitor
traction
pin
insertion
site
[
C0513810
] [
U005833
]
----
Monitor
trend
of
Glascow
Coma
Scale
[
C0513811
] [
U005834
]
----
Monitor
trends
in
magnesium
levels
, as
available
[
C0513813
] [
U005836
]
----
Monitor
trends
in
serum
levels
of
calcium
(
e.g.
,
ionized
calcium
), as
available
[
C0513814
] [
U005837
]
----
Monitor
trends
in
weight
loss
and
gain
[
C0513815
] [
U005838
]
----
Monitor
type
and
amount
of
usual
exercise
[
C0513816
] [
U005839
]
----
Monitor
umbilical
cord
[
C0513817
] [
U005840
]
----
Monitor
urinary
output
[
C0513819
] [
U005843
]
----
Monitor
urine
glucose
and
protein
levels
[
C0513820
] [
U005844
]
----
Monitor
urine
glucose
for
glycosuria
,
acetone
, and
protein
[
C0513821
] [
U005845
]
----
Monitor
urine
ketones
, as
indicated
[
C0513822
] [
U005846
]
----
Monitor
urine
output
every
hour
[
C0513823
] [
U005847
]
----
Monitor
use
of
nonprescription
agents
with
anticholinergic
or
alpha
agonist
properties
[
C0513824
] [
U005848
]
----
Monitor
venous
access
device
, as
appropriate
[
C0513825
] [
U005850
]
----
Monitor
ventilator
pressure
readings
and
breath
sounds
[
C0513826
] [
U005851
]
----
Monitor
vital
signs
[
C0150404
] [
U005852
]
Collection
and
analysis
of
cardiovascular
,
respiratory
, and
body
temperature
data
to
determine
and
prevent
complications
Monitor
vital
signs
and
laboratory
values
before
medication
administration
, as
appropriate
[
C0513827
] [
U005854
]
----
Monitor
vital
signs
before and after
administering
narcotic
analgesics
with
first-time
dose
or if
unusual
signs
are
noted
[
C0513828
] [
U005855
]
----
Monitor
vital
signs
during
withdrawal
[
C0513829
] [
U005856
]
----
Monitor
vital
signs
frequently
[
C0513830
] [
U005857
]
----
Monitor
vital
signs
, as
appropriate
[
C0513831
] [
U005858
]
----
Monitor
vital
signs
, per
protocol
or as
needed
[
C0513832
] [
U005860
]
----
Monitor
vital
signs
,
respiratory
and
circulatory
adequacy
,
response
to
anesthesia
and other
physiological
parameters
;
measure
and
evaluate
appropriate
lab
values
[
C0513833
] [
U005861
]
----
Monitor
vital
signs
:
temperature
,
blood
pressure
,
pulse
, and
respirations
[
C0150404
] [
U005862
]
Collection
and
analysis
of
cardiovascular
,
respiratory
, and
body
temperature
data
to
determine
and
prevent
complications
Monitor
volume
pressure
indices
[
C0513834
] [
U005863
]
----
Monitor
vulnerability
to
infection
[
C0513835
] [
U005864
]
----
Monitor
WBC
,
Hgb
, and
Hct
values
[
C0512958
] [
U004939
]
----
Monitor
weight
[
C0513836
] [
U005865
]
----
Monitor
weight
gain
during
pregnancy
[
C0513837
] [
U005866
]
----
Monitor
whether
patient
can
look
at the
changed
body
part
[
C0513838
] [
U005867
]
----
Monitor
wound
healing
at
incision
site
[
C0513840
] [
U005869
]
----
Monitor
x-ray
reports
for
tube
position
[
C0513841
] [
U005870
]
----
Monitor
/
record
patient
's
sleep
pattern
and
number
of
sleep
hours
[
C0513842
] [
U005871
]
----
Move
hands
slowly
and
steadily
over
patient
[
C0513843
] [
U005872
]
----
Move
infant
's
tongue
rhythmically
with the
pacifier
, if
needed
, to
encourage
sucking
[
C0513844
] [
U005873
]
----
Move
patient
to a
safe
location
, as
appropriate
[
C0513845
] [
U005874
]
----
Move
patient
using a
transfer
board
, as
necessary
[
C0513846
] [
U005875
]
----
Move
the
group
to the
working
stage
as
quickly
as
possible
[
C0513847
] [
U005876
]
----
Move
the
injured
extremity
as
little
as
possible
[
C0513848
] [
U005877
]
----
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