Hyperthermia related to Neonatal Sepsis

Nursing Diagnosis and Interventions for Neonatal Sepsis

Sepsis is a syndrome characterized by clinical signs and symptoms of severe infection that can progress toward septicemia and septic shock. (Doenges, 1999)

While neonatal sepsis is a severe infection that affects neonates with systemic symptoms and there are bacteria in the blood. Neonatal sepsis course of the disease can take place quickly so often not monitored, without adequate treatment babies can die within 24 to 48 hours. (Surasmi, 2003).

Nursing Diagnosis and Interventions for Neonatal Sepsis

Hyperthermia related to damage control temperature, secondary to infection or inflammation.

Expected outcomes:

The body temperature within normal limits.
Pulse and breathing frequency within normal limits.

Intervention and Rationale:

1. Monitoring of vital signs every two hours and monitor skin color.
R /: Changes in vital signs that would significantly affect the regulatory processes or metabolism in the body.

2. Observation of seizures and dehydration.
R /: Hyperthermia potential to cause seizures that will worsen the patient's condition and can cause the patient to lose a lot of fluid in the evaporation of an unknown number and can cause the patient goes into a state of dehydration.

3. Give compress with warm water in the axilla, neck and groin, avoid using alcohol to compress.
R /: Compress the axilla, neck and groin are large blood vessels, which helps reduce fever. The use of alcohol is not done because it will cause a decrease and an increase in heat drastically.

4. Collaboration: Give antipyretics as needed if the heat does not go down.
R /: Giving antipyretics are also required to reduce the heat immediately.

Nursing Care Plan for Hyperthermia

Source : Hyperthermia related to Neonatal Sepsis - Nursing Care Plan (free-nursingcareplan.blogspot.com)

Appendectomy - Nursing Care Plan for Preoperative and Postoperative

Definition of Appendicitis Appendicitis is an inflammation that often occurs in the appendix which is a serious case of abdominal surgery are the most common. Appendectomy An appendectomy is the surgical removal of the vermiform appendix. This procedure is normally performed as an emergency procedure, when the patient is suffering from acute appendicitis. In the absence of surgical facilities, intravenous antibiotics are used to delay or avoid the onset of sepsis; it is now recognized that many cases will resolve when treated perioperatively. In some cases the appendicitis resolves completely; more often, an inflammatory mass forms around the appendix, causing transruptural flotation. This is a relative contraindication to surgery. Etiology of Appendicitis Appendicitis is a bacterial infection caused by obstruction or blockage due to: Hyperplasia of lymphoid follicles Fecalith presence in the lumen of the appendix Appendix tumor The presence of foreign objects suc...

Disturbed Body Image related to Rheumatoid Arthritis

Nursing Care Plan for Rheumatoid Arthritis Rheumatoid arthritis is a disease which has long been known and spread throughout the world and involving all races and ethnic groups. Rheumatoid arthritis is often found in women, with the ratio of women to men is 3: 1. The tendency for women suffering from rheumatoid arthritis and remissions are common in women who are pregnant, this raises the suspicion of the presence of hormonal balance factor as one of the factors that affect this disease. Most patients show symptoms of chronic intermittent disease, which if left untreated will cause damage to joints and progressive joint deformity that causes disability and even premature death. Disturbed Body Image related to changes in the ability to perform the duties of a general, an increase in energy use, the imbalance of mobility. Evidenced by: Changes in the function of diseased body parts. Focus on past strength and appearance. Changes in lifestyle / physical ability to continue th...

Nurse Document

Search This Blog