Nursingcrib.com Nursing Care Plan Chicken Pox
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Nursingcrib.com – Student Nurses’ Community NURSING CARE PLAN ASSESSMENT
DIAGNOSIS
SUBJECTIVE:
Hyperthermia related to viral infection.
“Nilalagnat ako at may mga butlig ako sa buong katawan” (I have a fever and rashes all over my body)
as verbalized by the patient. OBJECTIVE: • • • •
Warm to touch Irritability Petechiae V/S taken as follows: T: 37.9 P: 93 R: 21 BP: 120/80
INFERENCE Chickenpox, also known as varicella, is a highly contagious and self-limited infection that most commonly affects children between 5-10 years of age. The disease has a worldwide distribution and is reported throughout the year in regions of temperate climate. The peak incident is generally during the months of March through May. Lifelong immunity for chickenpox generally follows the disease. If the patient's immune system does not totally clear the body of the virus, it may retreat to skin sensory nerve cell bodies
PLANNING After 8 hours of nursing interventions, the patient will demonstrate temperature within normal range and will experience no associated complications.
INTERVENTION INDEPENDENT: • Provide isolation or monitor visitors as indicated.
RATIONALE •
Body substance isolation should be used for all infectious patients and patients with diseases transmitted through air may also need airborne and droplet precautions.
•
Wash hands with • antibacterial soap before or after care of the patient.
Reduces the risk of spreading the infection.
•
Encourage patient to cover mouth and nose during coughs or sneezes.
•
Prevents the spread of infection via airborne droplet.
•
Monitor patient temperature, degree and pattern.
•
Fever patter aids in the disease process and diagnosis.
•
Observe for
•
Chills often
EVALUATION After 8 hours of nursing interventions, the patient was able to demonstrate temperature within normal range and experienced no associated complications.
Nursingcrib.com – Student Nurses’ Community where it is protected from the patient's immune system. The disease shingles (also known as "zoster") represents release of these viruses down the length of the skin nerve fiber and produces a characteristic painful rash. Shingles is most commonly a disease of adults
chills and profuse diaphoresis.
•
Monitor environmental temperature.
•
Provide tepid sponge baths, avoiding the use of alcohol.
•
Encourage to use calamine lotion.
precede temperature spikes in presence of generalized infection. •
Room temperature should be altered to maintain nearnormal body temperature.
•
May help reduce the fever.
•
To help reduce the itchiness.
•
Used to reduce the fever by its central action on the hypothalamus.
COLLABORATIVE: •
Administer antipyretics as indicated.
DIAGNOSIS
SUBJECTIVE:
Hyperthermia related to viral infection.
“Nilalagnat ako at may mga butlig ako sa buong katawan” (I have a fever and rashes all over my body)
as verbalized by the patient. OBJECTIVE: • • • •
Warm to touch Irritability Petechiae V/S taken as follows: T: 37.9 P: 93 R: 21 BP: 120/80
INFERENCE Chickenpox, also known as varicella, is a highly contagious and self-limited infection that most commonly affects children between 5-10 years of age. The disease has a worldwide distribution and is reported throughout the year in regions of temperate climate. The peak incident is generally during the months of March through May. Lifelong immunity for chickenpox generally follows the disease. If the patient's immune system does not totally clear the body of the virus, it may retreat to skin sensory nerve cell bodies
PLANNING After 8 hours of nursing interventions, the patient will demonstrate temperature within normal range and will experience no associated complications.
INTERVENTION INDEPENDENT: • Provide isolation or monitor visitors as indicated.
RATIONALE •
Body substance isolation should be used for all infectious patients and patients with diseases transmitted through air may also need airborne and droplet precautions.
•
Wash hands with • antibacterial soap before or after care of the patient.
Reduces the risk of spreading the infection.
•
Encourage patient to cover mouth and nose during coughs or sneezes.
•
Prevents the spread of infection via airborne droplet.
•
Monitor patient temperature, degree and pattern.
•
Fever patter aids in the disease process and diagnosis.
•
Observe for
•
Chills often
EVALUATION After 8 hours of nursing interventions, the patient was able to demonstrate temperature within normal range and experienced no associated complications.
Nursingcrib.com – Student Nurses’ Community where it is protected from the patient's immune system. The disease shingles (also known as "zoster") represents release of these viruses down the length of the skin nerve fiber and produces a characteristic painful rash. Shingles is most commonly a disease of adults
chills and profuse diaphoresis.
•
Monitor environmental temperature.
•
Provide tepid sponge baths, avoiding the use of alcohol.
•
Encourage to use calamine lotion.
precede temperature spikes in presence of generalized infection. •
Room temperature should be altered to maintain nearnormal body temperature.
•
May help reduce the fever.
•
To help reduce the itchiness.
•
Used to reduce the fever by its central action on the hypothalamus.
COLLABORATIVE: •
Administer antipyretics as indicated.
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