Friday, December 5, 2014

Risk for Infection Nursing Care Plan for Leukemia


Nursing Diagnosis for Leukemia: Risk for infection related to the decline in the body's defense system, the secondary; white blood cell maturation disorders, increased number of immature lymphocytes, imonosupresi, bone marrow suppression.

Goal:
The patient is free from infection.

Expected outcomes:
  • Normotermia.
  • Culture results (-).
  • Improved healing.
Nursing Intervention:
  • Place in a special room, limit visitors.
  • Wash hands for all personnel and visitors.
  • Monitor temperature, consider the relationship between the increase in temperature with chemotherapy treatment.
  • Prevent chills: increase fluid, give baths compress.
  • Suggest to frequently change position, breath and cough.
  • Auscultation of breath sounds, crackles, inspection secretion to change characteristics.
  • Inspection skin to tender, erythematous.
  • Inspection of oral mucous membranes.
  • Improve the patient's perineal hygiene.
  • Give uninterrupted rest period.
  • Suggest to increase high in protein and fluid input.
  • Avoid invasive procedures if possible.
Collaboration:
  • Give medications as indicated.
  • Avoid antipyretic containing aspirin.

No comments:

Post a Comment

Search This Blog