Nanda Nursing Diagnosis

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 seizu...

Nursing Care Plan for Mastoiditis Mastoiditis is an inflammation of the mastoid bone, usually from the tympanic cavity. The expansion of middle ear infections repeatedly can cause changes in the mastoid, such as thickening of the mucosa and accumulation of exudate. Over time there is inflammation of the bone (osteitis) and collecting exudate / pus that more and more, eventually finding a way out. The weak areas are usually located behind the ear, causing an abscess superiosteum. According to George (1997: 106), the clinical manifestations in patients with mastoiditis include: The fever usually disappear and arise. Pain tends to settle and throbbing, located around and inside the ears, and experience tenderness in the mastoid. Hearing loss. Tympanic membrane bulging contain skin that has been damaged and discuss sebaceous (fat). Posterior canal wall hanging. Postauricular swelling. A large discharge through the ear canal and the odor. Nursing Diagnosis and Interventions for Mastoiditis ...

Nursing Care Plan for Malaria Nursing Diagnosis for Malaria: Hyperthermia related to changes in temperature regulation. Objective: Demonstrate the temperature within normal limits, free from cold. Nursing Intervention: 1) Monitor the patient's temperature (degrees and patterns), note the presence of chills / diaphoresis. R / temperature 38.9 ° C - 41.1 ° C showed an acute infectious disease process. The pattern of fever may help in the diagnosis. Chills often precedes the peak temperature. 2) Monitor the temperature of the environment, add the bed linen as indicated. R / Room temperature / number of blankets to be changed to maintain near-normal temperatures. 3) Provide warm compresses bath; avoid the use of alcohol. R / Helps reduce fever. Alcohol may cause freezing and can dry out the skin. 4) Collaboration of antipyretics as indicated. R / Reduce fever with central action on the hypothalamus.

Hyperthermia related to inflammatory processes Nursing Diagnosis and Interventions: Hyperthermia related to inflammatory processes Goal: after nursing Interventions, hopefully, hyperthermia can be resolved. Expected outcomes: The temperature in the normal range (36-37 0C) No complications have developed Nursing Intervention: a. Monitor the patient's temperature Rationale: increased temperature above 38.9 C, suggesting an acute infectious disease. b. Give warm compresses Rational: to help reduce fever. c. Monitor the temperature of the environment, limit / add bed linen as indicated. Rational: indoor temperature / number of blankets changed to maintain near-normal temperatures. d. Collaboration of antipyretic Rational: used to reduce fever.

Nursing Diagnosis and Interventions for Hyperthyroidism Hyperthermia related to the status of hypermetabolic characterized by heat. Purpose: After nursing actions, expected normal temperature 36.5 C - 37.5 C. Nursing Intervention: Give warm compresses as needed. Use clothing and a thin bed of felt. Maintain a cool environment. Give febrifuge to order. Increase fluid intake to 2500 ml / day. Monitor vital signs, level of consciousness, urine output every 2 to 4 hours. Collaborate with physicians in the use of additional cooling measures when the situation requires. Expected results / evaluation: Patient is conscious and responsive. Vital signs and normal urine output.