Nursing Interventions for Tetanus - Imbalanced Nutrition
Nursing Diagnosis for Tetanus: Imbalanced Nutrition Less Than Body Requirements related to stiffness of muscles of mastication
Characterized by:
Intake less, eat and drink that came in through the mouth can come back again through the nose and body weight decreased with the results of protein or albumin less than 3.5 mg%
Objectives:
Tetanus Nursing Interventions and Rational:
1. Explain the factors that influence eating and kesuliatan the importance of food for the body.
Rational: the effects of tetanus is a stiffness of the muscles of mastication so that clients experience kesuliatan swallowing reflex and sometimes behind or kesedak arise. With an adequate level of knowledge of the clients are expected to participate and cooperate in the diet.
2. Collaboration with a team of nutrition for the provision of a diet high in calories and high in protein, liquid, soft, and coarse puree.
Rational: diet provided in accordance with a client state of the open mouth and chewing process.
3. Collaboration to provide caiaran IV line.
Rasioanal: perinfus fluids given to the client with a disability can not chew or eat by mouth so that nutritional needs are met.
4. Collaborate for NGT installation if necessary.
Rational: NGT can also serve as the entry of food to deliver drugs.
Characterized by:
Intake less, eat and drink that came in through the mouth can come back again through the nose and body weight decreased with the results of protein or albumin less than 3.5 mg%
Objectives:
- Nutritional needs are met
- Optimal weight
- Adequate Intake
- The results of albumin from 3.5 to 5 mg%
Tetanus Nursing Interventions and Rational:
1. Explain the factors that influence eating and kesuliatan the importance of food for the body.
Rational: the effects of tetanus is a stiffness of the muscles of mastication so that clients experience kesuliatan swallowing reflex and sometimes behind or kesedak arise. With an adequate level of knowledge of the clients are expected to participate and cooperate in the diet.
2. Collaboration with a team of nutrition for the provision of a diet high in calories and high in protein, liquid, soft, and coarse puree.
Rational: diet provided in accordance with a client state of the open mouth and chewing process.
3. Collaboration to provide caiaran IV line.
Rasioanal: perinfus fluids given to the client with a disability can not chew or eat by mouth so that nutritional needs are met.
4. Collaborate for NGT installation if necessary.
Rational: NGT can also serve as the entry of food to deliver drugs.
