Hyperthermia - NCP for DHF

Nursing Care Plan for DHF

Dengue Hemorrhagic Fever (DHF) is a disease caused by viruses mainly transmitted by Aedes aegypti (a type of mosquito), though other species of mosquito can also transmit this disease. DHF is popularly known as the "break-bone disease" because most of its victims suffer from muscle and joint pain.

DHF can manifest as bleeding patches on the skin, bleeding from the nose or gums, bleeding from the gastro-intestinal tract and heavy vaginal bleeding. Severe internal bleeding can lead to serious circulatory collapse and shock.

Diagnosis of dengue should be done promptly because the disease may progress so fast that saving the life of the patient may be impossible. This is harder than most would have thought because the first signs and symptoms of DHF are not symptom-specific.

In most patients, the fever usually settles with treatment within 7 to 8 days. Patients with DHF require hospital admission in order to prevent complications like circulatory collapse and death. In such patients, survival is related directly to early hospitalization and aggressive, supportive care.

Nursing Diagnosis for DHF


Hyperthermia related to the dengue virus infection.

Goal: Hyperthermia can be resolved

Expected outcomes: body temperature returned to normal

Intervention

1) Observation vital signs, especially temperature.

2) Give cold compress (water) on the forehead and armpits.

3) Change clothes that have been soaked with sweat.

4) Encourage the family to put on clothing that can absorb sweat like cotton.

5) Encourage your family to drink lots of approximately 1500 to 2000 cc per day.

6) collaboration with doctors in Therapy, febrifuge.

UTI Urinary Tract Infections Nursing Diagnosis Nanda

Nursing Diagnosis Urinary Tract Infections

1. Impaired sense of comfort: pain related to inflammation and infection of the urethra, bladder and other urinary tract structures.
2. Elimination pattern changes related to mechanical obstruction of the bladder or other urinary tract structures.

Nursing Interventions Urinary Tract Infections

    Impaired sense of comfort: pain related to inflammation and infection of the urethra, bladder and other urinary tract structures

    Expected results :
        Pain reduced / lost during and after micturition

    Nursing Intervention :
        Monitor changes in urine color, monitor the pattern of urination, the input and output every 8 hours and monitor the results of urinalysis repeated.
        R /: to identify indications of progress or deviations from expected results
        Record the location, the length of the intensity scale (1-10) pain.
        R /: to help evaluate the place of obstruction and cause pain
        Provide comfort measures, such as massage.
        R /: increase relaxation, decrease muscle tension.
        Provide perineal care.
        R /: to prevent contamination of the urethra
        If you installed the catheter, catheter treatment 2 times per day.
        R /: The catheter gives way to bacteria entering the bladder and up into the urinary tract.
        Divert attention on something fun.
        R /: relaxation, avoiding too feel the pain.

    Elimination pattern changes related to mechanical obstruction of the bladder or other urinary tract structures

    Expected results :
        The pattern of elimination improved, there is no signs of urinary disorders (urgency, oliguric, dysuria)

    Nursing Intervention :
        Monitor the income and expenditure characteristics of urine.
        R /: provides information about renal function and complications
        Encourage increased fluid intake.
        R /: increased hydration rinse bacteria.
        Review the complaints of the bladder.
        R /: urinary retention may occur causing distention of tissues (bladder / kidney)
        Observation of changes in level of consciousness.
        R /: accumulation of residual uremic and electrolyte imbalance can be toxic to the central nervous system
        Collaboration :
            Supervise laboratory examination, electrolytes, creatinine.
            R /: oversight of renal dysfunction
            Take action to maintain acidic urine: improved input Berri fruit juices and give the medications to increase urine aam.
            R /: urinary acid prevents the growth of germs. Increased input juice can affect the treatment of urinary tract infections.