Risk for Infection related to the invasion of microorganisms in the body
Goal : after the act of nursing for 3x24 hours of infection did not occur.
Expected outcomes:
- Patients will show a careful hand-washing techniques.
- Patients will be free of the nosocomial infection during hospitalization.
- Patients will demonstrate knowledge of the risk factors associated with infection and appropriate precautions to prevent infection.
Intervention - Risk for Infection:
1. Monitor for signs and symptoms of infection.
R /: To determine whether there is an infectious process.
2. Monitor laboratory results, Monitor the patient's temperature.
R /: Leukocyte increased and increased body temperature is not expected, a sign of infection.
3. Use antiseptic technique when taking action to clients.
R /: Prevent cross-infection.
4. Emphasize the need to wash hands regularly / thoroughly before and when handling food, after toileting.
R /: Many viruses such as cytomegalovirus (CMV) can be excreted in the urine for more than 4 years after exposure and possibly transmitted through poor hygienic.
5. Encourage clients to drink 6 to 8 glasses of fluid every day. Discuss the role of acidic residues in the diet and add juice or orange cranberr.
R /: Helps to acidify the urine and help prevent UTIs.
6. Encourage clients to try Kegel exercises (tightening the perineum) throughout the day.
R /: Fix support for pelvic organs, strengthen and increase the elasticity of the pubococcygeus muscle, better control urination.
7. Encourage the use of cotton underwear, and avoid using bath tub, if a client has a history of Urinary Tract Infections (UTIs).
R /: Static urinary and glycosuria may mempredisposisikan prenatal clients on a urinary tract infection or UTI, especially when history include urinary problems / kidney.
8. Get a routine urine sample for microscopic examination, pH, presence of leukocyte cells, and also culture and sensitivity, according to the indication. Report the number of colonies greater than one hundred thousand per milliliter.
R /: This is to detect the presence of microorganisms in the body. This is to detect the presence of microorganisms in the body. High leukocyte cell count is an indicator of infection.
9. Instruct the patient to always clean the areas that are reddish.
R /: Prevent the entry of other bacteria that can cause infection.
10. Collaboration with the medical team to provide antibiotics.
R /: Antibiotics can help fight infection.
