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    NCP Meningitis

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    Skyerex
    The document summarizes nursing assessments, diagnoses, planning, interventions, and evaluations for three patients. The first patient presented with a fever, the second was at risk of seizures, and the third was at risk of infection. For each patient, the nurse monitored vital signs, educated caregivers, administered medications as ordered, and ensured symptoms were managed or improved after interventions.

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    NCP Meningitis

    Uploaded by

    Skyerex
    8K views6 pages
    The document summarizes nursing assessments, diagnoses, planning, interventions, and evaluations for three patients. The first patient presented with a fever, the second was at risk of seizures, and the third was at risk of infection. For each patient, the nurse monitored vital signs, educated caregivers, administered medications as ordered, and ensured symptoms were managed or improved after interventions.

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    The document summarizes nursing assessments, diagnoses, planning, interventions, and evaluations for three patients. The first patient presented with a fever, the second was at risk of seizures, and the third was at risk of infection. For each patient, the nurse monitored vital signs, educated caregivers, administered medications as ordered, and ensured symptoms were managed or improved after interventions.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    8K views6 pages

    NCP Meningitis

    Uploaded by

    Skyerex
    The document summarizes nursing assessments, diagnoses, planning, interventions, and evaluations for three patients. The first patient presented with a fever, the second was at risk of seizures, and the third was at risk of infection. For each patient, the nurse monitored vital signs, educated caregivers, administered medications as ordered, and ensured symptoms were managed or improved after interventions.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 6

    Assessment

    Diagnosis

    Subjective
    Parang mainit
    ang katawan
    nya as
    verbalized by
    mother
    Objective:
    With flushed
    face
    Skin warm to
    touch
    Pale and weak
    in appearance
    temperature=
    39 C
    RR= 46
    breaths/min
    HR= 96

    Alteration in Body
    temperature;
    hyperthermia;
    related to presence
    of pyogenic
    microorganisms in
    the
    thermoregulating
    center of the brain.

    Planning

    After 5 hours
    nursing
    intervention,
    temperature
    will decrease or
    return to normal
    range.

    Intervention

    Assess for the


    possible
    contributing
    factors.
    Monitor vital
    signs
    Render
    continuous
    tepid
    spongebath and
    teach
    significant
    others on
    proper
    provision.
    Provide
    adequate
    ventilation.
    Remove overly
    constricting or
    thick clothing.
    Maintain a quiet
    and restful
    environment.
    Regulate IV
    fluids properly.
    Administer
    antipyretics as
    ordered.

    Evaluation
    After 5 hours of
    nursing
    interventions,
    temperature
    returned to
    normal range.
    T 37.2c

    Assessment

    Diagnosis

    Subjective
    Baka bumalik
    yung
    kumbulsyon
    niya as
    verbalized by
    grandmother

    Risk for injury


    related to seizure
    episodes secondary
    to disease condition

    Objective
    (+) Convulsions

    Planning

    At the end of
    nursing
    intervention,
    grandmother
    mother will
    understand and
    demonstrate
    ways on how to
    manage patient
    when seizure
    occurs

    Intervention

    Monitor Patient
    vital signs.
    Remove
    unnecessary
    articles on
    patients bed.
    Provide oxygen
    to patient.
    Place patient on
    side lying
    position to
    avoid
    aspiration.
    Do not put
    anything on
    patient's mouth
    when there is a
    seizure attack.
    Do not restrain
    patient.
    Provide a quiet

    Evaluation

    After 5 hours of
    nursing
    interventions,
    the
    grandmother
    mother
    understand and
    demonstrate
    ways on how to
    manage patient
    when seizure
    occurs

    Assessment

    Diagnosis

    Objective
    Patient have
    physical contact
    with his relatives
    through kissing and
    sometimes
    coughing without
    aseptic technique

    Risk for Infection


    related to presence
    of pathogenic
    microorganism in
    the cerebrospinal
    fluid as evidenced
    by lab result.

    Planning

    At the end of
    Nursing
    Intervention,
    Significant
    others will
    demonstrate
    ways and
    means to
    prevent spread
    of infection.

    non stimulating
    environment
    and dim the
    lights.
    Teach
    significant
    others on
    management of
    patient with
    seizure.

    Intervention

    Assess familys
    level of
    understanding
    of patients
    current
    condition.
    Demonstrate
    proper hand
    washing
    technique to

    Evaluation

    At the end of
    Nursing
    Intervention,
    Significant
    others
    demonstrated
    ways and
    means to
    prevent spread
    of infection.

    relatives and
    stress out its
    importance.
    Instruct
    significant
    others to wear
    protective gears
    such as face
    mask.
    Isolate patient
    as quickly as
    possible.
    Minimize room
    visits as much
    as possible.
    Discard any
    articles or body
    secretions from
    the patient in
    the proper
    waste disposal
    bin.
    Acquire
    prophylaxis by
    taking
    prescribed
    medications or
    vaccination.
    .

    Assessment

    Diagnosis

    SUBJECTIVE:
    Masakit ang
    ulo ko as
    verbalized by
    patient
    Objective:
    Pain scale:
    9/10
    With facial
    grimace
    Irritable
    Restless
    With high
    pitched cry
    BP: 120/70
    mmHg

    Alteration in
    comfort, pain
    related to
    meningeal irritation
    secondary to
    disease condition.

    Planning

    At the end of
    nursing
    intervention,
    pain level
    experienced will
    be decreased or
    alleviated.

    Intervention

    Assess patients
    pain scale.
    Place patient on
    a comfortable
    position. Be
    careful not to
    flex the
    patients neck
    when turning or
    positioning her.
    Allow the child
    to assume a
    comfortable
    position.
    (mostly
    opisthotonic
    position
    wherein the
    neck and head
    is
    hyperextended
    to relieve
    discomfort.)
    Provide rest
    periods to
    facilitate
    comfort, sleep,
    and relaxation.
    Keep the lights
    dim and

    Evaluation

    At the end of
    Nursing
    Intervention,
    pain has been
    decreased as
    verbalized by
    the patient
    Nabawasan ng
    kaunti sakit ng
    ulo ko

    maintain quiet
    environment.
    Provide pain
    medication as
    ordered and
    check
    effectiveness of
    medication
    given.

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