Risk for Infection - NCP for Anemia

Nursing Care Plan for Anemia

Nursing Diagnosis : Risk for Infection

Definition : Increased risk of entry of pathogenic organisms.

Risk factors :

• Invasive procedures.
• Insufficient awareness to avoid exposure to pathogens.
• Trauma.
• Tissue damage and increased environmental exposure.
• Rupture of amniotic membranes.
• Pharmaceutical agents (immunosuppressants).
• Malnutrition.
• Increased exposure to environmental pathogens.
• Imonusupresi.
• Imum ketidakadekuatan made.
• Inadequate secondary defenses (decreased hemoglobin , Leukopenia , suppression of inflammatory response).
• Inadequate primary defenses (broken skin, traumatized tissue, decrease in ciliary, static body fluids, secretions changes in pH, changes in peristalsis).
• Chronic disease.

Goal : increase the client 's immune status .

Outcomes :

• Free from signs and symptoms of infection.
• Demonstrated ability to prevent infection.
• The number of leukocytes within normal limits.
• Demonstrate healthy behavior.

NIC :

Infection Control

• Clean up the environment after use for other patients.
• Maintain isolation techniques.
• Limit visitors when necessary.
• Instruct visitors to wash their hands when leaving the visit and after visiting a patient.
• Use antimicrobial soap for hand washing.
• Wash hands before and after each nursing action.
• Use suit , gloves as protective gear.
• Maintain aseptic environment during the installation of equipment.
• Change the location of the peripheral IV and central line and dressing in accordance with the general instructions.
• Use intermittent catheters to decrease bladder infection.
• Increase the intake of nutrients.
• Provide antibiotic therapy if necessary.

Infection Protection

• Monitor signs and symptoms of systemic and local infections.
• Monitor granulocyte count, WBC.
• Monitor susceptibility to infection.
• Limit visitors.
• Filter visitors to infectious diseases.
• Partahankan aspesis technique in patients who are at risk.
• Maintain isolation techniques if necessary.
• Give the skin of the treatment area epidema.
• Inspection of skin and mucous membranes of the redness, heat, drainage.
• Inspection of the condition of the wound / incision surgery.
• Encourage enter adequate nutrition.
• Encourage fluid intake.
• Instruct the break.
• Instruct the patient to take antibiotics as prescribed.
• Teach the patient and family the signs and symptoms of infection.
• Teach how to avoid infection.
• Report suspicion of infection.
• Report positive cultures.