Nursing Diagnosis for Leukemia: Risk for infection related to the decline in the body's defense system, the secondary; white blood cell maturation disorders, increased number of immature lymphocytes, imonosupresi, bone marrow suppression.
Goal:
The patient is free from infection.
Expected outcomes:
- Normotermia.
- Culture results (-).
- Improved healing.
- Place in a special room, limit visitors.
- Wash hands for all personnel and visitors.
- Monitor temperature, consider the relationship between the increase in temperature with chemotherapy treatment.
- Prevent chills: increase fluid, give baths compress.
- Suggest to frequently change position, breath and cough.
- Auscultation of breath sounds, crackles, inspection secretion to change characteristics.
- Inspection skin to tender, erythematous.
- Inspection of oral mucous membranes.
- Improve the patient's perineal hygiene.
- Give uninterrupted rest period.
- Suggest to increase high in protein and fluid input.
- Avoid invasive procedures if possible.
- Give medications as indicated.
- Avoid antipyretic containing aspirin.
