Docstoc

NursingCrib.com - Nursing Care Plan Pedia TB Meningitis

Document Sample
NursingCrib.com - Nursing Care Plan Pedia TB Meningitis Powered By Docstoc
					NURSING CARE PLAN
ASSESSMENT
Subjective: “Nilalagnat ang anak ko” as verbalized by the mother. Objective: • • Flushed skin, warm to touch. Increased respiratory rate. V/S taken as follows: T: 37.8 P: 110 R: 45 •

DIAGNOSIS
Hyperthermia • related to infectious process and dehydration.

INFERENCE
Tuberculous meningitis is the most severe form of tuberculosis. It causes severe neurologic deficits or death in more than half of cases. Tuberculois meningitis begins insidiously with a gradual fluctuating fever, fatigue, weight loss, behavior changes, headache, and vomiting. This early phase is followed by neurologic deficits, loss of consciousness, or convulsions. A dense gelatinous exudate (outpouring) forms and envelops the brain arteries and cranial nerves. It creates a bottleneck in the •

PLANNING

INTERVENTION

RATIONALE

EVALUATION
After 4 hrs. Of nursing intervention s, the client was able maintain core temperature within normal range.

Independent: • Monitor heart rate • After 4 hrs. and rhythm. Of nursing interventions , the client will maintain core temperature within normal range. • •

•

•

Record all sources of fluid loss such as urine, vomiting and diarrhea. Promote surface cooling by means of tepid sponge bath. Wrap extremities with cotton blankets. Provide supplemental oxygen.

Dysrhythmias • and ECG changes are common due to electrolyte imbalance and dehydration and direct effect of hyperthermia on blood and cardiac tissues. To monitor or potentiates fluid and electrolyte loses. To decrease temperature by means through evaporation and conduction. To minimize shivering. To offset increased oxygen demands and consumption. To support circulating volume and tissue perfusion. To reduce metabolic demands and

•

• •

• •

•

Administer replacement fluids and electrolytes. Maintain bed rest.

•

•

•

flow of the cerebrospinal fluid, which leads to hydrocephalus.

•

•

Provide high calorie diet, tube feedings, or parenteral nutrition. Administer antipyretics orally or rectally as prescribed by the physician.

•

oxygen consumption. To increased metabolic demands.

•

To facilitate fast recovery.


				
DOCUMENT INFO
Shared By:
Categories:
Stats:
views:10620
posted:10/14/2009
language:English
pages:2
Description: A sample nursing care plan (ncp) from NursingCrib.com. More care plans are on our site. http://nursingcrib.com/nursing-care-plan
Nursing Crib Nursing Crib Administrator http://nursingcrib.com
About We believe in: The caring art and human science that is nursing in our delivery of care across the continuum. Fostering a collaborative, interdisciplinary approach. Delivering compassionate, culturally sensitive, holistic care.The strength of our diversity. Achieving excellence in patient outcomes through continuous performance improvement using evidence-based practice. Following ethical principles to protect the health, safety and rights of our patients and colleagues. Patient and family education to promote an optimum level of health and wellness. Fostering open, respectful communication to enhance interpersonal understanding and healing. A culture that supports empowerment and accountability. Continuing education that fosters professional growth, competence and critical thinking. An environment that nurtures and supports accomplishments, self-esteem and a love of nursing. Our Vision Provide excellent opportunities for students, faculty, and staff to engage in education, research, practice, and service. Develop innovative approaches to achieve quality teaching, research, practice, and service. Provide leadership within the profession, the health care system, and the larger community. Collaborate with others to address priority health needs in the Commonwealth, the nation, and the world.