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NCP Infection New

The patient is a 31-year-old male who underwent craniotomy and excision of a brain tumor, putting him at risk for infection due to the invasive nature of the surgery. The nurse's interventions are aimed at preventing infection and include monitoring vital signs and the surgical site for signs of infection, teaching hand hygiene and proper wound care, encouraging rest, and coordinating nutritional support and medication administration. The goal is for the patient to remain free of infection.

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Xerxes Dejito
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0% found this document useful (0 votes)
759 views3 pages

NCP Infection New

The patient is a 31-year-old male who underwent craniotomy and excision of a brain tumor, putting him at risk for infection due to the invasive nature of the surgery. The nurse's interventions are aimed at preventing infection and include monitoring vital signs and the surgical site for signs of infection, teaching hand hygiene and proper wound care, encouraging rest, and coordinating nutritional support and medication administration. The goal is for the patient to remain free of infection.

Uploaded by

Xerxes Dejito
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Patient: Gozo, M.

Age: 31 years old Diagnosis: S/P Craniotomy Excision of Brain Tumor


Date
& Assessment Needs Nursing Diagnosis Objective Interventions Evaluation
Time
Nov Subjective: H Risk for infection After 8 hours 1. Monitor vital signs regularly. GOAL MET
16, “Mahadlok mi E related to s/p of nursing R: Changes in vital signs may indicate
2019 kay gikan sya A craniotomy excision of interventions, infection. After 8 hours
ug surgery, L brain tumor the patient of nursing
3:00 basig ma T will be able 2. Monitor the patient for any signs of interventions,
pm – infect.” As H R: Invasive procedures to: swelling, purulent discharge or presence the patient was
11:00 verbalized by such as surgery, of pain from wound. able to:
pm the father of P involves opening the - remain free R: These are the cardinal signs of infection.
the patient. E skin and leading a from any - remain free
R lesion thereafter. This infection from any
Objective: C makes the patient 3. Perform handwashing when dealing with infection
E vulnerable to pathogens patient.
- surgical P as the first barrier of R: Handwashing is an effective technique to
incision on T protection is prevent the spread of infection. Dry surfaces
frontal I compromised. are better in preventing transfer of
tempoparietal O microorganisms.
area of the N Source: Nicoll, D.,
head McPhee, S., Pignone,
- bleeding on A M. and Nicoll, D. 4. Wear gloves during any contact with
the site N (2014). Diagnostic mucus, blood, and other body fluids. Use
D tests. 13th ed. [New goggles when appropriate.
- Vital Signs York, N.Y.]: McGraw- R: It prevents the transfer of microorganisms
recorded at: H Hill Companies, p.185. that are already on the hands and to protect
Temp: 36.7c E the hands from becoming contaminated.
BP: 120/80 A
RR: 20bpm L 5. Encourage adequate rest.
PR: 78 T R: It can reduce stress and boost the immune
H system.
M 6. Provide a clean environment.
A R: A sanitized environment creates a colossal
N effect when preventing infection, as this
A reduces contamination to the patient, making
G it less likely for the patient to develop
E infection post procedure.
M
E 7. Teach S/O how to perform procedures at
N home, like dressing changes and assessing IV
T site for signs of infection.
R: Patient and caregivers need to master
P these skills to make sure that they can
A continue preventing risk of infection even if
T they are already discharged.
T
E 8. Routinely monitor the patient’s white
R blood cell count, serum protein, and serum
N albumin.
R: These laboratory values are closely linked
to the patient’s nutritional status and immune
function.

9. Administer medications as ordered.


R: Not completing or skipping the required
dose of antibiotics can encourage antibiotic
resistance.

10. Coordinate with a dietician to create a


meal plan suitable or the patient and his
nutritional needs.
R: Proper nutritious diet helps support the
immune system by delivering the necessary
nutrients needed by the body.

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