Question

Write a Care Plan on Patient with - SEPSIS. Extra Information. - Patient has a CVA...

Write a Care Plan on Patient with

- SEPSIS.

Extra Information. - Patient has a CVA with Right side hemiplegia, hypertension, Breath sounds not clear - rales present , Patient also has Seizure Disorder, coronary artery disease , MI.

Please provide with

- One Nursing Diagnosis

- 5 Intervensions on the Nrusing Diagnosis.

- 2 Outcomes/ Goals

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Answer #1

SEPSIS:

The early signs can be fever,pain in the site of infection,meningeal sepsis can lead to high fever,

headache, vomiting, neck pain and occasionally petechiae.Pulmonary infections are frequently caaompanied by productive cough and sputum.Skin rashes also may be the presenting problem.

NURSING CARE PLAN ON A PATIENT WITH SEPSIS

NURSING DIAGNOSIS GOAL NURSING INTERVENTION
1.Hyperpyrexia related to Systemic infection To maintain normal body temperature Assess the general condition of the patient.Assess the vital signs that is temperature,pulse,respiration and blood pressure of the patient.
To prevent further complications Provide cold compress,tepid sponge based on the temperature level.
Provide comfortable position to the patient.Reassure the patient if he is anxious
Maintain intake and output chart.Prevent dehydration in the patient.
Monitor blood sample results to check the causative organisms of the sepsis.So as to treat it with the right antibiotics.And administer the prescribed medication to the patient.
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