Risk for infection (UTI, local, systemic) related to depression of the immune system.
Purpose: The client does not have an infection after being given nursing care.
Interventions:
- Assess the effectiveness of immunosuppressant.
- Monitor the number of leukocytes.
- Monitor the temperature every 4 hours.
- Note the characteristics of urine.
- Avoid the use of tools / catheters in the urinary tract.
- Monitor for signs and symptoms of UTI, and take precautions UTI.
- Use and encourage good hand washing techniques.
- Instruct the client to avoid infected people.
- Make prevention of damage to skin integrity.
Rationale:
- Immunosuppressant serves suppress the immune system when the gift is not effective then the body will be very susceptible to infection.
- Indicators of infection.
- Temperature monitor and anticipate infection.
- Cloudy urine showed the presence of urinary tract infection.
- Catheters can be a media entry of germs into the urinary tract.
- Monitoring of infection so that it can be taken quickly.
- Good hand washing techniques can break the chain of transmission.
- Impaired immune system makes it easier to become infected.
- Damage to the integrity of the skin is the body's first barrier loss.
Activity Intolerance - Glomerulonephritis Care Plan
Risk for Excess Fluid Volume - Glomerulonephritis Care Plan
