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    Nursing Care Plan For Neonatal Sepsis NCP

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    deric
    The document summarizes the nursing care plan for a neonatal patient diagnosed with sepsis. Key points include: 1) The patient presents with increased temperature, flushed skin, increased respiratory rate, and vital signs of temperature of 37.7, pulse of 130, and respiratory rate of 45. 2) The diagnosis is sepsis, which results from sustained bacteremia and may cause organ dysfunction. 3) The nursing care plan focuses on isolation, hand hygiene, limiting invasive devices and procedures, administering antibiotics as prescribed, and monitoring for deterioration.

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    Nursing Care Plan For Neonatal Sepsis NCP

    Uploaded by

    deric
    43K views3 pages
    The document summarizes the nursing care plan for a neonatal patient diagnosed with sepsis. Key points include: 1) The patient presents with increased temperature, flushed skin, increased respiratory rate, and vital signs of temperature of 37.7, pulse of 130, and respiratory rate of 45. 2) The diagnosis is sepsis, which results from sustained bacteremia and may cause organ dysfunction. 3) The nursing care plan focuses on isolation, hand hygiene, limiting invasive devices and procedures, administering antibiotics as prescribed, and monitoring for deterioration.

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    Nursing Care Plan for

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    Nursing Care Plan for Neonatal Sepsis NCP

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    The document summarizes the nursing care plan for a neonatal patient diagnosed with sepsis. Key points include: 1) The patient presents with increased temperature, flushed skin, increased respiratory rate, and vital signs of temperature of 37.7, pulse of 130, and respiratory rate of 45. 2) The diagnosis is sepsis, which results from sustained bacteremia and may cause organ dysfunction. 3) The nursing care plan focuses on isolation, hand hygiene, limiting invasive devices and procedures, administering antibiotics as prescribed, and monitoring for deterioration.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    43K views3 pages

    Nursing Care Plan For Neonatal Sepsis NCP

    Uploaded by

    deric
    The document summarizes the nursing care plan for a neonatal patient diagnosed with sepsis. Key points include: 1) The patient presents with increased temperature, flushed skin, increased respiratory rate, and vital signs of temperature of 37.7, pulse of 130, and respiratory rate of 45. 2) The diagnosis is sepsis, which results from sustained bacteremia and may cause organ dysfunction. 3) The nursing care plan focuses on isolation, hand hygiene, limiting invasive devices and procedures, administering antibiotics as prescribed, and monitoring for deterioration.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 3

    Student Nurses Community

    ASSESSMEN
    T

    DIAGNOSIS

    INFERENCE

    NURSING CARE PLAN Neonatal Sepsis


    PLANNING

    INTERVENTION

    RATIONALE

    EVALUATI
    ON

    Body
    substance
    isolation (BSI)
    should be used
    for all
    infectious
    patients.
    Reverse
    isolation/restric
    ti on of visitors
    may be needed
    to protect the
    immunosuppre
    ssed patient.
    Reduces risk of
    cross
    contamination
    because gloves
    may have
    noticeable
    defects, get
    torn or
    damaged
    during use.
    Prevents
    spread of

    After 8
    hours of
    nursing
    interventio
    ns,
    the patient
    was
    able to
    achieve
    timely
    healing
    and free
    from
    further
    infection.

    SUBJECTIVE:
    Walng gana
    dumede ang
    anak ko,
    parang mainit
    sya at
    matamlay
    (its difficult to
    feed my baby,
    she feels
    warm to touch
    & not very
    active) as
    verbalized by
    the mother.
    OBJECTIVE:
    Increased
    body
    temperature.
    Flushed
    skin.
    Increased
    respiratory
    rate.

    Risk for
    infection
    related
    to
    compromise
    d
    immune
    system.

    Sepsis is a
    clinical
    term used to
    describe
    symptomatic
    bacteremia,
    with or
    without organ
    dysfunction.
    Sustained
    bacteremia, in
    contrast to
    transient
    bacteremia,
    may
    result in a
    sustained
    febrile
    response that
    may
    be associated
    with
    organ
    dysfunction.
    Septicemia
    refers to

    After 8 hours INDEPENDENT:


    of
    Provide isolation
    nursing
    and monitor
    intervention
    visitors as
    s,
    indicated.
    the patient Wash hands
    will
    before or after
    achieve
    each care
    timely
    activity, even
    healing and
    gloves are
    free
    used.
    from further Limit use of
    infection.
    invasive
    devices or
    procedure as
    possible.
    Inspect wounds
    or site of
    invasive
    devices, paying
    particular
    attention to
    parenteral lines.
    Maintain sterile
    technique when
    changing

    Student Nurses Community


    V/S taken as
    follows:
    T: 37.7
    P: 130
    R: 45

    the active
    multiplication
    of
    bacteria in the
    bloodstream
    that
    results in an
    overwhelming
    infection.

    dressings,
    suctioning or
    providing site
    care.
    Provide tepid
    sponge bath
    and avoid use
    of alcohol.
    Observe for chills
    and profuse
    diaphoresis.
    Monitor for signs
    of deterioration
    of condition or
    failure to
    improve in
    therapy.
    COLLABORATIVE:
    Obtain specimens
    of urine, blood,
    sputum, wound
    as indicated for
    gram stain, and
    sensitivity.
    Administer
    antibiotics as
    prescribed.

    infection via
    airborne
    droplets.
    May provide
    clue to portal
    entry, type of
    primary
    infecting
    organisms, as
    well as early
    identification
    secondary
    infection.
    Prevents
    introduction of
    bacteria,
    reducing risk of
    nosocomial
    infection.
    Used to reduce
    fever.
    Chills often
    precede
    temperature
    spikes in
    presence of
    generalized
    infection.
    May reflect
    inappropriate
    antibiotic

    Student Nurses Community


    therapy or
    overgrowth of
    secondary
    infections.
    Identification
    of portal entry
    and organism
    causing the
    septicemia is
    crucial in
    effective
    treatment.
    To prevent
    further spread
    of infection.

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