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Hemodialysis NCP

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Tawiah Bernice Ebbi

BSN 4-1
September 10, 2019

NURSING CARE PLAN ABOUT “RISK FOR INFECTION” IN HEMODIALYSIS

Nursing Scientific rationale Planning Intervention Scientific rationale Evaluation


Diagnosis
Risk for Patient who After 8 hours  Assessed skin around the Signs of local Goal met
infection undergo dialysis of nursing vascular access, noting infection, which can
treatment have an intervention, redness, swelling, local progress to sepsis if
increased risk for the patient warmth, exudate, untreated
getting healthcare- will be free tenderness.
associated infection from
(HAI). Hemodialysis infection  Avoid contamination of Prevents introduction
patients are at high during the access site. Used aseptic of organisms that can
risk for infection therapy. technique and masks when cause infection
because the process giving shunt care, applying
of hemodialysis or changing dressings, and
requires frequent when starting or completing
use of catheters or dialysis process.
insertion of needles
to access the  Monitor temperature Note Signs of infection
bloodstream. presence of fever, or sepsis requiring
hemodialysis chills, hypotension. prompt medical
patients have a intervention
weakened immune
system which
increase their risk  Administered drug as Infused on arterial
for infection. indicated: Heparin (low-dose side of filter to
prevent clotting in the
filter without systemic
side effects.
 Antibiotics (systemic and/or Prompt treatment of
topical) infection may save
access, prevent sepsis

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