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NURSING CARE PLAN

A. Cues/Needs
Subjective: ³Nahihirapan at nasasaktan siya pag umihi´as verbalized by the patient¶s mother. Objective: Dysuria Urine in fould odor Febrile Oliguria

Nursing Diagnosis
Impaired UrinaryElimination related to presence of microorganim as manifested by dysuria, foul odorand fever.

Rationale
UTIs are caused by bacteria that get into the bladder or the kidneys. If it spreads to the vaginal opening, it may invade and colonize the bladder, causing an infection.

Goals and Objectives
At the end of 34 days of nursing intervention, the patient will achieve normal elimination pattern as manifested by absence of dysuria, fever and foul odor.

Interventions
INDEPENDENT _Review results of diagnostic studies

Rationale
Independent _To identify type/presence of elimination problem _To help maintain renal funtion, prevent infection and formation of urinary stones.

Evaluation
At the end of 3-4 days nursing intervention, patient¶s urnianry status was improved as manifested by absence of dysuri, foul odor and fever.

_Encourage fluid intake up to 3000 or more ml/day, including cranberry juice _Instruct patient to refrain from consumintg coffee, alcohol, carbonated drinks, citrus and chocolates. _Maintain acidic environment of the bladderby the use of agents such as Vit.C, Mandelamine, when appropriate. _Emphasize importance of keeping area clean and dry _Monitor Vital siogns DEPENDENT _Administer drugs prescribed COLLABORATIVE _Refer to medical technologists for follow-up of diagnostic exams

_To discourage bacterial growth.

Goal met

PR: 120 RR:40 Temp: 38.4 c Weight: 13.8kg

_To reduce risk of infection and/or skin breakdown. _To provide pharmacological treatment and for fast recovery _To determine effectiveness of drug theraphy

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