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Pinapainom ko naman siya ng Tempra pero bumababa lang hanggang 38 yung lagnat niya. Pinunasan ko rin siya kaso ganun pa din” as verbalized by the patient’s mother. Objective Data: -(+) Hyperthermia; temperature: 37.8°C -(+) rhinorrhea -(+) productive cough -(+) diarrhea -(+) anorexia -decreased in activity -(+) chills
NURSING DIAGNOSIS Risk for fluid imbalance: Less than body requirement r/t loss of appetite and increased frequency of bowel movement secondary to disease process.
RATIONALE Typhoid fever, also known as Salmonella typhi or commonly just typhoid, is a common worldwide illness, transmitted by the ingestion of food or water contaminated with the feces of an infected person. The bacteria then perforate through the intestinal wall and are phagocytosed by macrophages. It is caused by the bacterium Salmonella typhi The organism is a Gram-negative short bacillus that is motile due to its peritrichous flagella. The bacterium grows best at 37 °C/99 °F –
GOALS & OBJECTIVES Short Term: At the end of the 8 hours shift patient would be able to ingest 4-5 glasses of water. Long Term: At the end of 2 weeks or until patient is discharged patient would be able to showcase increase in appetite by ingesting food of at least 1 cup and would be able gain weight to at least 13.5 kg.
INTERVENTIONS Independent -Monitor VS -Monitor I and O -Regulated IVF -Keep the area clean and dry. -Carefully dress wound -Stimulate circulation to surrounding area -Encourage mother to give increase intake of fluid and nutritious foods. Dependent -Administer paracetamol via IV. -Administer antibiotics via IV. Collaborative -Provide optimum nutrition
EVALUATION Short Term: Goal partially Met. Patient ingested 3 glasses of water at the end of the 8 hours shift. Long Term: Goal partially Met. Patient showcase increase in appetite by eating ¾ cup of different food and drinking 4 glasses of water at most at the end 2 weeks of nursing intervention.
Causing either diarrhea or constipation and loss of appetite.com .-(+) Weight loss from 14. Reference: Wikipedia.5 kg to 13 kg -Physicians Diagnoses: Typhoid Fever human body temperature. And therefore affects the gastrointestinal system the most.