Reisabelle P: Labiano FEU-NRMF (OB

WARD)
BSN 201 Feb ruary 28 &March
1,2017
ASSESSMENT DIAGNOSIS PLANNING INTERVENTION EVALUATION
Monitor vital signs
Subjective: After 24 hours of Rationale: Alterations from After 24 hours of
Sumasakit pa nursing normal may be signs of nursing
yung tahi sa interventions, the infection, interventions, the
akin Risk for client will verbalize client hasl verbalized
infection due to understanding of Advise the patient to do proper understanding of risk
Objective: perineal risk factors, and perineal care and hygiene factors, and has been
-Temp: 37.6OC laceration continueto be free Rationale: To reduce the risk free of any
-patient looks during delivery of any symptoms of of pathogenic microoganism symptoms of
weak infection. invasion. infection.
-received right
medio-lateral Advise early ambulation
episiotomy Rationale: For promotion of
blood circulation to help in
healing process, prevents
constipation, circulatory
problems and urinary problems.

Encourage to have enough rest

and sleep
Rationale: To promote healing
by allowing oxygen and
nutrients to be utilized for
tissue growth, healing anf
regeneration

Intake of antibacterial
medications(Ceflaxin) as per
doctors order and advise
Rationale: To prevent
infections caused by
Reisabelle P: Labiano FEU-NRMF (OB
WARD)
BSN 201 Feb ruary 28 &March
1,2017
susceptible pathogens in skin
structure infections.
Reisabelle P: Labiano FEU-NRMF (OB
WARD)
BSN 201 Feb ruary 28 &March
1,2017
Name Dosage Indication/Action Contra-indication Nursing
Responsibilities
Cephelaxin -Take note for any m
ADULTS Respiratory tract Contraindicate edical history of
allergic reactions to
infections caused d penicillin,
14 g/day in divided by S. pneumoniae, with allergy to ce cephalosporin
doses; 250 mg PO q group A beta- phalosporins or p
6 hr usual dose. hemolytic enicillins. -Give drug with
streptococci meals,arrange for
Skin and skin- Use cautiously small, frequent meals
structure Dermatologic with renal failure, if GI complications
infections: 500 mg infections caused lactation, occur.
PO q 12 by staphylococcus, pregnancy
hr. Larger doses may streptococcus -Refrigerate
be needed in severe suspension, discard
cases; do not exceed Otitis media caused after 14 days.
4 g/day. by S. pneumoniae,
H. influenzae, strep -Advise the patient to
tococcus, take the medications
staphylococcus, Mo with meals
raxella catarrhalis
-Encourage the
Bone infections patient to complete
caused by the full course
staphylococcus, Pro medication even if
teus mirabilis
Reisabelle P: Labiano FEU-NRMF (OB
WARD)
BSN 201 Feb ruary 28 &March
1,2017

GU infections she/he feels better.

caused
by Escherichia coli, -Inform the patient of
P. the drugs side
mirabilis, Klebsiella effects:Stomach
upset, loss of
appetite, nausea
(take drug with
food); diarrhea;
headache, dizziness.