THE NURSHING ASSESMENT OF THYPOID FEVER

Disusun oleh :

Anggit Auliana Nuzul

P1337420217095

3C

POLTEKKES KEMENKES SEMARANG

PROGRAM STUDI DIII KEPERAWATAN PURWOKERTO

 2019

THE NURSHING ASSESMENT OF THYPOID FEVER

Four areas that should be assesed :

1. Histtory of deasses :

a. Past history

Assess the disease that has been experienced by the client, whether it has to do
with the gastrointestinal tract or not. Then review about medications commonly
consumed by the client, and also assess the history of allergies to the client,
whether allergic to drugs or food.

b. Current history

The patient says that pain arises moments / hours after eating or when hungry or
while sleeping at midnight nature of complaint (periodic / sudden).

c. Family history
 Disease ever experienced (type of disease, duration and effort to overcome,
history of hospital admission).

2. Physical assesmen.

a. General Conditions

How is the client's condition, whether tired, weak or seriously ill.

b. Vital signs:

What is the client's temperature, pulse, breathing and blood pressure

c. Head

Head shape, distribution, color, scalp, head tenderness

d. Face

Facial shape, facial skin, tenderness on the face.

e. Eyes

eye shape, sclera, conjunctiva, pupils, tenderness on the eyeball, color of the
conjunctival mucosa, mucous color

f. Nose

nose shape, nasal lobe breathing, secret, nasal tenderness

g. Mouth

mouth shape, mouth shape, tooth shape, tenderness on the tongue, gums, teeth.

h. Neck

neck shape, skin color on the neck, tenderness on the neck.

i. Thoraks
 chest shape, chest development, respiratory frequency, lung development in
inspiration and expiration, focal fremitus, pain pressure, heart limit, lung limit,
secret buildup, lung sounds and breath sounds

j. Abdomen

Abdominal shape, abdominal skin color, bowel sounds, venous noise, liver and
spleen friction, liver border, kidney limit, spinal boundary, presence / absence
of fluid retention Stomach

k. Genitalia

hape of genitals, distribution of genital hair, hair color genitals, lumps, tenderness
on the genitals

l. Instruments

Assess skin color, intact skin integrity / no, dry skin turgor / no, whether there is
tenderness in the skin, whether the skin feels hot.

m. Upper limb

Is there tremor or not, physical weakness, muscle pain and deformity.

3. Diagnostic assesment

Making a chest x-ray is usually part of exhamination for any significant febrile
illnes.

4. Laboratory study

Positive blood cultures confirm typoid fever, but negative blood cultures do not rule
out typoid fever. A fourfold widal titer test increase of 2-3 weeks confirms the
diagnosis of typoid fever.
Laboratory Examination through:

a. Leukocyte examination

b. SGOT and SGPT

c. Bakan blood.

d. d. Widal test.