EPIGLOTTITIS

ASSESSMENT NURSING SCIENTIFIC PLANNING NURSING RATIONALE EVALUATION

DIAGNOSIS EXPLANATIO INTERVENTION
N
SUBJECTIVE Ineffective SHORT INDEPENDENT: INDEPENDENT: GOAL MET.
CUES: TERM 1. Assess vital signs 1. To know if the SHORT TERM
Airway especially the patient is
OUTCOME: OUTCOME:
“nahihirapan don
Clearance respiratory rate, experiencing
After 4 hours of After 4 hours of
sya huminga dahi; related to effort, pattern, and severe respiratory
nursing nursing intervention,
masakit daw yung depth. distress.
thick intervention, the
2. Assess the arterial 2. Increase ABGS
the patient increased
lalamunan niya at patient will intake of oxygen as
hirap siyang
secretions Blood Gases may indicate
increase intake verbalized of the
kumain” as secondary to 3. Auscultate the lungs pulmonary
of oxygen. patient that she is
verbalized by the 4. DEPENDENT: secretions and
infection as LONG TERM 1. Administer IV respiratory
not have trouble of
father of child. breathing.
evidenced by OUTCOME: antibiotics as fatigue.
OBJECTIVE After 3 days of
presence of ordered by the 3. To know the lung
CUES: nursing doctor. sounds because LONG TERM
- 5 years old bright red interventions, COLLABORATIVE: stridor is late OUTCOME:
- T – 38.4 °C throat with the patient will 1. Administer ominous sign of After 3 days of
PR – 75 bpm have clear humified oxygen epiglottitis that nursing
RR- 25
edema and
airway by means emergency interventions, the
breath/min muffled absence of airway patient have clear
- Febrile cough inflammation. management. airway as evidenced
- Skin is warm to DEPENDENT: by absence of
touch with 1. To kill the inflammation and
flushing infection bright red throat.
COLLABORATIVE:
1. To moist the air
oxygenation