or other

allergies
and pregnancy status,
the patient's immune status, age,
determine
conditions h
medical conditions that he
orshe may have,and medications that he or sne y

Nursing Diagnosis with malaia i d y

Ddea on the assessmentdata, the major nursing diagnosis for a patient
Risk for infection related to weakened immune system.
Hyperthermia related to increased metabolic rate and dehydration.
needed for the delivery or
OXyg a
Ssue perfusion related to a decrease in the cellular components
nutrients in the body.
Fluid volume deficit related to excessive sweating and dehydration. and
related to lack of exposure and information about the disease process its treatment, prOgnosis
C O g e aenicit

Nursing Care Planning and Goals

The nursing care plan goals for a patient with malaria are
Prevent infection.
Reduce increase in and regain normal body temperature.
Improve tissue perfusion.
Improve fluid volume of the body.
Gain information on malarial disease process, treatment, and prognosis.

Nursing Interventions
Nursing interventions for a patient with malaria include the following
Improve body temperature. Warm water compresslon forehead and both axila (not mdre than15 minules ac
sweat excessively, make
Time), maintain warm environment by using warm blankets, adequate clothing), patient may
sure to avoid exposing patient to wet clothes and linens; administration of antipyretic drugs as ordered.
Improve tissue perfusion. Patient may need supplemental oxygen if conditionis severe, maintain well-ventilated
room; head of the bed at 30°.; lessen activities that require moderate to high exertion.
Improve fluid volume. Expect loss of fuid through sweat; provide information about fluid balance and guideline for
fluid replacement; encourage increase in oral fuid intake; administer parenteral fluids aslordered.
Educate the patient and family. Review the disease process and therapy, focusing on patient's concerns, discuss
importance of adhering to therapy; go over medication, purpose, frequency, dosage, and side effects, have a family
member or trusted individual listen to and understand guideline of treatment as the patieht chooses.

Evaluation
Nursing evaluation of patients with malaria includes meeting the following goals:
Prevention of infection.
Reduced increase in body temperature.
Improved tissue perfusion.
Improved fluid volume of the body.
Gained and retained information on malarial diseasejprocess, treatment, and prognosis

CHECK FOR UNDERSTANDING (30 minutes)

You will answer and rationalize this by yourself. This wi be recorded as your quiz. One (1) point will be given to correct
answer and another one (1) point for the correct ratio. Superimpositions or erasures in you answerlratio is not allowed.
You are given 30 minutes for this activity:

Multiple Choice

1. The infectious agent that causes malaria is known as which of the following?
Protozoan parasite
Bacterial parasite
C. Viral parasite
d. Fungal parasite
ANSWER
RATIO:_prtHo700n o c i dec_cavde mcdaurio

This document and the information thereon is the property of PHINMA

Education (Department of Nursing) 4 of 6
The maana paiasite is spread by which of the tollowung?
Male mosquitoes
Female mosquitoes
Both male and female masquitoes
None of these
ANSWER
RATIO

3.Which mosquito genus is associated with spreading the human malaria parasie
Culex
Anopheles
C. Aedes
a. Lutzia
ANSWER:
bvn w mol a i 4
RATIO Cle
cpablt_oCCpreading

4. Which one of the following are NOT antimalarial compounds?

a. Quinine
b. Artemisinin
c. Chioroquine
d Mefloquine
Penicillin
ANSWER:

RATIO n cull'n it agPP

5. Which of these statements is correct?
a.
Malaria is a neglected tropical disease
If you get malaria once, you won't get it againn
b.
Malaria is quite often endèmic in poorer regions of the world
ANSWER:
RATIO ofVnclca0 handzedcwionatay-

RATIONALIZATION ACTIVITY (THIS wWILL BE DONE DURINGTHE FACE TO FACE INTERACTION)

The instructor will now rationalize the answers to the students. You can now ask questions and debate among yourselves
Write the correct answer and correct/additional
ratio in the space þrovided.

1. ANSWER:
RATIO:

2 ANSWER:
RATIO:

3 ANSWER:
RATIO