NCP Rabies
NCP Rabies
NCP Rabies
Subjective:
ang laki
ng kagat ng
aso sa binti
ko
Objectives:
Facial
Grimace
Agitated
Pain scale:
7/10
VS:
T: 37.7
PR:88
RR: 30
BP: 130/90
Nursing
Diagnosis
Risk for
infection d/t
inadequate
primary
defense as
manifested by
open wound
Background
Knowledge
Trauma on
skin at left
anterior
Broken skin
Open wound
Risk for
infection
Planning
After 2 hours of
nursing
intervention the
patient will be
able to identify
ways to reduce
risk for infection.
Nursing Intervention
1. Monitored VS
especially the
temperature.
2. Emphasized
the importance
of hand
washing
3. Maintained
aseptic
technique
when changing
dressing the
wound.
4. Kept area
around the
wound clean
and dry.
5. Emphasized
necessity of
taking
antibiotics as
ordered.
Rationale
1. Fever may
indicate
infection.
2. It is the first
line of defense
3. Regular
wound healing
promotes fast
healing.
4. wet area can
be lodge of
bacteria.
5. Premature
discountinuation
of treatment
when client
begins to feel
well may result
in return of
infection.
Evaluation
After 2 hours of
nursing intervention
the patient was able
able to identify ways
to reduce risk for
infection.
Goal was met.