Nursing Care Plan
Patient’s name: D.G Chief Complaint: Flank pain with three episodes of vomiting
Room/Bed #: Misc 1 Diagnosis:Urinary Tract Infection complicated by Pyelonephritis
Age: 6 years old Other: Congenital Heart Disease
Attending Physician: Dr. XX
General Objectives: To facilitate the maintenance of elimination
ASSESSMEN NURSING RATIONALE SPECIFIC NURSING RATIONALE EVALUATIO
T DIAGNOSIS OBJECTIVES INTERVENTION N
Subjective: Acute pain Typically, UTIs After After 8 Independent: After
related to develop when hours of duty, rendering
“Masakit mag urinary tract uropathogens client will be - Assess - To determine nursing
ihi ko” infection that have able to manifest characteristics of pain severity or intensity interventions
colonized the reduce blood of pain client had
“Sa may likod periurethral pressure, void in -Advise patient to increased urine
ko pa gid area ascend to sufficient have adequate rest -To promote rest output, pain is
dampi ga the bladder via amount and period and relaxation relieved,
sakit” the urethra. body temperature is
From the temperature will -Advise patient to -To promote renal within normal
"Ga palang bladder, return to normal drink liberal amounts blood flow and to range and
luya ko" pathogens can range as of fluid. flush out bacteria in blood pressure
spread up the evidenced by: the urinary tract stabilize.
"Naga sakit urinary tract to - Advise to perform
akon ulo" the kidneys - Vital signs hygienic measures - To prevent further
"Ga lingin (pyelonephritis) within the like daily perineal infection
akon ulo" and possibly to normal limit care
the bloodstream
Objective: (bacteremia). - Client will - Encourage to eat
Poor have increase foods rich in vitamin - To increase body
Facial Grimace containment of urine output of C resistance against
infection, 70-80 ml for the
Body including next 6 hours. - Encourage client to infection
weakness bacteremia, is void every 2- 4 hours
more often seen - Skin not warm and when urge is - To enhance
Vital signs in infants to touch noted bacterial clearance,
taken as younger than 2 reduces urine stasis
follows: months. - The child will - Advise to avoid and prevents
report pain is drinking tea, coffee, reinfection
T:38.1°C Urine in the relieved soda and alcohol
P: 65 bpm proximal - To prevent
R: 33/min urethra and - Encourage irritation of the
BP: 130/90 urinary bladder verbalization of pain urinary tract
is normally or any discomfort
Hematocrit - sterile. Entry of - To provide
0.33 % bacteria into the necessary
Hemoglobin - urinary bladder interventions to
106 gm/dl can result from - Observe for further lessen pain if it
RBC - 4.13 turbulent flow complaints occurs.
ml/mm3 during normal
WBC - 23.7 voiding, - To attend needs
mm3 voiding for immediate
Platelet - dysfunction, or Dependent: intervention
519,000 catheterization.
In addition, - Administer drug
sexual ordered by the
intercourse or physician
genital
manipulation Paracetamol
may foster the
entry of 500mg
bacteria into the
urinary bladder. Every 4 hours
More rarely, the
urinary tract
may be As needed
colonized
during systemic
bacteremia
(sepsis); this Collaborative:
usually happens
in infancy. - Laboratory results;
Pathogens can Urinalysis
also infect the
urinary tract Nutrition; Increase
through direct oral fluid intake
spread via the
fecal-perineal-
urethral route.
MEDSCAPE
