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NCP Risk For Infection

This document contains a nursing care plan for a 19-year-old female patient named Magda who had an episiotomy and is experiencing pain in her perineum area. The nursing diagnosis is risk for infection related to the episiotomy, and the objectives are to promote safety through infection prevention and for the patient to verbalize health teaching and demonstrate how to prevent infection after 8 hours. The interventions include changing perineal pads frequently, perineal care, warm compresses, educating on sitz baths, and administering medications including amoxicillin, Ponstan, and Methergin under a physician's orders.

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Rainier Ibarreta
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360 views2 pages

NCP Risk For Infection

This document contains a nursing care plan for a 19-year-old female patient named Magda who had an episiotomy and is experiencing pain in her perineum area. The nursing diagnosis is risk for infection related to the episiotomy, and the objectives are to promote safety through infection prevention and for the patient to verbalize health teaching and demonstrate how to prevent infection after 8 hours. The interventions include changing perineal pads frequently, perineal care, warm compresses, educating on sitz baths, and administering medications including amoxicillin, Ponstan, and Methergin under a physician's orders.

Uploaded by

Rainier Ibarreta
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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NAME: Magda

AGE: 19

GENDER: Female

CUES NURSING DIAGNOSIS OBJECTIVES NURSING RATIONALE EVALUATION


INTERVENTION

Subjective: Risk for infection related to General: Independent: Independent: After 8 hours of
“Masakit yung tahi ko bacterial invasion secondary to To promote safety through the prevention 1. Change perineal pads 1. To prevent vaginal Nursing
perineum area ko” as episiotomy as evidence by of the spread of infection. frequently. contamination or infection. intervention the
verbalized by the “Masakit yung tahi ko sa patient is able to:
patient. perineumarea ko” with pain 2. Perform perineal care. 2. Promote cleanliness to the  Verbalize
level 6/10 Specific: perineal area. health
After 8 hours of nursing intervention the 3. Warm compressed may 3. To avoid edema. teaching.
client will be able to: be applied to the genital 4. To aid healing of the  Demonstrate
Objective:  Verbalize health teaching area. perineum thorough on how to
Vital signs:  Demonstrate on how to prevent application of moist heat. prevent
BP: 110/80mmHg infection. 4. Educate on performing infection.
RR: 20breaths/min sitz bath. Goal met.
PR: 98beats/min
Temp: 36.9c Dependent: Dependent:
Pain scale: 6/10 Administer the following by 1. It's used to treat bacterial
the physician: infections.
0- no pain 1. Amoxicillin 500mg/cap, 1 2. To relieve the symptoms
1-3 – mild pain capsule TID pc for 5 days. of period pain and treat
4-6– moderate pain 2. Ponstan SF 500mg/cap, 1 heavy periods.
7 –9 severe pain capsule for Q 6 hours for 3 3. Increases the tone, rate,
10 -worst pain doses then PRN for pain. and amplitude of
possible rhythmic contractions.
3. Methergin 0.2mg/tab, 1
tablet TID pc to complete
6 doses.

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