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Incision site Risk for infection Broken skin due After 45-60 Teach patient to Hand After 45
on the RUQ related to to minutes of wash hands washing minutes of
of the inadequate Cholecystectom nursing often and after reduces the nursing
abdominal primary defense y interventions, administering risks for interventions,
area (broken skin) the patient self-care. infection the patient
Redness on secondary to Exposure to will able to: Discuss to was able to:
the skin surgical environment 1. Restore patients the To impart to 1. Slightly
surrounding intervention primary following signs the patient restore
the incision (Cholecystectomy Pathogens can defense of infection - when the primary
sight ) penetrate the redness, wound defense
as manifested by skin easily swelling, become Ã
increased pain, infected
Incision site in Risk for or purulent and when
the abdominal infection 2. Show drainage on the to sought
area signs of site and fever medical 2. Show
Redness healing in care signs of
the Demonstrate healing in
incision and allow return the
site demonstration incision
of wound care site
Demonstrate Ã
To know if
and encourage
the patient
doing proper
really
dressing.
understand
Emphasize
the principle
compliance to
of wound
medication
care
(antibiotic)
To prevent
exposure to
Administer
the
prophylactic
Environmen
antibiotics as
t
indicated
(Ceftriaxone
To promote
Sodium) 1 gm
healing
IVT q12 for 2
Doses and
Sultamicillin
Tosylate
To inhibit
(Zunamyn)
synthesis of
750mg/tab BID
bacterial
cell wall,
causing cell
death