Student Nurses Community

NURSING CARE PLAN Smoke Poisoning

ASSESSMENT

SUBJECTIVE:
Hirap ako
huminga
simula ng
malanghap ko
ang usok na
galling sa
pagawaan ng
plastic (I am
experiencing
difficulty in
breathing due
to the fumes
emitted by the
plastic factory)
as verbalized
by the patient.
OBJECTIVE:
Fatigue
Restlessness
V/S taken as

DIAGNOSI
S

INFERENCE

Risk for
infection
may be
related to
environmen
tal
exposure

Smoke
poisoning or
chemical
injury from
the inhalation
of combustion
by products
especially
hydrogen
cyanide, are
produced
when plastics
or home
furnishings
are burned.
Cyanide binds
to the
cyctichrome
system,
thereby
inhibiting cell
metabolism
and adenosine
triphosphate
(ATP)

PLANNING

INTERVENTION

RATIONALE

After 4 hours
Independent:
Understanding
of nursing
nature and
interventions, Observe risk
properties
the patient
factors for
of infection
will verbalize
occurrence of
agents and
understanding
infection
individuals
of individual
environmental
exposure
exposure and
exposure,
determines
risk factors
compromised
choice of
and identify
host, traumatic
therapeutic
interventions
injury, loss of
intervention
to prevent and
skin integrity.
s.
reduce risk of Observe for
Initial
infection.
signs and
symptoms
symptoms of
of some
infective agent
agents
and systemic
include
infection.
fever,
Practice and
fatigue,
demonstrate
joint aches,
proper handand
washing
headaches
technique.
similar t
Provide infection
influenza.
precautions or First-line

EVALUATIO
N
After 4
hours of
nursing
intervention
s, the
patient will
verbalize
understandi
ng of
individual
exposure
and risk
factors and
identify
intervention
s to prevent
and reduce
risk of
infection.

Student Nurses Community

follows:
T: 36.9 C
P: 90
R: 18
BP: 120/80

production
that disrupts
cell function.

isolation as
indicated.
Monitor visitors
and caregivers
for infectious
diseases
Emphasize
necessity of
taking
antibiotics as
directed.

defense to
limit spread
of
infections.
Reduce the
risk of
crosscontaminati
on to staff,
visitors, and
other
clients.
Prevents
exposure of
client to
further
infection
and may
reveal
additional
cases.
Premature
discontinuat
ion of
treatment
when client
begins to
feel well.