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DIAGNOSIS
PLANNING
INTERVENTION
Subjective:
>Risk for
infection related
to compromised
immune system
>Baby will
remain free from
infection for
duration of
hospitality
Independent:
Wala siyang
ganang dumede,
mainit siya at
matamlay. As
verbalized by the
mother
Objective:
>Increased body
temperature
>Flushed skin
>Increased
respiratory rate
>mother will
verbalize
measures to
decrease
infection in her
newborn by the
end of shift
RATIONALE
>provide
isolation
And monitor
visitors indicated
>restriction of
visitors may be
needed to protect
the
immunosuppress
ed patient.
>Wash hands
before or after
each care
activity, even
gloves are used
>reduces risk of
cross
contamination
>limit use of
invasive devices
or procedures as
possible
>prevent spread
of infection via
airborne droplets
>inspect wounds
or site of invasive
devices
>May provide
clue to the portal
of entry of
microorganisms
Dependent :
Refer to
physician for
administration of
drugs
POTENTIAL DIAGNOSIS
Risk for infection
>to promote
wellness
EVALUATION
After the nursing
intervention, the
patient will
achieve timely
healing and free
from further
infection