St.

Anthony’s College
San Jose, Antique
Nursing Department

NAME: D.S.V. Operation Performed: Extra Capsular Cataract Extraction OS w/ IOL

AGE/SEX: 81years old/Male Perioperative Phase: Post-operative Phase

NURSING CARE PLAN

CUES NURSING RATIONALE PLANNING INTERVENTION RATIONALE EVALUATION
DIAGNOSIS
INDEPENDENT:
OBJECTIVE: Risk for infection Supported by GENERAL:
Status post ECCE related to invasive Diagnostic Procedures After 8 hours of nursing 1. Assess for  To determine Goal met as evidenced by:
OS with IOL surgical procedure (Slit lamp test, interventions, the indicators of possible signs of the patient remains infection
(ECCE with IOL) Opthalmoscopy, patient will remain infection by infection. free postoperatively.
Vital signs: etc…) infection free checking
postoperatively. temperature every 4
T: 36.30 hours and assessing
RR: 28cpm Diagnosis of Cataract vaginal discharge
PR: 84bpm formation for foul odor.
BP: 120/80mmHg
2. Monitor laboratory  Increase number of
(+) Skin incision Surgical Intervention data especially WBC indicates
Extra Capsular WBC. infection.
Cataract Extraction
with
Intra Ocular Lens 3. Teach the  The first line of
importance of post defense against
surgery care. healthcare-
Incision (left eye) associated infection.

Exposed eye blood

vessels

Risk For Infection

Name of Student: Cen Janber Cabrillos BSN-4 Clinical Instructor: JERRY V. ABLE, RN, MAN