Appendectomy Nursing Care Plan - Risk for Infection

Risk for Infection

Short term goal:

Possible Etiologies: Surgical incision

$lient %ill not manifest signs of infection as lie lesser redness and inflammation fe% hours postoperatively"

Disease Process: AppendicitisAppendectomy Defining characteristics: Subjective Data: “My operative site is painful and loos stretched! verbatim of client" #bjective Data:

-

Temp-37.8°C Pain rating-4/10 WBC-10,000 (+) redness and inammati!n !n t"e !perati#e site

Assessment '" Monitor vital signs every hour  (" Monitor operative site appearance

&ong term goal: )" Monitor lab results $lient %ill be totally free of infection occurrence as manifested by dry and intact operative site"

'" +o have baseline data and determine the progress of patient condition (" +o monitor %ound healing and serve as basis for necessary action 3notifying physician if  possible4 )" +o monitor occurrence of infection and its progress *" +o monitor hydration

*" Monitor urine output and hydration +reatment '" Administer prescribed antibiotics (" $leanse and dress %ound %ith povidone iodine observing sterile techni,ue )" eep the area clean and dry *" Maintain ./0 patency 1" Assist in early ambulation Educative '" Encourage to do deep

 breathing and coughing   e2ercises (" .nstruct to increase protein and vitamin $ intae )" .nstruct to avoid touching fresh %ound %ith unsterile articles *" .nstruct to e2ercise regular  bo%el movement 1" .nstruct to have regular fiber intae

'" 5elps prevent and fight infection pharmacologically (" Prevents multiplication of  pathologic microorganisms in the incision site )" Promotes %ound healing *" +o ascertain good hydration and replenish blood loss 1" 5elps promote blood circulation for faster %ound healing '" Promotes lungs e2pansion and increase blood circulation (" 0or faster tissue repair  )" Prevents introduction of infection sources *" Prevents insult of the colonic operative site and occurrence of other 6. problems 1" +o establish good bo%el movement and prevent other 6.  problems

$lient did not manifest any sign of development of infection as manifested by rating pain at (7'8 from *7'8 for the first * hours  postoperatively Patient did not develop infection as manifested by '7'8  pain rating9 dry and intact incision site9 ;$ of