Primary Nursing Diagnosis

Risk for infection related to immunosuppression

OUTCOMES. Immune status; Respiratory status: Gas exchange; Respiratory status: Ventilation; Thermoregulation

INTERVENTIONS. Infection control; Infection protection; Respiratory monitoring; Temperature regulation

H PLANNING AND IMPLEMENTATION Collaborative

Patients require pharmacologic treatment to eradicate the organism. PCP infections may be treated with incentive spirometry, percussion and postural drainage, and humidified oxygen. Some patients may require intubation and mechanical ventilation to maintain gas exchange. If the patient is not intubated and is able to take oral nutrition, a high-calorie, protein-rich diet is recommended. If the patient cannot tolerate large amounts of food, smaller, more frequent meals can be offered. IV fluids and total parenteral nutrition may be needed to maintain fluid balance if the patient cannot tolerate oral enteral feedings.

Pharmacologic Highlights

Medication or Drug Class

Dosage

Description

Rationale

Trimethoprim-

5 mg/kg IV every

Anti-infective

Kills the organism; used for early

sulfamethoxazole

6-8 hr

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