Primary Nursing Diagnosis

Infection related to the presence of the infective organism

OUTCOMES. Immune status; Knowledge: Infection control; Risk control; Risk detection; Treatment behavior: Illness or injury

INTERVENTIONS. Infection control; Medication management; Environmental management; Surveillance; Nutrition management; Teaching: Disease process

U PLANNING AND IMPLEMENTATION Collaborative

Patients with systemic infections are placed on the antibiotic that is most appropriate for their condition. Symptom management is accomplished by fluid and electrolyte replacement and control of fever. Because antidiarrheal and antispasmodic agents slow intestinal mobility, some experts do not recommend their use because they retard the intestinal transit of the infecting organisms.

The patient with salmonellosis is placed on bedrest during the acute phase and should be on enteric precautions until the diarrhea stops. Observe the patient's stools for consistency and blood. Bleeding or abdominal pain may indicate the complication of bowel perforation; check for a sudden fall in temperature or blood pressure and a rising pulse rate. Many patients with Salmonella infection are not hospitalized but recover at home. Report Salmonella infection to the local health authority, particularly if the patient is employed in a food-handling occupation.

Salmonella Infection (Salmonellosis) 833

Pharmacologic Highlights

Medication or Drug Class

Dosage

Description

Rationale

Antibiotics are

Varies with drug

Ciprofloxacin (Cipro),

Kill bacteria and halt infection;

reserved for

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