PRIORITIZED NURSING FOR PROBLEM FOR BACTERIAL INFECTION

Nursing Diagnosis Nursing Intervention Rationale

Risk for Infection  Assess signs and  Fever may indicate

symptoms of infection
infections especially
temperature

 Emphasize the  It serves as first line

importance of of defense against
handwashing infection.
technique

 Maintain aseptic  Regular wound

technique when dressing promotes
changing fast healing and
dressing/caring drying of wounds.
wound.

 Keep area around  Wet area can be

wound clean and lodge area of
dry. bacteria.

 Premature
 Emphasized discontinuation of
necessity of taking treatment when
antibiotics as client begins to feel
ordered. well may result in
return of infection.
PATHOPHYSIOLOGY of Bacterial Infections

Nasopharyngeal
Colonization

Bloodstream
Invasion

Systemic
Bacteremia
Hypotension

Meningeal
Invasion

Bacterial
Multiplication
and lysis

Ventricular and
Loss of vascular subarachnoid
Bacterial factors
autoregulation space
inflammation

Vasculitis

Breakdown of the CSF outflow Neurotoxic

blood brain barrier obstruction environment
Vascular spasm,
thrombosis

Cerebral Intracranial
ischemia Brain Edema
hypertension

Necrosis Apoptosis

Cortical brain Hippocampal

damage brain damage