Republic of the Philippines

UNIVERSITY OF NORTHERN PHILIPPINES

College of Nursing
Tamag, Vigan City, 2700 Ilocos Sur

NURSING CARE PLAN

In Partial Fulfillment
Of the Requirement For The
Virtual RLE
MDH Pedia

Presented by:
John Noeh D. Degracia
BSN II-E

Presented to:
Mrs. Winnie Ponce
University of Northern Philippines
College of Nursing
Name of Patient: Cabalo, Julie Ann Degala Age: 4 years old Address: Cabaritan, Santo Domingo, Ilocos Sur Ward: Pedia/ Room 3 Hosp. No: 23422
Date: December 07, 2021
Assessment Nursing Planning Nursing Intervention Rationale Health Teaching Evaluation
Diagnosis
SUBJECTIVE Dengue Fever; After 4 hours of  Provide Provide assistance to Encourage and After 4 hours of effective
DATA: t/c Typhoid effective nursing assistance for meet their daily needs; Explain to the nursing intervention, the patient
Fever intervention, the ADLs. involve the family in the family of the patient will be able to:
Her mother joyfully patient will be able to: to:  Patient was able to maintain
fulfillment of ADL; and
reported that her  To maintain a  Wash your hands. a normal fluid volume.
normal fluid explain the purpose of Frequent  Patient was able to improve
daughter has a good bed rest to prevent
volume. hand-washing in intake of nutritional
sleep; afebrile the
 To improve complications and speed hot, soapy water is requirements.
whole night and eats intake of up the healing process. the best way to  Patient was able to reduce or
a lot on her nutritional control infection. diminish pain including
breakfast. Rashes requirements. Monitor the status of Wash before eating rashes.
was diminishing.  To reduce or hydration as needed; or preparing food  Patient was able to resume
diminish pain  Encourage monitor the fluid intake and after using the ADLs.
OBJECTIVE including increase in fluid toilet. Carry an  Patient was able to maintain
daily; encourage an
DATA: rashes. intake alcohol-based hand a normal body temperature.
 To resume increase in fluid intake; sanitizer for times  Patient may now go home
ADLs. and collaborate with when water isn't
T: 36.6 °C
 To maintain a other medical team for available.
RR: 40bpm; normal body IV fluid administration.  Avoid drinking
temperature. untreated water.
CR: 98cpm  To maintain Monitor the amount of Contaminated
platelet caloric intake; monitor drinking water is a
count  Improve weight loss; provide a particular problem
nutritional comfortable environment in areas where
 The IVF is intake. typhoid fever is
during meals; and endemic. For that
on 380 ml
encourage an increase in reason, drink only
at same rate.
protein and vitamin C bottled water or
 Afebrile and intake to meet nutritional canned or bottled
much better needs. carbonated
to look beverages, wine
compared to and beer.
Carbonated bottled
last duty. Assess the level of pain, water is safer than
location, duration, non-carbonated
 Reduce or intensity, and bottled water.
diminish pain. characteristics; provide
 Ask for drinks
warm compresses on
without ice. Use
areas with pain; and bottled water to
administer analgesics as brush your teeth,
prescribed. and try not to
swallow water in
Monitor patient the shower.
temperature degree and
patterns; observe for  Avoid raw fruits
 Improve body and vegetables.
chills and profuse
temperature. Because raw
diaphoresis; provide
produce may have
tepid sponge baths and been washed in
avoid the use of ice water contaminated
and alcohol; and water, avoid fruits
administer antipyretics and vegetables that
as prescribed. you can't peel,
especially lettuce.
To be absolutely
safe, you may want
to avoid raw foods
entirely.
 Choose hot foods.
Avoid food that's
stored or served at
room temperature.
 Steaming hot foods
are best. And
although there's no
guarantee that
meals served at the
finest restaurants
(Continue monitoring and (Continue monitoring and are safe, it's best to
administering of medication) administering of medication) avoid food from
street vendors —
 D5LRS 500 ml at 17 Potassium Chloride in it's more likely to be
gtts/min Lactated Ringer's and 5% infected.
Dextrose Injection, USP is a
sterile, nonpyrogenic solution
for fluid and electrolyte
replenishment and caloric
supply in a single dose
container for intravenous
administration. It contains no
antimicrobial agents.

Ampicillin injection is used to

treat certain infections that are
 Ampicillin 500 caused by bacteria such as
mg/IVT q 6 hrs meningitis (infection of the
ANST (-) membranes that surround the
brain and spinal cord) and
lung, blood, heart, urinary
tract, and gastrointestinal tract
infections. Ampicillin
injection is in a class of
 medications called penicillins

Chloramphenicol is used to
treat serious infections in
 Chloramphenicol 125 different parts of the body. It
mg -7.5 ml every 6 is sometimes given with other
hrs antibiotics. However,
chloramphenicol should not
be used for colds, flu, other
virus infections, sore throats
or other minor infections, or to
prevent infections.

Paracetamol is a common
painkiller used to treat aches
 Paracetamol 125
and pain. It can also be used to
mg/5ml -7.5 ml every
reduce a high temperature. It's
4 hrs PRN for Temp;
available combined with other
38.0 °C
painkillers and anti-sickness
medicines. It's also an
ingredient in a wide range of
cold and flu remedies.

Phyllanthus has been used in

Ayurvedic medicine for over
 Phyllanthus
2,000 years and has a wide
(Stimuno) 5 ml TID
number of traditional uses
including internal use for
jaundice, gonorrhea, frequent
menstruation, and diabetes
 and topical use as a poultice
for skin ulcers, sores,
swelling, and itchiness.

Cetirizine is an antihistamine
 Cetirizine 5mg/5ml – medicine that helps the
5 ml OD symptoms of allergies. It's
used to treat: hay fever.
conjunctivitis (red, itchy eye)
References:

Typhoid Fever:

https://nurseslabs.com/typhoid-fever/