ncp baby

 

ASSESSMENT

Objective:

DIAGNOSIS

PLANNING

Risk for infection

Be free of signs of

related to immature immune response and extra uterine exposure

infection such as temperature temperatur e instability, respiratory distress and purulent discharge or secretions

IMPLEMENTATION

Independent:  

Promote meticulous hand

washing. Hand washing is the most important practice for preventing crosscontamination.   Assess

infant for signs of

infection, such as temperature instability, respiratory distress, petechiae, nasal nasa l congestion congestion,, or drainage from eyes or umbilicus. Useful in the diagnosis of infection;  temperature alone is not reliable for preterm infant with impaired inflammatory response.   Perform

care of umbilical cord

according accordin g to hospital protocol. proto col. Local application of alcohol various antimicrobials helps prevents colonization.   Breast

milk for feeding, if

available.

EVALUATION

Goal met. After 8 s hours of duty, the infants did not show any signs of infection such as temperature instability, respiratory distress and purulent discharge or secretions.

 

east Br east

milk contains IgA,

macr ophages, ophages, lymphocytes, and neutr ophils, ophils, which pr ovide ovide some pr otection otection fr om om infection. Collabor ative: ative: Obtain  Obtain

specimens as indicated

(e.g., urine through aspiration, blood, CSF, visible skin lesions, nasopharynx, or sputum, if infant is intubated Cultures/sensitivity Cultures/s ensitivity tests are necessary to diagnose pathogens and identify appropriate therapy.

Educative: Teach caregiver the signs and  Teach symptoms of infection in the umbilical cord (redness, swollen umbilical stump, green and yellow discharge, bleeding). Encourages immediate response if infection occurs.