Wednesday, March 21, 2012

Nursing Care Plan for Varicella Zoster virus

Assessment for Varicella Zoster virus
  • Subjective symptoms: complaints of headache, anorexia and malese.
  • On the skin and mucous membrane: lesions in various stages of development: from erythematous macules that appear for 4-5 days and then quickly become vesicles and crusting that began in the body and spread sentrifubal prominent and extremities. Lesions may also occur in the mucosa, palate and konjunctiva.
  • Temperature: fever may occur between 38-39 C
Nursing Care Plan for Varicella Zoster virus

Nursing Diagnosis for Varicella Zoster virus

1. Impaired skin integrity related to trauma

2. Acute pain related to damage to the skin / tissue

3. Risk for Infection related to damage skin protection

4. Knowledge deficient related to incorrect interpretation of information


Nursing interventions for Varicella Zoster virus


DX 1

Impaired skin integrity related to trauma

Intervention:
  • Encourage regular bathing
  • Avoid scratching the lesions
  • Use a soft clothes
DX2

Acute pain related to damage to the skin / tissue

Intervention:
  • Use a powder analgesic and anti-pruritic.
  • Keep the room temperature is still cool with adequate moisture.

DX3

Risk for Infection related to damage skin protection

Intervention:
  • Perform isolation (strict isolation):

Strict isolation procedures:
  • Single room: the door should always be closed. Clients who become infected by the same organism can be placed in the same room.
  • Use masks, special clothing, and gloves for all those who come into the room.
  • Always wash your hands after touching the client or objects that may be contaminated, and before giving the action to other clients.
  • All contaminated items disposed of or put into a special place and labeled prior to decontamination or reprocessed back

DX4

Knowledge deficient related to incorrect interpretation of information
  • Teach the parents in the treatment of children in ruamah on things above.
  • Explain that fever d apat treated with tepid sponge bath did.
  • Explain that the use of medication must be in accordance with doctor's instructions.
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