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Nursing Diagnosis and Nursing Interventions for Malaria

Nursing Diagnosis and Nursing Interventions for Malaria


Nursing Diagnosis and Nursing Interventions for Malaria
  1. Changes in nutrition less than body requirements related to inadequate food intake, anorexia, nausea / vomiting

    Nursing Intervention :
    • Assess history of nutrition, including foods that are preferred. Observation and record the client's food input.
      Rational: watching caloric intake or lack of quality of food consumption.
    • Give extra food to eat little and small.
      Rational: gastric dilatation may occur when feeding too fast after a period of anorexia.
    • Maintain a schedule of regular body weight.
      Rational: Monitors the effectiveness of weight loss or nutrition intervention.
    • Discuss the preferred client and input in a pure diet.
      Rational: It can increase input, increase the sense of participation / control.
    • Observation and record the events of nausea / vomiting, and other related symptoms.
      Rational: to show the effect of GI symptoms of anemia (hypoxia) on organ.
    • Collaboration with a dietitian.
      Rational: Need help in planning a diet that meets nutritional needs.
  2. High risk of infection related to a decrease in body systems (main defense is inadequate), invasive procedures.

    Nursing Intervention:
    • Monitor body temperature increases.
      Rational: Fever caused by the effects of endotoxin on the hypothalamus and hypothermia are important signs that reflect the development status of shock / decrease in tissue perfusion.
    • Observe the chills and diaforosis.
      Rational: Shivering often precedes the height of the temperature on a common infection.
    • Monitor the sign deviation condition / failure to improve during therapy.
      Rational: It can show Inaccurate antibiotic therapy or growth of organisms.
    • Provide anti-infective medication as directed.
      Rational: It can kill / give temporary immunity to common infections.
    • Get spisemen blood.
      Rational: The identification of the causes of malaria infections.


  3. Hyperthermia is related to increased metabolism of circulating germ dehydration direct effect on the hypothalamus.

    Nursing Intervention:
    • Monitor patient's temperature (degree and pattern), note the chills.
      Rational: Hipertermi showed an acute infectious disease process. The pattern of fever indicates a diagnosis.
    • Monitor the temperature of the environment.
      Rational: The temperature of the room / the number of sheets should be changed to maintain the temperature close to normal.
    • Give a warm compress bath, avoid using alcohol.
      Rational: It can help reduce a fever, use of ice / alcohol may cause cold. In addition, alcohol can dry the skin.
    • Give antipyretics.
      Rational: Used to reduce fever with its central action on the hypothalamus.
    • Give a cooling blanket.
      Rational: Used to reduce fever with hyperthermia.

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