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.