Nursing Diagnosis for Encephalitis and Nursing Interventios for Encephalitis

Nursing Diagnosis for Encephalitis

1. High risk of infection associated with lower body resistance to infection
2. High risk of injury associated with seizure activity

Nursing Interventios for Encephalitis

1. High risk of infection associated with lower body resistance to infection
   
   Goal :
   no infection
   
   Expected results :
   Healing on time with no evidence of spread of infection endogenous
   
   Nursing Intervention :
   • Defense aseptic technique and proper hand washing techniques either nurses or visitors. Monitor and limit visitors.
     R /. reduce the risk of patients exposed to secondary infection. control the spread of the source of infection.
   • Measure the temperature on a regular basis and clinical signs of infection.
     R /. Detecting early signs of infection
   • Give antibiotics as indicated
     R /. Drugs are selected depending on the type of infection and sensitivity of the individual.
   
   
2. High risk of injury associated with seizure activity
   
   Goal :
   There was no trauma
   
   Results expected :
   • Not having a seizure
   • No trauma
   
   Nursing Intervention :
   • Give safety to patients by giving bearings, fixed the bed barriers and give a booster attached to the mouth, the airway remains free.
     R /. Protect patients in case of seizure, booster mouth somewhat tongue is not bitten.
     Note: enter the booster mouth when the mouth just relaxation.
   • Maintain bed rest in the acute phase.
     R /. Lowering the risk of falling / injury during the vertigo.
   • Collaboration
     Give the drug as an indication as delantin, valum, etc..
     R /. An indication for treatment and prevention of seizures.
   • Observation of vital signs
     R /. Early detection of seizures for possible further action.