السبت، 23 يونيو 2018

59-strep thoat

About
Bacterial throat infection with presence of A beta hemolytic Streptococcus organisms confirmed via culture.
Assess
Throat, pharynx, tonsils, uvula for redness, pus, drainage.
Assess pain, nasal drainage, presence of any other s/s.
Temperature, rapid strep test, culture.
Complications
Rheumatic fever, rheumatic endocarditis, acute Glomerulernephritis- encourage client to continue antibiotics until completely gone, and to notify physician if symptoms do not improve within 24 hours or get worse after treatment.
Diagnosis
  • Pain related to inflammatory tissue changes in pharynx
  • Sleep deprivation related to disruption in normal sleep cycles
  • Risk for infection related to possible complications of Streptococcus bacteria

Goals
  • Client will state a decrease in pain.
  • Client will demonstrate medication regimen and importance of maintaining medication regimen even if symptoms improve.

Interventions
  • Monitor VS, specifically temperature.
  • Monitor and assess airway, pharynx.
  • Encourage fluids, throat gargles.
  • Administer analgesics prn as ordered.
  • Teach client about medication regimen, including when to take, how often, potential side-effects, reasons to seek additional medical attention.
  • Monitor for signs/ symptoms of complications.

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