About
Inflammation and invasion by viral, fungal, or bacterial organisms.
Assess
Respiratory, cardiac, vitals, increased temperature, tachycardia, hypotension, site of infection.
Complications
Sepsis- systemic infection; death
Diagnosis
- Risk for injury related to infectious process
- Hyperthermia related to infectious process
Goals
- The client will be free from infection.
- The client's temperature will return to normal.
Interventions
- Monitor vital signs, pulse oximetry, respiratory and cardiac status.
- Use standard precautions or other precautions as indicated ( contact, droplet, isolation, etc.).
- Encourage rest during acute illness.
- Administer antipyretics as indicated.
- Administer antibiotics as indicated.
- Obtain blood cultures, sputum samples, wound cultures, urinalysis as indicated.
- Administer fluids and IV therapy as indicated.
- Monitor for signs/ symptoms of complications.
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