Nursing 213

N213: Health Differences Across the Lifespan 3 Study Guide Nursing diagnosis for streptococcal infections: • Impaired gas exchange related to inflammation and infection of the airway, especially distal air spaces • Risk for altered body temperature • Pain related to the inflammatory process • Risk for fluid volume deficit related to difficulty swallowing • Activity intolerance related to hypoxia and weakness, secondary to altered respiratory function • Risk for ineffective management of a therapeutic regimen related to a knowledge deficit of the disease process Nursing interventions for streptococcal infections: • Provide antipyretics for pain and fever • Encourage increased fluids, popsicles, or ice chips • Administer orderedmedications: o Penicillin and Cephalosporin: These are the first line of treatment in people with no sensitivities or allergies to these drug classes o Erythromycin: Used for those who are allergic to Penicillin or Cephalosporin, but not a first line treatment as it may take longer to relieve symptoms • Instruct on medication compliance, encourage no smoking, and teach deep breathing exercises • For pneumonia, place the patient in an upright position to facilitatebreathing • Teach the patient to turn, cough and deep breathe (TCDB) every twohours • Give oxygen if ordered by MD • Check breath sounds frequently and 02 saturations if needed • Give salt water rinses for throat pain • Humidify the air in the room • Monitor for cyanosis, hypoxia, and signs of confusion • Offer a soft diet and small, frequent meals • Encourage rest periods or strict bed rest depending onseverity Expected outcomes for streptococcal infections: • Demonstrates no respiratory distress and maintains stable 02 saturations • Afrebrile with no alteration in body temperature • Verbalizes reduction in pain • Demonstrates adequate fluid intake and output • Able to tolerate increased activity • Demonstrates knowledge of disease process and medication compliance

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