c





  

c
  
 
  
 

 
   

 
— Incision site Risk for infection Broken skin due After 45-60 — Teach patient to — Hand After 45
on the RUQ related to to minutes of wash hands washing minutes of
of the inadequate Cholecystectom nursing often and after reduces the nursing
abdominal primary defense y interventions, administering risks for interventions,
area (broken skin) the patient self-care. infection the patient
— Redness on secondary to Exposure to will able to: — Discuss to was able to:
the skin surgical environment 1. Restore patients the — To impart to 1. Slightly
surrounding intervention primary following signs the patient restore
the incision (Cholecystectomy Pathogens can defense of infection - when the primary
sight ) penetrate the redness, wound defense
as manifested by skin easily swelling, become à 


 increased pain, infected   
— Incision site in Risk for or purulent and when 

the abdominal infection 2. Show drainage on the to sought 
area signs of site and fever medical 2. Show
— Redness healing in care signs of
the — Demonstrate healing in
incision and allow return the
site demonstration incision
 of wound care site
— Demonstrate à 

— To know if
and encourage  
the patient
doing proper 

really
dressing.
understand
— Emphasize
the principle
compliance to
of wound
medication
care
(antibiotic)
— To prevent

exposure to
— Administer
the
prophylactic
Environmen
antibiotics as
t
indicated
(Ceftriaxone
— To promote
Sodium) 1 gm
healing
IVT q12 for 2
Doses and
Sultamicillin
Tosylate
— To inhibit
(Zunamyn)
synthesis of
750mg/tab BID
bacterial
 cell wall,
causing cell
death