Patients Initials: P.Y.

B
Age: 5 y.o
Gender: Female
Birth Place: Talisay City
Ward: Pedia (Miscellaneous area)
Date of Admission: December 2, 2016
Attending Physician: Dr. R.G
CC: Fever for 5 days
General Objective: To recognize the physiologic responses of the body to disease conditions-- pathologic, physiologic, and
compensatory.
Cues Nursing Rationale Desired outcome Nursing Rationale Evaluation
Diagnosis Interventions
Ga sakit kun Acute pain A urinary tract Within 8 hours of Independent Independent After 8 hours of
mangihi ko related to infection is effective nursing 1. Monitor vital 1. Changes in effective nursing
Cervical physiologic usually a care, there will be signs, autonomic care, there is an
Lymphadenitis reponse to bacterial an absence of noting age- responses may absence of
WBC 12.6 units infection acute pain as appropriate indicate inreased acute pain as
infection that
Bacteriuria (8.6) secondary to evidenced by: normals pain. evidenced by:
Blood in urine 3+ UTI affects the variations. Temperature will
Protein +1 urinary system. 2. Monitor identify infection. > Patient was
Segmenters: 0.87 Normally, urine 2.To identify able to have an
bacteria that > Reports no pain output to indications of efficient
enter the during urination. changes in progress or urination.
urinary tract are color, odor deviations from
> No tension in
rapidly removed >There will be no the bladder.
and the expected
by tension in Bladder voiding results.
the body before > calm
patterns, 3.Helps appearance
they cause >The patient will
input and evaluate the
symptoms. appear calm
output place of > Normal vital
However, every 8 obstruction and signs
sometimes > Temperature
hours and the height of
bacteria will be
consistently monitor pain.
overcome the results 4.Nonpharmaco
normal.
the bodys of logical pain
natural urinalysis management
defenses and repeated. promotes
cause infection. 3. Record the relaxation; may
In response to location, reduce level of
infection, the length pain and
increased renal of the enhance
blood flow and intensity coping.
infiltration of scale (1- 5. Helps reduce
WBCs occur in 10) the fatigue and
the infected spread of enhances
area. These pain. coping ability.
stretch the 4. Provide 6.Increased
renal capsule comfort hydration flushes
which irritates measures, out the bacteria
the nerve such as and toxins.
7. Can relieve
endings in the repositioni
anxiety and help
area, causing ng, back reduce intensity
the activation of rub, and of pain.
pain receptors. use of 8. Prevents the
The location of breathing. contamination of
the pain is 5. Encourage urethra.
attributed to sleep and 9. Provides
the rest comforting
retroperitoneal periods. presence.
anatomic site of 6. Encourage 10. Illness and
to increase the potential for
urinary tract.
fluid intake a poor outcome
Patient P.Y.B may frighten
was diagnosed child and folks.
to have the UTI. 7. Encourage
Knowledge
She manifested expression decreases
dysuria due to of feelings anxiety related to
the about unfamiliar
inflammation of pain. events.
her urinary 8. Emphasize Dependent
tract. She also the 1. Reduces
complaint of importance bacteria
having of hygiene, present
especiallt in urinary tract
lymphadenitis.
the genital and those
Her lab results or perineal
shown that her introduced by
care.
WBC increased, 9. Suggest drainage
presence of parent or system
bacteria, blood folks to be 2. Provides
in urine, and with the nourishment of
child during the tissues and
proteinuria.
procedures. keep patient
These are all hydrated.
significant to 10. Provide
comfort Collaborative
UTI 1. Urine test
and
emotional can
support; identify
keep client the
and family presence
informed of of
findings. bacteria.
2. Increased
WBC
Dependent determine
1.Administer s that
antibiotic there is a
s bacteria
or an
(ceftriaxo
infection.
ne 1g IVf
10 drips)
as
 ordered.
2. Initiate IV
fluids as
ordered (PLR
125ml/hr)

Collaborative
1. Monitor
Urinalysis
as obtained
2. Monitor
Complete
Blood count
as obtained