Question

Your patient is a 35 year-old African American female patient that has allergic rhinitis. Her prescriptions include loratadine 5mg/day and fluticasone two nasal inhalations per day. Previously she had taken OTC drugs and asked if she could continue to take the OTC drugs with her prescription. She has never used a nasal inhaler before. She is admitted to your unit with a fever of 103? and you are supposed to take care of her. Write a care plan for this patient, providing six goals each with a non-pharmacological interventions and scientific rationales that you would use. Present your interventions and scientific rationales in the form of a table below:

Goals:

1

2

3

4

5

6

Intervention Scientific Rational Evaluation Goal Achieved

1

2

3

4

5

6

Answer 1

Goals:

1)Impaired thermo regulation related to increased body temerature

2)Impaired gas exchange related to blocked nose due to to inflammation

3)Risk for infection related to infection

4)Disturbed sleep pattern related to disease condition

5)Risk for side effects related to the use of medications

6)Health education related to the disease condition

Goals Achieved:

1)Impaired thermo regulation related to increased body temerature

• Cold sponge decreases the body temperature
• Increase the intake of fluid to bring down the body temperature
• Provide cold blankets to the patients

2)Impaired gas exchange related to blocked nose due to to inflammation

• Steam inhalation relieves the nasal blockages
• Encourage breathing exercise
• Provide good ventilated area
• Monitor saturation level

3)Risk for infection related to infection

• Practice hand hygiene to prevent cross infection
• Provide health diet to improve his immunity

4)Disturbed sleep pattern related to disease condition

• Provide calm and quiet environment

5)Risk for side effects related to the use of medications

• Assess for any reactions like headache, swelling of ankles,wheezing, dizziness,trouble breathing

6)Health education related to the disease condition

• Educate about the disease condition
• Inform about not to use over the counter medicine and its side effects