Long-term tocolysis is not indicated for patients with preterm PROM, although short-term tocolysis may be considered to facilitate maternal transport and the administration of corticosteroids and antibiotics. Copyright 2006 by the American Academy of Family Physicians. Monitor the patients vital signs and signs of infection. Desired Outcome: The patient will prevent spread of infection to the rest of the body, as well as cross-contamination to other people by following treatment regimen for varicella infection. A sudden gush of clear watery fluid from the vagina is always seen in cases of PROM. Early recognition of infection to allow for prompt treatment. Before touching a patient.2. Nursing Diagnosis: Risk for infection related to loss of protective barrier as evidence by positive ferns test. Some conditions associated with risk for infection are: Chronic illness Immunosuppression Invasive procedures Decrease in hemoglobin Leukopenia Open wounds Malnutrition Rupture of amniotic membranes Antibiotic therapy Altered pH of mucous secretions Nursing Assessment for Risk for Infection 1. In this condition, the sac (amniotic membrane) surrounding your baby breaks (ruptures) before week 37 of pregnancy. Nursing Care Plan Name of the Patient: Mrs. FlorenceMedical Diagnosis: Post CSNursing Diagnosis: Risk for infection related to premature rupture of membranesShort-Term Goal: Within the shift, patient will be able to identify ways to reduce risk for infection. Newborn Nursing Diagnosis & Care Plan | NurseTogether After touching a patient5. W]1}IM%2 \Xn+#DA #`K- b:/W_+y38'0R"ls}Hy6h_[~)W^/*&V\ackh6#pn*y@lr@lx C"%Q0-z8B^b>(Q*1|7ex&HfK2me_z#A)ZIdha A 24 year old pregnant female presents to the L&D triage area complaining of gush of water and constantly feeling wet. Patient information: See related handout on preterm premature rupture of membranes, written by the authors of this article. Maternal fever, fetal tachycardia, and malodorous discharge may indicate infection. Encourage the patient to effectively cough out mucus. Infection in the uterus may cause PROM and may also be a complication following PROM. Nursing Diagnosis: Risk for Infection related to contagious skin infection. Your provider will keep you in the hospital on bed rest and attempt to prolong the pregnancy. cancer, ongoing chemotherapy, diabetes, etc.). Its important to note that just because you cant feel contractions, your body is still preparing for labor. She found a passion in the ER and has stayed in this department for 30 years. Prevent infection and other potential complications. Teach the importance of physical distancing. Nursing diagnoses handbook: An evidence-based guide to planning care. Preventing infection is a vital role of all healthcare professionals. Promote nail care by keeping the client and the nurses fingernails short and clean. Ackley and Ladwigs Nursing Diagnosis Handbook: An Evidence-Based Guide to Planning CareWe love this book because of its evidence-based approach to nursing interventions. Varicella infection is generally treated using antiviral therapy. 7. Handwashing versus alcoholic rub can we afford 100% compliance?. Risk for Infection Nursing Diagnosis Care Plan - NurseStudy.Net Cleveland Clinic is a non-profit academic medical center. In most cases, this occurs near term, but when membrane rupture occurs before 37 weeks gestation, it is known as preterm PROM. {`!lC[OW|W9XgVibMaAp\Qx-
