Typhoid fever carry the bacteria in their bloodstream and intestinal tract and can spread the infection directly to other people by contaminating food or water.
What are the signs and symptoms of typhoid fever?
If you have typhoid fever you may have the following symptoms:
- • constant fever up to 104°
- • diarrhea
- • constipation
- • stomach pain
- • headache
- • malaise
- • nonproductive cough
- • slow heart rate (bradycardia)
- • anorexia
Health History Now
Why patients enter the hospital and what the major complaints of patients, so it can be
enforced priority nursing issues that may arise.
- Previous Health History
- Does the patient had been ill and treated with the same disease.
- Family Health History
- Does anyone in the family of patients, the sick like a patient.
- Psychosocial History
- Intrapersonal: the feeling felt client (anxious / sad)
- Interpersonal: relationship with other people.
- Patterns of health function
- The pattern of nutrition and metabolism.
- Usually the client is reduced appetite due to a disruption in the small intestine.
- Rest and sleep patterns
- During the pain patients feel unable to rest because the patient felt pain in her
- stomach, nausea, vomiting, sometimes diarrhea.
- Physical examination
- Awareness and patient's general condition
- Patient awareness of the need to study the unconscious - not conscious (composmentiscoma) to assess the severity of the patient's disease prognosis.
- Vital Signs and physical examination Head to foot
- Blood pressure, pulse, respiration, temperature which is a measure of the general
- condition of patient / patient's condition and includes examination from head to toe by using
- the principles of inspection, auscultation, palpation, percussion), in addition to body weight
- were also aware of any decline weight because of the increased nutritional deficiencies that
- occur, so it can be calculated nutritional needs required.
The increase in body temperature associated with the infection process of salmonella thypii
Nursing Intervention for Typhoid fever
Objectives : Normal body temperature
- Observation of the client's body temperature
- Rational: to know the changes in body temperature.
- Encourage the family to put on clothing that can absorb sweat like cotton
- Rational: to maintain body hygiene
- Collaboration with physicians in the provision of anti piretik
- Rational: to reduce the heat to the drug
- Give an explanation of the importance of fluid requirements in patients and families.
- Observation of input and output of fluid.
- Instruct the patient to drink plenty of 2.5 liters / 24 hours.
- Observation drip infusion.
- Collaboration with physicians to fluid therapy (oral / parenteral).