Nursing Care Conference on Upper Respiratory Tract Infection

1. SRN Noorhazamin Hamid
Nursing Education Services

9. Define upper respiratory tract
infection.
Identify the pathophysiology of
URTI.
State the sign & symptom of URTI.
Identify the risk factors of URTI.

10. Identify the complication of URTI.
Identify the nursing intervention &
appreciate the nursing care for
URTI patient.

11.  Mr L
 Male
 26 years old
 Technician
 Malay

12. Doctor = Dato’ I
Diagnosis
= URTI (upper respiratory
tract infection)
= Influenza B

13. Medical history - Nil
Family history - Nil
Surgical history - Nil
Allergic - Nil

14. Smoking – 12 sticks /
day
All normal

15. Temp = 38.5˚C
Pulse = 72 bpm
Resp = 22 bpm
B/P = 130/80 mmHg
Weight = 99 kg

16. Mr L was admitted to 4XX-1
with complaint of :
Fever
Cough 2/57
Rhinorrhoea
Muscle & joint pain

17. Dext saline slow drip
Med profile, ASOT, dengue
serology
CXR , CT Sinus
Nasal swab for flu A & B
Sputum AFB & C&S

19. Inflammation of the
upper respiratory tract
cause by viral or
bacterial infection.

21. Infectious disease cause by
RNA viruses
(Orthomyxoviridae) and
mutates 2-3 times slower
than type A.

26. High fever
Cough
Rhinorrhea
Muscle & joint pain
Rigor
Sore throat
Headache
Fatigue

29. Smoking
Old age & children
Low immune system
Poor hygiene habit
Close contact with sick people
Pregnant

31. Pneumonia
Sinusitis
Ear infection
Meningitis

33. White blood cell count
- 10.7 (4.3 – 10.5 10³/UL)
Monocyte
- 11.7% (1-11%)
Sodium
- 134 mmol/L (135 – 155)

34. Bacteria
- Occasional (Nil)

35. CXR - Normal
CT SINUS - Pansinusitis

36. AFB - Not seen
C&S - No growth seen

37. Influenza A antigen
- Not detected
Influenza B antigen
- Detected

39. Group : Anti
inflammatory, analgesic,
antirheumatic
I : Reduce pain & fever

40. Group : Corticosteroid
hormones
I : Anti inflammatory, anti-
allergic & antitoxic

41. Group : Penicillin
I : Antibiotic

42. Group : Anti viral
I : Halt the spread of virus in
body, reduce symptom &
complication

43. Group : Cough & cold
remedies
I : Relief of congestion & dry
irritating cough e.g. those
associated with common
cold, upper resp tract
infection & allergic rhinitis

45. 1. Alteration in body T˚:
hyperthermia related to
infection
2. Alteration in breathing
pattern related to cough.

46. 3. Fluid & electrolyte imbalance
related to decrease fluid intake
& diaphoresis.
4. Alteration in nutritional status
related to loss of appetite.

47. Goal : Patient’s body temperature will
reduce to normal range after 4 hours
nursing intervention given & during
hospitalization.
Supporting data :
Non verbal : T˚ = 38.5˚C, shivering, skin is
warm to touch & having flushing face.
Verbal : C/O chills & rigor.

48. 1. Assess pt gen condition e.g. appearance
& complaint.
R – As a baseline data for further action.
2. Monitor pt’s T˚ every 4 hourly.
R – To detect any elevation in body T˚.
3. Do tepid sponge if T˚ >38.5˚C
R – To promote heat loss via diaphoresis.

49. 4. Provide condusive environment e.g.
switch on aircond and good ventilation.
R – To promote heat loss from body.
5. Encourage pt to drink > 2L of water per
day.
R – To replace fluid loss.
6. Advise pt to wear thin cloth.
R – To prevent heat accummulation.

50. 7. Administer IVD as ordered by doctor.
R – To replace body fluid loss.
8. Monitor IX as ordered e.g. med profile,
dengue serology, sputum AFB etc.
R – To rule out source of infection.

51. 9. Administer medication e.g Voren Supp
50mg STAT/PRN as ordered by doctor.
R – To help reduce the T˚.
10. Inform doctor if condition
deteriorating or not improving.
R – For review of changing of treatment.

52. Goal : Patient’s breathing pattern will be
maintain at normal respiration rate after
4 hours nursing intervention given and
during hospitalization.
Supporting data
Non-verbal : Resp rate = 22 bpm, irregular
pattern & coughing.
Verbal : C/O difficulty to breathe .

53. 1. Assess pt gen condition e.g. resp rate,
breathing pattern & complaint.
R – As a baseline data for further
management.
2. Monitor resp rate & pattern every 4
hourly.
R – To detect any abnormalities.

54. 3. Positon patient in semi Fowlers or
Fowlers.
R – To promote lung expansion.
4. Teach patient DBE and effective cough
technique.
R – To promote effective breathing.

55. 5. Advise patient to rest in bed and
minimize activities.
R – To prevent more oxygen
consumption.
6. Carry out IX as ordered e.g. CXR, CT
sinus & sputum.
R – To rule out cause of infection.

56. 7. Administer medication as ordered e.g.
Sedelix 10ml TDS.
R – To help reduce cough.
8. Inform doctor if condition deteriorate
or got any abnormalities.
R – For review of treatment & changes.