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
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
44.
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.