Assess for infection.
-look for main components (fever-may be low grade, redness-
erythema, swelling-edema, pain, and heat). Often there is another component…loss
Note pain of any kind (head, chest, abdominal, or extremities)
Increased nasal secretions or abnormal breath sounds indicate the possibility
of respiratory infection.
-those infections that progress to involve more than one organ
system, are more difficult to treat and generally result in poorer outcomes, resulting
from lack of treatment of localized infection.
Clients at risk are those of decreased primary defenses or inadequate
Sign and symptoms affect the entire body which define a clinical syndrome
that determines the diagnosis of infection (general malaise, fever, myalgia,
arthralgia, and nonspecific GI symptoms-nauseas, vomiting, cramoing, or
GI symptoms can also indicate a localized infaction
Fever is not always present
If infection is unrecognized-can lead to dehydration, acidosis, septic shock,
and possible death within a short period.
-infection in the bloodstream may result from surgery or
contaminated central venous catheters (client C/O tiredness, fever and also
chills, sweats, myalgia, and arthralgia and also may C/O headache and stiff
UTI may be present if there is urinary frequency, urgency, and dysuria
Pyelonephritis may be present if fever, flank pain, chills, and sweats