NURSING CARE PLAN ASSESSMENT Subjective: -General feeling of discomfort.

-Body aches -Headache -Exposure to person with SARS Objective: -Temperature greater than 38 degree Celsius 2 to 3 days. -Chills -Diarrhea -Dry nonproductive cough 2 to 7 days -Hypoxia -Positive diagnostic test = DIAGNOSIS Infection related to failure to avoid pathogen secondary to exposure to SARS-CoV PLANNING Short term: After 8 hours of nursing intervention, the patient will be able to: -maintain a normal body temperature of 36.5 to 37.5 degree Celsius -reduce the respiratory symptoms Long term: After 3-5 days of nursing intervention, the patient will be able to: -reduce the risk to spread of infection -maintain absence of respiratory symptoms. INTERVENTION Independent: -Monitor temperature -Monitor lung sounds and cough. -Monitor oxygen saturation. *Maintain respiratory isolation. -Keep tissues at the patients bedside. -Dispose secretions properly. -Have the patient cover mouth when coughing or sneezing. -Use masks (particulate N95 mask is preferred). -Have anyone entering the patients room wear a mask. RATIONALE EVALUATION Patient exhibits absence of fever and absence of respiratory symptoms. -Risk of spread of infection is reduced.

-SARS usually begins with a high temperature and chills.

-Bronchial lung sounds are evident in The goal was partially areas of lung met. consolidation. A dry, nonproductive cough is common. -Respiratory compromise results in hypoxia. -SARS spread by close contact as do other respiratory illnesses. It is spread most rapidly through droplet transmission in which the infected particles are large and can travel only about 3 feet. But the virus can also spread by touching a surface contaminated by the droplets, and then

touching ones mouth -Keep door closed at all times and place respiratory isolation sign where visible. -If the patient is transported out of the room, have him or her wear a mask. nose, or eyes.