NCP risk for allergic response PDF

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Summary

Nursing care plan: Risk for allergic response...

Description

A.Nursing Care Plan : Risk for Allergy Response Assessment SUBJECTIVE “Nangangati at nagpapantal po ako kapag nakakakain ng malalansang pagkain.” As verbalized by the client. OBJECTIVE T: 36.8 PR: 85 bpm RR: 16 cpm BP : 110/80 mmHg Ht : 5 ft. 1inch Wt : 47 kgs -warm and dry skin -dry rashes noted -(+) blanch test less than 2 secs -hair infestation noted -dark bown, evenly toned skin (except on areas exposed to sun) -Elastic turgor

Diagnosis Risk for Allergy Response related to eating restricted foods as evidenced by skin rashes

Planning After 4 hours of nursing intervention, the client will :

Implementation To promote wellness : Instruct in signs of reaction and emergency treatment needs

SHORT TERM

1.Provide educational resources and assistance numbers for emergencies

1.Verbalize understanding of individual risks and responsibilities in avoiding exposure 2.Identify signs and symptoms requiring prompt response

2.To identify causative/precipitating factors related to risk: 3.Ascertain type of allergy and usual symptoms of client reports history of allergies (e.g., allergic dermatitis,environmental asthma,food intolerance)

LONG TERM 4.Note the client’s age 1.Be free of hypertensive response

To take measures to avoid exposure and reduce/limit allergic response: 5.Discuss client’s current symptoms, noting reports of rash,hives,itching. Ascertain if client/care provider associates these symptoms with certain food substances or environmental factors 6.Collaborate with all

Rationale 1.Allergic reactions range from skin irritation to anaphylaxis. Reaction may be gradual but progressive, affecting multiple body systems or may be sudden, requiring life saving treatment 2.When allergy is suspected or the potential for allergy exists, protection must begin with identification and removal of possible resources 3.Allergies can manifest as local reactions(as may occur in skin rashes) or be systemic. Client may be aware of some, but not all, allergies 4.Although allergies can

Evaluation

healthcare providers to administer medications and perform procedures with client’s allergies in mind

occur at any time in client’s life span, there are some that can start early in life. These include food allergies (seafoods) and respiratory ailments (asthma) 5.This may help isolate cause for a reaction 6.For interventions related to specific allergy conditions...