The first symptoms of typhoid are much like influenza. Fever, headache, back-ache, loss of appetite, chilliness with occasional nose-bleed, diarrhea or constipation are the common complaints. When these conditions continue for a length of time typhoid is suspected. The temperature gradually gets higher and higher, often reaching 104 F. The pulse, which usually is accelerated by increased temperature, is exceptionally slow. During the first week or ten days the temperature climbs and holds steady for another equal period, and then gradually falls to normal by the end of the fourth week.
Nursing care Plan for Typhoid Fever
Nursing Diagnosis : Imbalanced Nutrition Less Than Body Requirements
Definition : insufficient intake of nutrients for metabolic needs.
Defining characteristics :
- Weight 20 % less than ideal.
- Weak muscle tone.
- No appetite.
NOC
Nutritional status
Indicators:
- Intake of nutrients.
- Food and fluid intake.
- Energy.
- Body weight.
NIC
Controlling nutrient
Activities:
- Measuring the weight of the patient at the prescribed distance.
- Monitor symptoms of deficiency and weight gain.
- Monitor the patient's emotional response when placed in situations that involve food and eating.
- Monitor the interaction of parent / child during feeding, if necessary.
- Control the state of the environment when eating.
- Skin turgor control, if necessary.
- Drought monitor, thin hair so easily fall.
- Monitor swallowing gum, tartar, and the addition of the wound.
- Controlling nausea and vomiting.
- Monitor the level of energy, discomfort, fatigue, and weakness.
- Monitor network pale, flushed, and dried.
- Monitor redness, swelling, and cracking in the mouth / lips.