Neonatal Sepsis is an infection in the blood that spreads throughout the body and occurs in a neonate. Here are 5 Neonatal Sepsis Nursing Care Plans.
Neonatal Sepsis is also termed as Neonatal Septicemia and Sepsis Neonatorum.
Neonatal Sepsis has 2 types: The one that is seen in the first week of life is termed as Early- onset sepsis and most often appears in the first 24 hours of life.
The infection is often acquired from the mother. This can be cause by a bacteria or infection acquired by the mother during her pregnancy, a Preterm delivery, Rupture of membranes (placenta tissue) that lasts longer than 24 hours, Infection of the placenta tissues and amniotic fluid (chorioamnionitis) and frequent vaginal examinations during labor. The second type or the Late-onset Sepsis is acquired after delivery. This can be cause by contaminated hospital equipment, exposure to medicines that lead to antibiotic resistance, having a catheter in a blood vessel for a long time, staying in the hospital for an extended period of time.
Signs and symptoms of Neonatal Sepsis includes but is not limited to: body temperature changes, breathing problems, diarrhea, low blood sugar, reduced movements, reduced sucking, seizures, slow heart rate, swollen belly area, vomiting, yellow skin and whites of the eyes (jaundice). Possible complications are disability and worst is death of the neonate.
This post has 5 Neonatal Sepsis Nursing Care Plans
1. Hyperthermia - Neonatal Sepsis Nursing Care Plans
NDx: Hyperthermia related to inflammatory process/ hypermetabolic state as evidenced by an increase in body temperature, warm skin and tachycardia
Due to the presence of an infectious agents, stimulation of the monocytes triggers the release of the pyrogenic cytokines that stimulate anterior hypothalamus which results in elevated thermoregulatory set point that leads to an increased heat conservation (Vasoconstriction) and increased heat production which results to fever.
| Assessment | Planning | Intervention | Rationale | Expected Outcome |
| Subjective: May manifest:
Objective: The patient may manifest one or more of the following:
| Short-term: After 30 minutes of nursing intervention the patient will maintain normal core temperature as evidenced by vital signs within normal limits and normal WBC level Long Term: After 3 days of NI, pt will still maintain normal core temperature as evidenced by normal vital signs and normal laboratory results.
| Independent 1. Monitor neonate’s condition. 2. Monitor Vital signs 3. Provide TSB Interdependent 4. Ensure that all equipment used for infant is sterile, scrupulously clean. Do not share equipment with other infants Dependent 5. Administer Anti-pyretics as ordered | 1. To determine the need for intervention and the effectiveness of therapy. 2. To have a baseline data 3. Helps in lowering down the temperature 4. this would prevent the spread of pathogens to the infant from equipment 5. aids in lowering down temperature | The patient shall maintain normal core temperature as evidenced by normal vital signs and normal laboratory results. |
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