Influenza (also known as flu, or grippe) is an acute inflammation of the nasopharynx, trachea, and bronchioles, with congestion, edema, and the possibility of necrosis of these respiratory structures. Influenza is a highly contagious infection of the respiratory tract caused by three different types of Myxovirus influenzae. It occurs sporadically or in epidemics which peaks usually during colder months.
Nursing Care Plans
Unless complications occur, influenza doesn’t require hospitalization and patient care usually focuses on the relief of symptoms.
May be related to
- Influenza viral infection
- Exposure to infection
- Alterations in fluid and electrolyte balance
Possibly evidenced by
- Warm, flushed skin
- Dry mucous membranes
- Changes in mentation
- Increased BUN and creatinine
- Electrolyte imbalances
- Patient will achieve and maintain a normal temperature.
- Patient will achieve and maintain a balanced intake and output with adequate hydration.
- Patient will be afebrile with stable vital signs.
|Monitor VS especially temperature, every 2-4 hours and as needed. Utilize the same methods of temperature reading with each measurement.||Helps to evaluate the efficacy of treatment and monitors for complications that may occur as a result of increased temperature. Consistency in methods allows for accurate data collection and correlation. Increased temperature is a response to the inflammatory process associated with the disease.|
|Administer antipyretics as ordered.||This type of drug affects the hypothalamic control center to reduce the elevated temperature.|
|Provide tepid sponge baths.||Increases heat loss by evaporation. Tepid baths help prevent chilling that may aggravate and increase temperature.|
|Use a cooling blanket if the temperature will not decrease with the use of other methods and if the temperature is above 102.5ºF (39.1º C)||Hypothermia blankets remove heat by conduction via the cool solution that is circulated in the mattress placed above and/or below the patient. The cooling blanket must be covered to prevent skin tissue injury and burns. They may also lower the temperature quickly and should be monitored to ensure that a hypothermic condition does not occur. Shivering actually increases the patient’s metabolic rate and temperature.|
|Decreases environmental temperature and remove extra blankets as warranted.||Helps reduce temperature|
|Encourage an increase in fluid intake to 3-4 L/day, unless contraindicated.||Increase in body temperature multiplies insensible fluid losses by 10% for every 1 degree C of increase in body temperature, which may result in dehydration.|
|Monitor intake and output every 2-4 hours.||Helps to identify fluid status changes and imbalances, and allows for prompt treatment.|
|Notify physician of temperature increases that do not respond to any measure used.||May indicate other sources of temperature aberration and may cause permanent organ damage.|
|Monitor patient for seizures.||Seizure may occur with high temperatures because of hyperactivity within the brain, which can cause further impair tissue perfusion.|
|Instruct patient/family in use of hypothermia blanket, reasons for use, signs, and symptoms of complications, etc.||Provides knowledge and helps to involve the patient and the family in care.|
|Instruct patient/family on medications, side effects, and symptoms to report to the nurse.||Involves patient and family in care and provide knowledge that facilitates compliance.|
Recommended nursing diagnosis and nursing care plan books and resources.
- Nursing Care Plans: Nursing Diagnosis and Intervention (10th Edition)
An awesome book to help you create and customize effective nursing care plans. We highly recommend this book for its completeness and ease of use.
- Nurse’s Pocket Guide: Diagnoses, Prioritized Interventions and Rationales
A quick-reference tool to easily select the appropriate nursing diagnosis to plan your patient’s care effectively.
- NANDA International Nursing Diagnoses: Definitions & Classification, 2021-2023 (12th Edition)
The official and definitive guide to nursing diagnoses as reviewed and approved by the NANDA-I. This book focuses on the nursing diagnostic labels, their defining characteristics, and risk factors – this does not include nursing interventions and rationales.
- Nursing Diagnosis Handbook, 12th Edition Revised Reprint with 2021-2023 NANDA-I® Updates
Another great nursing care plan resource that is updated to include the recent NANDA-I updates.
- Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5(TM))
Useful for creating nursing care plans related to mental health and psychiatric nursing.
- Ulrich & Canale’s Nursing Care Planning Guides, 8th Edition
Claims to have the most in-depth care plans of any nursing care planning book. Includes 31 detailed nursing diagnosis care plans and 63 disease/disorder care plans.
- Maternal Newborn Nursing Care Plans (3rd Edition)
If you’re looking for specific care plans related to maternal and newborn nursing care, this book is for you.
- Nursing Diagnosis Manual: Planning, Individualizing, and Documenting Client Care (7th Edition)
An easy-to-use nursing care plan book that is updated with the latest diagnosis from NANDA-I 2021-2023.
- All-in-One Nursing Care Planning Resource: Medical-Surgical, Pediatric, Maternity, and Psychiatric-Mental Health (5th Edition)
Definitely an all-in-one resources for nursing care planning. It has over 100 care plans for different nursing topics.
Other recommended site resources for this nursing care plan:
- Nursing Care Plans (NCP): Ultimate Guide and Database
Over 150+ nursing care plans for different diseases and conditions. Includes our easy-to-follow guide on how to create nursing care plans from scratch.
- Nursing Diagnosis Guide and List: All You Need to Know to Master Diagnosing
Our comprehensive guide on how to create and write diagnostic labels. Includes detailed nursing care plan guides for common nursing diagnostic labels.
Other nursing care plans related to respiratory system disorders:
- Asthma | 8 Care Plans
- Bronchiolitis | 5 Care Plans
- Bronchopulmonary Dysplasia (BPD) | 5 Care Plans
- Chronic Obstructive Pulmonary Disease (COPD) | 7 Care Plans
- Cystic Fibrosis | 5 Care Plans
- Hemothorax and Pneumothorax | 3 Care Plans
- Influenza (Flu) | 5 Care Plans
- Lung Cancer | 5 Care Plans
- Mechanical Ventilation | 6 Care Plans
- Near-Drowning | 5 Care Plans
- Pleural Effusion | 6 Care Plans
- Pneumonia | 11 Care Plans
- Pulmonary Embolism | 4 Care Plans
- Pulmonary Tuberculosis | 5 Care Plans
- Tracheostomy | 5 Care Plans