Anyone can get typhoid fever but the greatest risk exists to travelers visiting countries where the disease is common. Occasionally, local cases can be traced to exposure to a person who is a chronic carrier. Outbreaks are rare.
Early symptoms include fever, general ill-feeling, and abdominal pain. High fever (103°F, or 39.5°C) or higher and severe diarrhea occur as the disease gets worse.
Other symptoms :
- Abdominal tenderness
- Weakness
- Chills
- Agitation
- Bloody stools
- Severe fatigue
- Confusion
- Difficulty paying attention (attention deficit)
- Delirium
- Fluctuating mood
- Hallucinations
- Nosebleeds
- Slow, sluggish, lethargic feeling
Nursing Diagnosis and Nursing Intervention for Typhoid Fever
1. Hyperthermia
Related to
- salmonella thypi infection process
Hyperthermia is resolved
Expected outcomes
- Temperature, pulse and respiration within normal limits, free from cold and no complications associated with typhoid problem.
Nursing Intervention for Typhoid Fever
- Observation of the client's body temperature,
- encourage families to limit the activities of the client,
- give compress with cold water (plain water) in axila area, groin, temporal when heat,
- encourage families to put on clothing that can absorb sweat like cotton,
- collaboration with doctors in the provision of anti piretik.
2. Risk for Imbalanced Nutrition: Less than body requirements
Related to
- inadequate intake
Goal :
- adequate nutrition
- Appetite increased,
- indicating stable weight / ideal,
- the value of bowel / intestinal peristalsis normal,
- normal laboratory values,
- conjunctiva and mucous membranes are not pale lips.
Nursing Intervention for Typhoid Fever
- Assess client's nutritional patterns,
- review of eating in the client likes and dislikes,
- recommend bed rest / activity restrictions during the acute phase, balanced body weight each day.
- Encourage clients to eat little but often,
- record or report such things as nausea, vomiting, stomach pain and distension,
- collaboration with a nutritionist for dietary administration,
- collaboration in laboratory tests such as hemoglobin, hematocrit and albumin,
- collaboration with physicians in the provision of anti-emetics such as (ranitidine).
