Nursing Study Guide/Care of Haematological Needs

Care for client with immune impairment

Wikipedia has related information at Neutropenia

Isolate client and provide gloves, gown and masks for visitors and health workers to reverse barrier (protect client)
Prioritize care to minimize disruption to clients environment, clean procedures first.
Use single room if CRP >15 Pressuruized room if client CRP>60
Avoid introduced food, gifts and flowers
Allocate daily cleaning
Select diet with high lactobacillus and good food safety (eg no icecream because of the bacteria count)
Eliminate fresh salads and unpeeled fresh fruits or vegetables.
Deep breathing and coughing to avoid stagnation.
Provide client with mask for ambulation outside room.
Observe and protect skin (prevent breakdown)
Observe fastidious hygiene measures and five moments of hand hygiene.
Mouth care and disinfectant mouthwash
Monitor IV site and Consider Central line to prevent peripheral thrombophlebitis.
Four hourly vital signs.
Continue until white cell count is in normal range (ANS Absolute Neutrophile count >1500 cells per microliter)
ICNP diagnosis 10022996 Immunologic Impairment or equivalent