Nursing diagnosis – risk for laterx allergy response

Risk for allergy latex response
DEFINITION
Risk of hypersensitivity to natural latex rubber products
RISK FACTORS
• RISK FOR LATEX ALLERGY RESPONSE
• Spina bifida
• Frequent medical or occupational
exposure to latex
• History of atopy
• History of food allergies, such
as allergies to bananas, kiwi,
avocados, chestnuts, or
pineapple
• Professions that involve daily
exposure to latex
• Conditions associated with
continuous intermittent
catheterizations
• Allergy to poinsettia plants
• History of reaction to latex
• History of allergies and asthma
ASSESSMENT FOCUS (Refer to comprehensive assessment parameters.)
• Activity/exercise
• Nutrition
• Tissue integrity
EXPECTED OUTCOMES
The patient will
• Regain normal vital signs, respiratory status, and laboratory values.
• Exhibit moist, clear skin that is free of erythema, edema, itching,
urticaria, and breakdown.
• Express awareness of allergic response to latex-containing products.
SUGGESTED NOC OUTCOMES
Allergy Response: Localized; Immune Hypersensitivity Response;
Risk Control
INTERVENTIONS AND RATIONALES
Determine: Determine whether patient has had past episodes of latex
allergy; food, pollen, or drug allergy. Report contacts with latex
products including when, where, and what. History will lead to
more precise assessment.
Monitor respiratory status; include rate, rhythm, skin color, and
breath sounds. Be particularly alert for signs of bronchospasms and
complaints of dyspnea. Assess heart rate, rhythm, and blood
pressure. Check skin carefully for urticaria. Document findings.
These measures detect changes in patient’s response to latex or other
substances that cause allergic reactions status.
Remove all latex products from the immediate proximity of the
patient and staff treating the patient to prevent inadvertent use of
latex products by the staff or patient, increasing the risk for contact
and allergic reaction.
Perform: Administer prescribed drugs and treatments as ordered.
Wheezing and shortness of breath can quickly deteriorate to respiratory
distress and failure. Skin with urticaria and itching is uncomfortable
and unsightly so patients appreciate timely administration of treatment.
Inform: Educate patient and family about allergic reaction to latex
products to prevent future contact and allergic reactions. Provide a
list of household items containing latex, emphasize importance of
avoiding these, and tell them about nonlatex substitutes. Prevention
is the foundation of treatment of latex allergies.
Educate patient and his or her family about importance of seeking
immediate medical treatment of allergic reactions to foster timely
intervention.
Attend: Involve patient in planning and decision making, and have
the patient perform self-care activities. Having the ability to participate
will encourage greater compliance with the plan for activity.
Manage: Emphasize need to inform all healthcare providers about
sensitivity to latex. Stress importance of wearing a medical identification
bracelet that specifies possible latex allergy to prevent contact
and allergic reactions.
Provide documentation of the risk of latex allergy for the patient
to take to employer. With patient’s permission, communicate with
employee health department and discuss patient’s need to avoid contact
with latex products to prevent further contamination.
SUGGESTED NIC INTERVENTIONS
Allergy Management; Anaphylaxis Management; Environmental Risk
Protection; Latex Precautions; Risk Identification; Teaching: Individual
Reference
Crippa, M., et al. (2006, August). Prevention of latex allergy among health
care workers and in the general population: Latex protein content in devices
commonly used in hospitals and general practice. International Archives of
Occupational and Environmental Health, 79(7), 550–557.

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