Nursing Interventions: Histoplasmosis

1. Provide oxygen therapy if needed. Plan rest periods.
2. Obtain chest X-ray results to determine if the patient has pulmonary or pleural effusion.
3. Assess the patient respiratory status every shift. Note diminished breath sounds or pleural friction rub, and evaluate for effusion.
4. Check the patient’s cardiovascular status every shift.
5. Monitor the patient’s neurologic status every shift and report any changes in level of consciousness or nuchal rigidity.
6. Observe for signs and symptoms of hypoglycemia and hyperglycemia, which indicate adrenal dysfunction.
7. Test all stools for blood and report its presence.
8. Teach the patient about drug therapy, including adverse effects.
9. Inform the patient about the need for follow-up care on a regular basis for atleast a year.
10. Tell the patient to report to the doctor cardiac and pulmonary signs that could indicate effusions.