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  • Subjective: "Nilalagnat Parin

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    Franz Marcial Ortilano
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    The nursing care plan outlines interventions to lower an elevated temperature of 38.1 C in a patient verbalizing continued fever. The plan is to decrease the patient's temperature to 37.8 C within 1 hour and to normal levels of 36.5-37.5 C within another hour through tepid sponge baths, removing excess clothing and covers, keeping the patient on bed rest, and administering antipyretic and antibacterial medications as prescribed. The rationale is that these interventions will help lower body temperature through evaporative cooling and reducing metabolic demands while medications inhibit prostaglandins that mediate fever.

    Original Description:

    Hyperthermia Nursing Care Plan

    Original Title

    Ncp Hyperthermia

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    The nursing care plan outlines interventions to lower an elevated temperature of 38.1 C in a patient verbalizing continued fever. The plan is to decrease the patient's temperature to 37.8 C within 1 hour and to normal levels of 36.5-37.5 C within another hour through tepid sponge baths, removing excess clothing and covers, keeping the patient on bed rest, and administering antipyretic and antibacterial medications as prescribed. The rationale is that these interventions will help lower body temperature through evaporative cooling and reducing metabolic demands while medications inhibit prostaglandins that mediate fever.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
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    74 views2 pages

    Subjective: "Nilalagnat Parin

    Uploaded by

    Franz Marcial Ortilano
    The nursing care plan outlines interventions to lower an elevated temperature of 38.1 C in a patient verbalizing continued fever. The plan is to decrease the patient's temperature to 37.8 C within 1 hour and to normal levels of 36.5-37.5 C within another hour through tepid sponge baths, removing excess clothing and covers, keeping the patient on bed rest, and administering antipyretic and antibacterial medications as prescribed. The rationale is that these interventions will help lower body temperature through evaporative cooling and reducing metabolic demands while medications inhibit prostaglandins that mediate fever.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as docx, pdf, or txt
    of 2

    VII.

    Nursing Care Plan


    Cues
    Subjective:
    Nilalagnat parin
    ako,| as
    verbalized by the
    patient.

    DIAGNOSIS
    Hyperthermia
    related to
    disease
    process as
    manifested by
    a T: 38.1 C.

    BACKGROUND
    KNOWLEDGE
    Entry of
    pathogens in the
    systemic
    circulation
    Regulation of
    toxins in the body

    Objective:
    T: 38.1
    PR: 96
    RR: 26
    BP: 120/80
    Warm to touch
    Weak looking
    and fatigue

    Stimulation of the
    hypothalamus
    Increase or
    alteration of
    thermoregulation
    Increase in body
    temperature
    Hyperthermia

    PLANNING
    After 1 hour of
    nursing
    intervention,
    the patients
    temperature
    will decrease
    down to 37.8
    C then
    another 1 hour
    to normal
    levels, T 36.537.5.

    INTERVENTION

    RATIONALE

    EVALUATION

    Monitored vital
    signs

    Vital signs provide


    more accurate
    indication of core
    temperature and to
    monitor patients
    progress

    After 2 hours of
    Nursing
    Intervention,
    the patients
    temperature
    was 37.3 C

    Provide Tepid
    sponge bath.Do
    not use alcohol.

    TSB helps
    lowering the body
    temperature and
    alcohol cools the
    skin too rapidly,
    causes
    shivering,shivering
    increases
    metabolic rate and
    body temperature.

    Remove excess
    clothing and
    covers.

    These decrease
    warmth and
    increase
    evaporative
    cooling.

    Promote a well
    To promote clear
    ventilated area to flow of air in the
    patient.
    patients area.One
    way of promoting
    heat loss.

    Maintained
    patient on bed
    rest
    Dependent:
    Provide antipyretic
    medications as
    indicated.
    Paracetamol
    (300 mg TIV)
    Administered
    antibacterial
    drugs as
    prescribed by the
    physician
    (Azithromycin
    500 mg tab OD)
    (PipTazo 4.5g
    TIV)

    Reduce metabolic
    demands/ oxygen
    consumption
    These drugs inhibit
    prostaglandin that
    serve as mediators
    of pain and fever.

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