4NCP

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Problem Scientific basis Goals and Objectives Nursing Rationale Evaluation

Intervention
S: “ medyo init Hyperthermia is an At the end of my 2 Independent Goal met as evidence by
akong paminaw” days span of care pt  Monitor VS
elevated body
will be able to: Pt was able to gain rest and
 O: Temp of temperature due to  For baseline temperature was within
37.7 failed thermoregulation.  Identify  Assess and data normal (36.5)
Hyperthermia occurs interventions document  To have basis
 low when the body produces and ways to clients fore any signs
hemoglobin reduce risk condition of worsening
or absorbs
99g/L for infection of infection
more heat than it can  Encourage to
 low dissipate. When the have self care
basophils of elevated body everyday to  Encourage to  To gain
79.50 g/L avoid have rest strength
temperatures are
 Flush skin infection
noted sufficiently high,  Encourage to  Performed  May help
 Tachycardic hyperthermia is a medical have enough tepid sponge reduce fever
(25-30 cpm) emergency and requires rest bath
immediate treatment to Decrease temp to
normal Dependent
prevent disability and
A: Hyperthermia
related to altering death  Encourag
temperature e to  To increase
regulation REF: increase immune
http://en.wikipedia.org/wi food system
ki/Hyperthermia intake
such as
food high
in
vitamins

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