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    Rhea Arriesgado
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    The patient presented with a fever of 38.1 C and symptoms of restlessness and flushed skin. Vital signs showed an elevated temperature, heart rate of 70, respiratory rate of 19, and blood pressure of 110/90. The nursing care plan aims to lower the patient's core temperature and maintain fluid and electrolyte balance through interventions like tepid sponge baths, monitoring of vital signs and outputs, and ensuring adequate fluid replacement over 4 hours.

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    The patient presented with a fever of 38.1 C and symptoms of restlessness and flushed skin. Vital signs showed an elevated temperature, heart rate of 70, respiratory rate of 19, and blood pressure of 110/90. The nursing care plan aims to lower the patient's core temperature and maintain fluid and electrolyte balance through interventions like tepid sponge baths, monitoring of vital signs and outputs, and ensuring adequate fluid replacement over 4 hours.

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    24 views2 pages

    NCP With Logo

    Uploaded by

    Rhea Arriesgado
    The patient presented with a fever of 38.1 C and symptoms of restlessness and flushed skin. Vital signs showed an elevated temperature, heart rate of 70, respiratory rate of 19, and blood pressure of 110/90. The nursing care plan aims to lower the patient's core temperature and maintain fluid and electrolyte balance through interventions like tepid sponge baths, monitoring of vital signs and outputs, and ensuring adequate fluid replacement over 4 hours.

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    OUR LADY OF FATIMA UNIVERSITY COLLEGE OF NURSING ANTIPOLO CAMPUS

    NURSINGCAREPLAN
    PATIENTS NAME: MEDICAL DIAGNOSIS: ASSESSMENT
    Subjective: Mainit ang pakiramdam ko as verbalized by The patient. Objective: Flushed skin, warm to Touch. Restlessness V/S taken as follows: T: 38.1 P: 70 R: 19 BP: 110/90 Hyperthermia related to Dehydration. After 4 hrs. Of nursing interventions, the patient will maintain core temperature within normal Range. Monitor heart rate and Rhythm. Dysrhythmias and ECG changes are common due to electrolyte imbalance and dehydration and direct effect of hyperthermia on Blood and cardiac tissues. Record all sources of fluid To monitor or potentiates loss such as urine, vomiting And diarrhea. Promote surface cooling by means of tepid sponge Bath. To decrease temperature by means through Evaporation and conduction. fluid and electrolyte Loses. After 4 hrs. Of nursing interventions, the patient will maintain core temperature within normal Range.

    NURSING DIAGNOSIS

    PLANNING

    INTERVENTIONS

    RATIONALE

    EVALUATION

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