Nursing Diagnosis and Interventions for Neonatal Sepsis

Hyperthermia related to damage control temperature, secondary to infection or inflammation.

Expected outcomes:

 The body temperature within normal limits.

 Pulse and breathing frequency within normal limits.

Intervention and Rationale:

1. Monitoring of vital signs every two hours and monitor skin color.
R /: Changes in vital signs that would significantly affect the regulatory processes or metabolism in
the body.

2. Observation of seizures and dehydration.

R /: Hyperthermia potential to cause seizures that will worsen the patient's condition and can cause
the patient to lose a lot of fluid in the evaporation of an unknown number and can cause the patient
goes into a state of dehydration.

3. Give compress with warm water in the axilla, neck and groin, avoid using alcohol to compress.
R /: Compress the axilla, neck and groin are large blood vessels, which helps reduce fever. The use
of alcohol is not done because it will cause a decrease and an increase in heat drastically.

4. Collaboration: Give antipyretics as needed if the heat does not go down.

R /: Giving antipyretics are also required to reduce the heat immediately.