Hyperthermia related to dengue fever as evidenced by temperature above the normal range.

Assessment Nursing Scientific Objectives Interventions Rationale Expected

Diagnosis Explanation Outcome

Subjective: Hyperthermia Hyperthermia Short-term  Establish  To gain the Short-term

“Mainit siya related to is caused by After 2 hours rapport trust and After 2 hours
nung dengue fever as chemicals of nursing cooperation of nursing
hinawakan ko” evidenced by called intervention of the client intervention
as verbalized temperature pyrogens the patient’s the patient’s
 Regulated  To prevent
by the patient’s above the which flow in body body
IV fluid water
mother normal range. the temperature according intoxication temperature
bloodstream. will decrease to doctor’s decreased
Objective: These from 38.4 °C order from 38.4 °C
- Skin is chemicals are to 37 °C to 37 °C
warm to produced by  Vital Signs  To obtain
touch tissues and obtained baseline
- Flushed some Long-term data Long-term
skin is pathogens After 2 days After 2 days
observed and when the of nursing of nursing
 AM care  To provide
. hypothalamu intervention intervention
provided comfort
- Tachycar s detects the client will the client
dia is them, it maintain  Provided  To lower maintained
noted instructs the body’s tepid client’s body’s
- Tachypn body to normal sponge temperature normal
ea is generate and temperature bath temperature
noted retain heat which is 36.5 which is
which causes °C – 37.5 °C  Change  To promote 36.5 °C –
Vital signs are the rise in the clients clients 37.5 °C
as follows: body clothes to comfort
BP: 100/60 temperature. loose cotton
clothes
PR: 115 Hyperthermia
PR: 24 happens  Provided a  To aid in
T: 38.4 °C during viral cool regulating
and bacterial environmen the body’s
infections t by temperature
adjusting
because it is
room
a defense temperature
mechanism
of the body to  Advised to  Water helps
raise the increase in
temperature fluid intake regulating
to kill off the body
certain temperature
bacteria and and to
viruses prevent
sensitive to dehydration
high
 Advise bed  Activity can
temperature. rest rise body
temperature

 Raise side  For patient

rails safety

 Administer  To relieve
paracetmol patient from
as hyperthermi
prescribed a
by the
attending
physician