ASSESSMENT DIAGNOSIS PLANNING INTERVENTIONS RATIONALE EVALUATION

Subjective: Hyperthermia After 1 hours INDEPENDENT: After 1 hour of

related to of nursing Established rapport To gain trust and nursing
disease interventions, have a nurse- interventions,
Objectives: process as the patient’s patient relationship the patient’s
Body evidenced by body body
Temperature: body temperature Performed tepid Vaporize of water temperature
38.30c (101 F) temperature will decrease sponge bath relieves heat from subsided into
above the from 38.30c to the surface of the 37.50C.
Laboratory normal range. 37.50C. skin.
test results:
WBC: 11,300 Applied cold wet To help normalize
cells/cumm compress body temperature

Removed some Exposing skin to

blankets and excess room air decreases
clothing. warmth and
increases cooling.

Adjusted and Room temperature

monitored may be accustomed
environmental factors to near normal
like room body temperature
temperature and bed and blankets and
linens. linens may be
adjusted to
regulate the
temperature of the
patient.

Advised to wear loose To be more

and comfortable comfortable
clothes

Encouraged patient To prevent

to increase fluid dehydration
intake

Monitored vital signs To see effectiveness

every 15 minutes of said interventions

Leukocytes indicate
Monitored WBC an inflammatory
and infectious
process presence.

Helps maintain
Regulated IV fluid hydration
 This is to ensure
Raised side rails patient’s safety.

DEPENDENT: Helps relief of fever

Administered
paracetamol 500
mg/tab