Republic of the Philippines

NUEVA ECIJA UNIVERSITY OF SCIENCE AND

Cabanatuan City, Nueva Ecija, Philippines
ISO 9001:2015 CERTIFIED

OFFICE OF THE VICE-PRESIDENT FOR ACADEMIC AFFAIRS

ASSESSMENT DIAGNOSIS PLANNING INTERVENTIONS RATIONALE EVALUATION

Subjective: “mainit ang

Risk for fluid After 8 hours of nursing  Monitor vital sign  Fever pattern may  After 8 hours of
pakiramdam ko” as imbalance: less than intervention, the patient  Measure intake and aids in diagnosing nursing
verbalized body requirement that will demonstrate the output underlying disease. interventions, the
might loss appetite and temperature within the  Monitor BP  May help reduce patient
Objective: increased frequency of normal range and free  Assess respiratory fever. Use ice water demonstrates the
bowel movement from hyperthermia status and alcohol may temperature within
 Nausea
secondary to disease  Monitor signs of cause chills and the normal range
 Weak in appearance
process. deterioration of elevate temperature. and free from
 Absence of
condition or failure to  Reduce cross hyperthermia.
sweating  Goal met.
improve with therapy. contamination and
 Skin warm to touch
 Observe for shaking prevents the spread
 Dry, cracked lips
and presence of of infections.
 Slowed movement
chillness.  Indicates developing
complications and
increasing risk of
infection

Transforming Communities through Science and Technology

Email: vpaa@neust.edu.ph
www.neust.edu.ph
 Republic of the Philippines
NUEVA ECIJA UNIVERSITY OF SCIENCE AND
Cabanatuan City, Nueva Ecija, Philippines
ISO 9001:2015 CERTIFIED

OFFICE OF THE VICE-PRESIDENT FOR ACADEMIC AFFAIRS

Transforming Communities through Science and Technology

Email: vpaa@neust.edu.ph
www.neust.edu.ph