NURSING CARE PLAN

Assessment Diagnosis Planning Implementation Evaluation

Subjective cues: Hyperthermia related to After 8 hours of appropriate Monitor the body At the end of 8 hours the
“I’m a construction dehydration as evidenced nursing intervention the patient temperature; Frequent patient maintained body
worker and I was by prolonged exposure to The patient will demonstrate a monitoring is essential to temperature was been in a
working outside for high environmental decrease in body temperature assess the severity of normal range as
hours in the heat temperatures. to within normal range. hyperthermia and response evidenced by upon
without a break.” as to treatment. palpation normal skin
verbalized by the client. The patient will exhibit signs temperature was noted ,
of adequate hydration and Monitor heart rate, blood calm breathing condition
Objective cues: electrolyte balance. pressure, and respiratory and the patient is
V/S: rate; to evaluate the hydrated.
Temp - 40.0 c The patient will verbalize severity of dehydration
RR - 23 bpm understanding of heatstroke Goal met.
PR - 89 bpm prevention strategies. Administer IV fluids as
BP - 100/80mmHg prescribed for severe
dehydration
Hot, Flushed skin
Tachycardia Cooling Measure; Use
Dizziness cooling blankets, ice packs
Dry mucus membrane to the groin, armpits, and
neck, and tepid water
sponging to reduce body
temperature.

Hydration; Administer IV
fluids as prescribed to
correct dehydration and
electrolyte imbalances.

Environment Control;
Rationale: Move the
patient to a cooler
environment to facilitate
the reduction of body
temperature.

Teach the patient and

family about the signs of
heatstroke, the importance
of adequate fluid intake,
and avoiding excessive