Scribd Logo
Upload

Welcome to Scribd!

  • Nursing Care Plan - Fever

    Uploaded by

    Rhelina Min
    36 views2 pages
    The document outlines a nursing care plan for a patient presenting with hyperthermia and a temperature of 39.6°C, with the goal of reducing the patient's temperature to 37.5°C within 24 hours of nursing assistance through interventions like tepid sponge baths, increased fluids, and antipyretic and antibiotic medications as ordered to treat the underlying infection. The plan also includes monitoring vital signs, removing excess clothing/coverings, keeping the environment well-ventilated, maintaining bed rest, providing a high-calorie diet, and educating the patient's support system on tepid sponge baths.

    Original Description:

    Original Title

    NURSING CARE PLAN - FEVER

    Copyright

    © © All Rights Reserved

    Available Formats

    DOCX, PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    The document outlines a nursing care plan for a patient presenting with hyperthermia and a temperature of 39.6°C, with the goal of reducing the patient's temperature to 37.5°C within 24 hours of nursing assistance through interventions like tepid sponge baths, increased fluids, and antipyretic and antibiotic medications as ordered to treat the underlying infection. The plan also includes monitoring vital signs, removing excess clothing/coverings, keeping the environment well-ventilated, maintaining bed rest, providing a high-calorie diet, and educating the patient's support system on tepid sponge baths.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as docx, pdf, or txt
    36 views2 pages

    Nursing Care Plan - Fever

    Uploaded by

    Rhelina Min
    The document outlines a nursing care plan for a patient presenting with hyperthermia and a temperature of 39.6°C, with the goal of reducing the patient's temperature to 37.5°C within 24 hours of nursing assistance through interventions like tepid sponge baths, increased fluids, and antipyretic and antibiotic medications as ordered to treat the underlying infection. The plan also includes monitoring vital signs, removing excess clothing/coverings, keeping the environment well-ventilated, maintaining bed rest, providing a high-calorie diet, and educating the patient's support system on tepid sponge baths.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as docx, pdf, or txt
    of 2

    MAYORDO, RHELINA D.

    NCMA113
    BSN 1-YC-17 FEVER
    NURSING CARE PLAN

    ASSESSMENT DIAGNOSIS PLANNING INTERVENTION RATIONALE EVALUATION

    Subjective Data: -Hyperthermia After 24 hours of Independent: • Vital signs give a GOAL MET. The
    "Nurse mainit po si Core body appropriate nursing 1. Monitor vital signs. more precise reading patient was able to
    ang balat ni lola" temperature above the assistance, the of core temperature. raise his body
    "Ang dry din po ng normal diurnal range patient's temperature 2. Make a tepid temperature to a
    balat ni lola" as due to failure of will drop to 37.5 sponge bath. Do • TSB aids in the normal level, as
    verbalized by the S.O. thermoregulation. degrees Celsius. not consume reduction of body shown by the
    alcohol. temperature, but temperature reading of
    Objective Data: alcohol causes 37.
    - BP: 118/76 shivering by rapidly
    mmHg cooling the skin.
    - HR: 97 bpm Shivering causes an
    - RR: 16 bpm increase in metabolic
    - Skin warm to rate and body
    touch with a temperature.
    temperature of 3. Take off any
    39.6°C superfluous • These reduce
    clothing and warmth while
    coverings. increasing evaporative
    cooling.
    4. Promote a well-
    ventilated • To encourage a free
    environment for flow of air in the
    the patient. patient's location. One
    method for
    encouraging heat
    dissipation.
    5. Increase the
    patient's oral fluid • Adding fluids helps
    MAYORDO, RHELINA D. NCMA113
    BSN 1-YC-17 FEVER

    intake. avoid the high fever


    caused by
    dehydration.
    6. Maintain your bed
    rest. • Lower metabolic
    needs and oxygen
    consumption
    7. Give a high-
    calorie diet. • To meet higher
    metabolic demands.
    8. Educate and
    instruct the • Teaching the
    patient's support Support System the
    system (relative) proper approach to
    to perform TSB perform TSB will aid in
    when the patient knowing what to do if
    feels overheated. the patient's
    temperature rises.
    Dependent:
    9. Administer
    antipyretic as • Reduces fever.
    ordered.
    10. Administer
    antibiotic as • Treats underlying
    ordered. cause.

    Collaborative:
    11. Monitor
    hematologic test & • Indicates presence of
    other pertinent lab infection &
    records. dehydration.

    You might also like