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    NCP Fever

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    Jobelle Acena
    The document summarizes a nursing assessment, diagnosis, intervention, and evaluation for a patient presenting with hyperthermia likely related to dehydration. The nursing diagnosis was infectious agent-related hyperthermia. The objectives were for the patient to maintain a normal core temperature within 4 hours of interventions. Interventions included monitoring vital signs, promoting cooling, and fluid replacement. After 4 hours, the goal was met as the patient's temperature was within normal range.

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    NCP Fever

    Uploaded by

    Jobelle Acena
    283 views1 page
    The document summarizes a nursing assessment, diagnosis, intervention, and evaluation for a patient presenting with hyperthermia likely related to dehydration. The nursing diagnosis was infectious agent-related hyperthermia. The objectives were for the patient to maintain a normal core temperature within 4 hours of interventions. Interventions included monitoring vital signs, promoting cooling, and fluid replacement. After 4 hours, the goal was met as the patient's temperature was within normal range.

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    The document summarizes a nursing assessment, diagnosis, intervention, and evaluation for a patient presenting with hyperthermia likely related to dehydration. The nursing diagnosis was infectious agent-related hyperthermia. The objectives were for the patient to maintain a normal core temperature within 4 hours of interventions. Interventions included monitoring vital signs, promoting cooling, and fluid replacement. After 4 hours, the goal was met as the patient's temperature was within normal range.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    283 views1 page

    NCP Fever

    Uploaded by

    Jobelle Acena
    The document summarizes a nursing assessment, diagnosis, intervention, and evaluation for a patient presenting with hyperthermia likely related to dehydration. The nursing diagnosis was infectious agent-related hyperthermia. The objectives were for the patient to maintain a normal core temperature within 4 hours of interventions. Interventions included monitoring vital signs, promoting cooling, and fluid replacement. After 4 hours, the goal was met as the patient's temperature was within normal range.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 1

    ASSESSMENT NURSING INFERENCE OBJECTIVES NURSING RATIONALE EVALUATION

    DIAGNOSIS INTERVENTION
    SUBJECTIVE: Hyperthermia Infectious agents After 4 hours Independent: After 4 hours of
    related to (Pyrogens) of nursing  Monitor heart  Dysrhythmias nursing
    “Mainit dehydration interventions, and rhythm and ECG interventions, the
    angpakiramdam
    ko” as verbalized
     the patient will
    maintain core
    changes are
    common due
    patient was able
    to maintain core
    by the patient. Monocytes temperature to electrolyte temperature
    within normal imbalance and within normal
    OBJECTIVE:  range. dehydration range.
    Pyrogenic and direct
     Flushed skin, cytokines effect of Goal met.
    warm to hyperthermia
    touch. on blood and
     Restlessness  cardiac
    Anterior tissues.
    V/S taken as hypothalamus
    follows:  Record all  To monitor or
     T: 38.1  sources of potentiates
     P: 70 Elevated fluid loss such fluid and
     R: 19 Thermoregulator as urine, electrolyte
     BP: 110/90 y set point vomiting, and loses.
    diarrhea.

      Promote  To decrease
    Increased heat surface temperature
    conservation cooling by by means of
    (vasoconstriction means of tepid evaporation
    or behavior sponge bath. and
    changes) conduction.
    Increased heat
    production  Wrap  To minimize
    (involuntary extremities shivering.
    muscle with cotton
    contraction) blankets.

      Provide
    supplemental
     To offset
    increased
    FEVER oxygen oxygen
    demands and
    consumption.

     Administer  To support
    replacement circulating

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