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Nursing Care Plan for Hyperthermia

The nursing diagnosis is hyperthermia due to an inflammatory response. Short term goals are to lower the patient's temperature within 1 hour of interventions. Interventions include monitoring vital signs, providing tepid sponge baths, increasing oral fluids, instructing rest, and deep breathing exercises. Dependent interventions include administering the prescribed medication of paracetamol to reduce fever through its effects on the hypothalamus.

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676 views2 pages

Nursing Care Plan for Hyperthermia

The nursing diagnosis is hyperthermia due to an inflammatory response. Short term goals are to lower the patient's temperature within 1 hour of interventions. Interventions include monitoring vital signs, providing tepid sponge baths, increasing oral fluids, instructing rest, and deep breathing exercises. Dependent interventions include administering the prescribed medication of paracetamol to reduce fever through its effects on the hypothalamus.

Uploaded by

carmaxeta
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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Ideal Nursing Care Plan

Subjective Nursing Goals &


Objective cues Interventions Rationale
cues diagnosis Objectives

 weak in Hyperthermia Short Term INDEPENDENT:


appearance r/t Goal: - This is for baseline
 skin warm inflammatory  Monitor and record vital comparison.
to touch response After 1 hour of signs - TSB serves as a non
 T= nursing  Provide tepid sponge pharmacologic method
39.2°C intervention, bath help in lowering the
 RR:55 body patient’s temperature
cpm temperature will - Increasign oral fluids
be maintained will prevent dehydration
within normal  Instruct significant
range. others to increase the fluid - This will help in
intake of the patient reducing metabolic
 Instruct patient to demands and oxygen
maintain bedrest consumption.
- This will promote
 Encourage patient to proper lung expansion.
do deep breathing
exercises
- Prescribed meds such
DEPENDENT: as paracetamol is a
pharmacologic method in
reducing fever by
 Administer the
directing action on
prescribed medication:
hypothalamus
- Paracetamol 500mg
heatregulating center with
P.O
consequent peripheral
vasodilation, sweating,
and dissipation of heat.
Ideal Nursing Care Plan

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