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    Definition of The Case + Hyperthermia NCP

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    Cindy Mariscotes
    The document describes a case of hyperthermia in a client presenting with fever, chills, flushed skin, and tachycardia. The nursing care plan involves monitoring the client's temperature and vital signs, providing tepid sponge baths, and administering antipyretics as needed to reduce the fever. The short term goal is to get the client's temperature within normal range and free of chills after 4 hours of intervention. The long term goal is to ensure the client is free from hyperthermia and experiences no complications after 2-3 days of nursing care.

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    Definition of The Case + Hyperthermia NCP

    Uploaded by

    Cindy Mariscotes
    497 views2 pages
    The document describes a case of hyperthermia in a client presenting with fever, chills, flushed skin, and tachycardia. The nursing care plan involves monitoring the client's temperature and vital signs, providing tepid sponge baths, and administering antipyretics as needed to reduce the fever. The short term goal is to get the client's temperature within normal range and free of chills after 4 hours of intervention. The long term goal is to ensure the client is free from hyperthermia and experiences no complications after 2-3 days of nursing care.

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    Definition of the Case + Hyperthermia NCP

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    The document describes a case of hyperthermia in a client presenting with fever, chills, flushed skin, and tachycardia. The nursing care plan involves monitoring the client's temperature and vital signs, providing tepid sponge baths, and administering antipyretics as needed to reduce the fever. The short term goal is to get the client's temperature within normal range and free of chills after 4 hours of intervention. The long term goal is to ensure the client is free from hyperthermia and experiences no complications after 2-3 days of nursing care.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    497 views2 pages

    Definition of The Case + Hyperthermia NCP

    Uploaded by

    Cindy Mariscotes
    The document describes a case of hyperthermia in a client presenting with fever, chills, flushed skin, and tachycardia. The nursing care plan involves monitoring the client's temperature and vital signs, providing tepid sponge baths, and administering antipyretics as needed to reduce the fever. The short term goal is to get the client's temperature within normal range and free of chills after 4 hours of intervention. The long term goal is to ensure the client is free from hyperthermia and experiences no complications after 2-3 days of nursing care.

    Copyright:

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

    Assessment Diagnosis Planning Intervention Rationale Evaluation

    Subjective Hyperthermia Short Term Goal: Independent Goals are met:


    Data: related to After 4 hours of - Monitor client - Fever pattern may help in After 4 hours of
    “Kanina pa po increased nursing temperature – degree and the diagnosis. Chills often nursing intervention
    ako nanginginig metabolic rate as intervention the pattern. Note shaking chills precede temperature spikes. the client
    at nilalamig,” as evidenced by client will or profuse diaphoresis. demonstrated a
    verbalized by flushed skin, demonstrate - Monitor environmental - Room temperature and temperature of 37C
    the client warm to touch, temperature within temperature. Limit or add linens should be altered to and is free of chills.
    tachycardia and normal range and bed linens, as indicated. maintain near-normal body
    Objective Data: body temperature be free of chills. - Provide tepid sponge temperature.
    Flushed skin higher than the baths. Avoid use of alcohol. - Tepid sponge baths may After 3 days of
    Warm to touch normal range. Long Term Goal: help reduce fever. The use of nursing intervention
    After 2-3 days of alcohol may cause chills, the client
    VS taken as nursing elevating temperature, and experienced no
    follows: intervention the skin dehydration. associated
    Temperature: client will be free Collaboration: complications and is
    83.3C from hyperthermia - Provide cooling blanket, - Used to reduce fever, free of hyperthermia
    PR: 18 cpm and experience no or hypothermia therapy as especially when higher than as manifested by:
    HR: 110bpm associated indicated. 104°F to 105°F (39.9°C– No signs of
    BP: 113/80 mm complications. 40°C), and when seizures or discomfort,
    Hg brain damage are likely to temperature (36.8C)
    Pain: No pain occur. and other vital signs
    - Administer antipyretics, - Antipyretics reduce fever by are within normal
    such as acetylsalicylic acid its central action on the range.
    (ASA) (aspirin) or hypothalamus; fever should
    acetaminophen (Tylenol) as be controlled in clients who
    ordered. are neutropenic or asplenic.
    However, fever may be
    beneficial in limiting the
    growth of organisms and
    enhancing auto destruction of
    infected cells.
    Sepsis

    Sepsis is a syndromic response to infection and is frequently a final common pathway to death from many infectious
    diseases worldwide. Sepsis is a life-threatening organ dysfunction caused by a dysregulated host response to infection and if not
    recognized early and managed promptly, it can lead to septic shock, multiple organ failure and death.  (WHO, 2017).

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