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    Capmr NCP

    Uploaded by

    Deserie Joyce Balico
    Community Acquired Pneumonia

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    © All Rights Reserved
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    Capmr NCP

    Uploaded by

    Deserie Joyce Balico
    16 views3 pages
    Community Acquired Pneumonia

    Original Title

    CAPMR NCP

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    © © All Rights Reserved

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    Community Acquired Pneumonia

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    16 views3 pages

    Capmr NCP

    Uploaded by

    Deserie Joyce Balico
    Community Acquired Pneumonia

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    You are on page 1of 3

    Republic of the Philippines

    ISABELA STATE UNIVERSITY


    City of Ilagan Campus
    COLLEGE OF NURSING

    Assessment Nursing Diagnosis Planning Intervention Rationale Evaluation

    Subjective Data: Hyperthermia related After 4 hours of Monitor Vital Signs Regular monitoring of GOAL MET:
    "Antaas po ng lagnat to inflammatory nursing intervention, vital signs helps in
    niya, at madalas response secondary to the patient's body assessing the child's The patient's body
    siyang umuubo. community-acquired temperature will response to temperature decreased
    Parang mahirap din po pneumonia as decrease to within the interventions and to within the normal
    siyang huminga at evidenced by elevated normal range (<38°C), detecting any signs of range (<38°C) after 4
    medyo mabilis ang body temperature respiratory rate will deterioration. hours of nursing
    tibok ng puso niya. (39.4°C), rapid decrease to <24 intervention,
    Napapansin ko rin po respiratory rate, and breaths per minute, Reduces fever by indicating successful
    Administer acting on the management of
    na hindi na siya increased heart rate in and heart rate will
    Antipyretics hypothalamus, hyperthermia,
    gaanong active at a 3-year-old child. decrease to <120 beats
    makulit tulad ng dati." per minute, and providing relief from respiratory rate
    as verbalized by the demonstrate improved discomfort and decreased to <24
    mother comfort. lowering metabolic breaths per minute
    demand. after 4 hours of
    Objective Data: nursing intervention,
    Tepid sponge baths indicating
    Temp: 39.4°C Provide Tepid Sponge help to reduce body improvement in
    Baths temperature by respiratory distress,
    RR: 40 cpm enhancing heat loss heart rate decreased to
    through conduction, <120 beats per minute
    PR: 150 bpm
    providing immediate after 4 hours of
    - Restless relief from nursing intervention,
    hyperthermia. indicating a reduction
    - Crying intermittently
    in physiological stress,
    Fever increases fluid
    and patient
    loss through sweating
    Republic of the Philippines
    ISABELA STATE UNIVERSITY
    City of Ilagan Campus
    COLLEGE OF NURSING

    Encourage Fluid and evaporation, so demonstrated signs of


    Intake encouraging fluid improved comfort,
    intake helps to prevent including decreased
    dehydration and restlessness and
    maintain hydration increased interaction
    status. with caregivers and
    toys, indicating
    successful alleviation
    Positioning the child of distress.
    in a comfortable,
    upright position
    facilitates easier
    breathing and reduces
    Positioning for
    respiratory distress
    Comfort
    associated with
    pneumonia.

    Educating parents on
    how to manage fever
    effectively, including
    administering
    antipyretics, providing
    Educate Parents on cooling measures, and
    Fever Management recognizing signs of
    worsening symptoms,
    empowers them to
    care for their child at
    Republic of the Philippines
    ISABELA STATE UNIVERSITY
    City of Ilagan Campus
    COLLEGE OF NURSING

    home and seek


    medical attention if
    needed.

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