ASSESSMENT
NURSING DIAGNOSIS
PLANNING
NURSING INTERVENTION
RATIONALE
Subjective
”Nurse, parang mainit ung nanay ko” as verbalized by the relative of the patient.

Objective
·         Temperature: 38.6C
·         RR: 26cycle per minute
·          
·         Hot, flushed skin
·         Increased respiratory rate
·         Diaphoresis
·         Warm to touch


 Hyperthermia related to bacterial infection.

Definition:
Body temperature elevated above normal range.
Short Term
After 1 hour of appropriate nursing intervention the patient’s temperature will decrease to 37.5oC.

Long Term
After 4 hours of appropriate nursing intervention the patient’s vital signs will return to normal range; with a temperature of 36.5-37.5oC,pulse rate of 60-100bpm and respiratory rate of 12-20 cycles per min.
Independent
1.   Monitor vital signs.



2.   Provide tepid sponge bath. Do not use alcohol.








3.   Remove excess clothing and covers.



4.   Promote a well-ventilated area to patient.



5.   Advise patient to increase oral fluid intake.




6.   Maintain bed rest.


7.   Provide high-calorie diet.



8.   Educate and advise support system (relative) to do TSB when patient feels hot.
- Luke warm water only.
- Make sure that armpits and groins were included in doing TSB.

9. Monitored VS and recheck.






Dependent
10. Provide antipyretic medications as indicated.



· Vital signs provide more accurate indication of core temperature.

· TSB helps in lowering the body temperature and alcohol cools the skin too rapidly, causing shivering. Shivering increases metabolic rate and body temperature

· These decrease warmth and increase evaporative cooling.

· To promote clear flow of air in the patient’s area. One way of promoting heat loss.

· Additional fluids help prevent elevated temperature associated with dehydration.

· Reduce metabolic demands/ oxygen consumption

· To meet increased metabolic demands.

· Teaching the Support system the right way to do TSB will help in knowing what to do in case the patient’s temperature increases




·   To know the effectiveness of nursing interventions done and to know the progress of patient’s condition.

·      These drugs inhibit the prostaglandin that serve as mediators of pain and fever.

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20 Responses so far.

  1. Anonymous says:

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  3. HOW I GOT CURED OF HERPES VIRUS.

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  4. HOW DR IMOLOA HERBAL MEDICINE HELPED ME GET RID OF MY 3 YEARS HERPES SIMPLEX VIRUS. Hello everyone my name is DONALD am from the united states i have been suffering from (HERPES) disease since 2016 and had constant pain, especially in my knees. During the first year,I had faith in God that i would be healed someday.This disease started circulate all over my body and i have been taking treatment from my doctor, few weeks ago i came on search on the internet if i could get any information concerning the prevention of this disease, on my search i saw a testimony of someone who has been healed from (Hepatitis B and Cancer) by this Man Dr Imoloa and she also gave the email address of this man and advise we should contact him for any sickness that he would be of help, so i wrote to Dr imoloa telling him about my (HERPES Virus) he told me not to worry that i was going to be cured!! hmm i never believed it,, well after all the procedures and remedy given to me by this man few weeks later i started experiencing changes all over me as the Doctor assured me that i have been cured,after some time i went to my doctor to confirmed if i have been finally healed behold it was TRUE, So friends my advise is, if you have such sickness or any other at all like hepatitis A,B,C,CANCER,HPV,HIV/AIDS,DIABETES 1 AND 2,SMALL PENIS PROBLEM ,HIGH BLOOD PRESSURE SYPHILIS, WEAK ERECTION,BREAST ENLARGEMENT AND many more ....... you can email him on drimolaherbalmademedicine@gmail.com) or whatsapp him on +2347081986098. Sir, i am indeed grateful for the help i will forever be grateful for the good work.

  5. Dr. Imoloa has really made me so much believe in him by getting me cured with his herbal treatment. i really appreciate you Dr.imoloa for bringing back happiness to my life again. thank you so much,friends join me to thank him for what he has actually done for me i pray to you all for a good life and good health, and most especially to you Dr. imoloa Thanks

    I have been suffering from (HERPES SIMPLEX VIRUS) disease for the past four years and had constant pain, especially in my knees. During the first year,I had faith in God that i would be healed someday.This disease started circulating all over my body and i have been taking treatment from my doctors, few months ago i came on search on the internet if i could get any information concerning the cure of this disease, on my search i saw a testimony of someone who has been healed from (HERPES SIMPLEX VIRUS) by this Man Dr imoloa and she drop the email address of this man and advise we should contact him for any sickness that he would be of help, so i wrote to Dr. imoloa telling him about my (HERPES Virus) well after all the procedures and remedy given to me by this man few weeks later i started experiencing changes all over me. I am now here to testify that i am no longer a herpes patient, I have experience a total transformation in my life,for all herpes patients get your herbal medicine to cure your sickness. And there has being rapid improvement in my health, I no longer feel pains and I wake up each morning feeling revived. So friends my advise is if you have such sickness or any other at all,you can contact him on drimolaherbalmademedicine@gmail.com, you can still reach him on whatssap- +2347081986098
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  15. I had body itching, pain during urination and blistering sores on my genital area. So, I went to the hospital for treatment and was diagnosed for HERPES SIMPLEX VIRUS. I was given some Antiviral medications to reduce the severity, but it got worse with the pain and its reappearing was longer than the disappearing. So, I went seeking other means to cure the disease and that was how I got to know Dr. Oda who helped cure the disease. It’s been a year since I got cured and i haven’t had any pain or symptoms of HSV. Also, i was confirmed negative at the hospital. You too can be rescued by this doctor. Contact: (drodasolution@gmail.com Tel/whatsapp: +234 805 761 6299)

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