Benguet State University

COLLEGE OF NURSING
La Trinidad, Benguet
Date ASSESSMENT (Problem Statement/Nursing Diagnosis) NURSING CARE PLAN (Objective/Goal)

2-3-2016 Hyperthermia related to viral infection After 1 hour of appropriate nursing intervention the patients
temperature will decrease to 37.5oC.
11 pm

Individual problems (CUES) IMPLEMENTATION

S> Napudot ak nga ag-ulaw APPROACHES RATIONALE

O> warm to touch, with flushed skin, T=
38.5C, RR= 25 cpm, PR= 89 bpm
1. Vital signs provide accurate indication of hyperthermia.
1. Monitor vital signs.
2. To decrease warmth and increase evaporative cooling.
2. Remove excess clothing.
3. To decrease warm
3. Facilitate tepid sponge bath. .
4. Antipyretics acts on the hypothalamus, reducing hyperthermia.
4. Administer anti- pyretic as ordered by the physician.
5. Water regulates body temperature and to promote hydration.
5. Increase oral fluid intake.
6. To meet metabolic needs.
6. Maintain bed rest.
7. To boost immune system.
7. Encourage to increase consumption on Vitamin c rich
food such as green leafy vegetables and oranges.
8. To guide in performing nursing interventions.
8. Stayed at the beside to attend to needs and concerns.

ACTUAL OUTCOME Date and Time Resolved

NAME OF PATIENT: ADMITTING DIAGNOSIS:

ADDRESS: AGE: SEX: DATE ADMITTED:

Submitted by: Dela Cruz, Angela M. Submitted to: