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Hyperthermia is an elevated body temperature due to dehydration. TSB helps in lowering the body temperature and alcohol cools the skin too rapidly, causing shivering. Teaching the Support system the right way to do TSB will help temperature was reduced ranges 36.537.5.
Hyperthermia is an elevated body temperature due to dehydration. TSB helps in lowering the body temperature and alcohol cools the skin too rapidly, causing shivering. Teaching the Support system the right way to do TSB will help temperature was reduced ranges 36.537.5.
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Hyperthermia is an elevated body temperature due to dehydration. TSB helps in lowering the body temperature and alcohol cools the skin too rapidly, causing shivering. Teaching the Support system the right way to do TSB will help temperature was reduced ranges 36.537.5.
Copyright:
Attribution Non-Commercial (BY-NC)
Verfügbare Formate
Als DOC, PDF, TXT herunterladen oder online auf Scribd lesen
Subjective: • Hyperthermia 1st This problem prioritized in the
“Nilalamig ako” as stated highest rank due to progress of the by the client. dilemma may lead to onset of other problems/complications. Objective: • BP- It is one of the manifestations of • T- dehydration and if hyperthermia • RR- continues the client may become • PR- more dehydrated. • Warm to touch • Dry skin • Dry lips
Subjective: • Acute pain 2nd This is the 2nd highest prioritized
The client’s rate in the problem cause the pain is pain scale is 6 out of 10 tolerable and manageable by the where as 10 is the most client. painful.
Objective: • BP- • T- • RR- • PR- • Post-op wound
Objective: • Risk for 3rd This is least prioritized because
• BP- infection the problem is not present. The • T- client has a tendency to develop • RR- infection if it was not prevented • PR- and may trigger other complication • Post-op wound to arise.
C. Nursing Care Plan
Nursing Analysis Goal and Nursing Rationale Evaluation
Problem Cues Objective Intervention
Nursing Hyperthermia is Goal: Independent After 8 hour
Diagnosis: an elevated With 8 hour of Establish To gain trust and of nursing body appropriate rapport cooperation. intervention Hyperthermia temperature nursing the patient’s related to due to failed intervention the temperature dehydration. thermoregulatio patient’s Assess and Vital signs was reduced n. temperature monitor vital provide more ranges 36.5- Hyperthermia which is 39.2 signs. accurate 37.5 occurs when will be reduce indication of core the body ranges 36.5- temperature produces or 37.5. absorbs more heat than it can Provide tepid TSB helps in dissipate. sponge bath. lowering the body When the temperature and elevated body alcohol cools the temperatures skin too rapidly, are sufficiently causing high, shivering. hyperthermia is Shivering a medical increases emergency and metabolic rate requires and body immediate temperature treatment to prevent Remove excess These decrease disability and clothing and warmth and death. The covers. increase body needs a evaporative certain cooling. amount of Promote a well- To promote clear fluid in order ventilated area flow of air in the to regulate to patient. patient’s area. body One way of temperature, promoting heat carry oxygen loss. to cells, and flush waste Increase Additional fluids from the patient’s oral help prevent kidneys and fluid intake. elevated liver. When a temperature associated with fever is dehydration. present, that need Maintain bed Reduce increases and rest. metabolic makes demands/ oxygen individuals consumption with a fever more Provide high- To meet susceptible to calorie diet. increased dehydration metabolic demands.
Educate and Teaching the
advise support Support system system (relative) the right way to to do TSB when do TSB will help patient feels hot. in knowing what - Luke warm to do in case the water only. patient’s - Make sure that temperature armpits and increases groins were included in doing TSB.
Dependent · Provide antipyretic · medications as prescribed by the physician.