Ncp M7
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- Words: 235
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Assessment Subjective: “ Mainit ang katawan ko” as Verbalize by pt.
Diagnosis •
Hyperthermia R/T Dehydration
Planning •
After 4 hrs. Of Nursing interventions, the pt. will maintain core temperature w/in normal Range
Intervention Independent: • Monitor heart rate and rhythm
Rationale •
Objective: • • •
Flushed skin, warm to touch Restlessness. V/S taken as Follows: T: 38.1 P: 70 R: 19 BP: 110/90
•
•
• • •
•
Record all source of fluid loss such as urine, vomiting and diarrhea. Promote surface cooling by means of tepid sponge bath
•
Wrap extremities w/ cotton blanket Provide supplemental O2
•
Administer replacement fluids and electrolytes Maintain bed rest
•
•
•
•
Dysrhythmias and ECG changes are common due to electrolytes imbalance and dehydration and direct effect of hyperthermia on blood and cardiac tissues To monitor and potentates fluid and electrolyte loses. To decrease temperature by means through evaporation and conduction To minimize shivering To offset increase O2 demands and consumption. To support circulating volume and tissue perfusion To reduce
Evaluation •
After 4 Hrs. of Nursing interventions, the pt. was able to maintain core temperature w/in normal range
•
•
Provide high calorie diet, Parenteral Nutrition Administer antipyretics orally or rectally as prescribed by the physician.
•
•
metabolic demands and O2consumption To increase metabolic demands. To facilitate fast recovery
NCP For
Hyperthermia By Alavazo, Rommel John A. BSN – 4A UPHR-LP
Diagnosis •
Hyperthermia R/T Dehydration
Planning •
After 4 hrs. Of Nursing interventions, the pt. will maintain core temperature w/in normal Range
Intervention Independent: • Monitor heart rate and rhythm
Rationale •
Objective: • • •
Flushed skin, warm to touch Restlessness. V/S taken as Follows: T: 38.1 P: 70 R: 19 BP: 110/90
•
•
• • •
•
Record all source of fluid loss such as urine, vomiting and diarrhea. Promote surface cooling by means of tepid sponge bath
•
Wrap extremities w/ cotton blanket Provide supplemental O2
•
Administer replacement fluids and electrolytes Maintain bed rest
•
•
•
•
Dysrhythmias and ECG changes are common due to electrolytes imbalance and dehydration and direct effect of hyperthermia on blood and cardiac tissues To monitor and potentates fluid and electrolyte loses. To decrease temperature by means through evaporation and conduction To minimize shivering To offset increase O2 demands and consumption. To support circulating volume and tissue perfusion To reduce
Evaluation •
After 4 Hrs. of Nursing interventions, the pt. was able to maintain core temperature w/in normal range
•
•
Provide high calorie diet, Parenteral Nutrition Administer antipyretics orally or rectally as prescribed by the physician.
•
•
metabolic demands and O2consumption To increase metabolic demands. To facilitate fast recovery
NCP For
Hyperthermia By Alavazo, Rommel John A. BSN – 4A UPHR-LP
