Sunday, October 9, 2011

Hyperthermia Care Plan for Nurses

Hyperthermia


DEFINITIONS:

Circumstances where an individual experiencing an increase in body temperature above peroral C 37.80 / 38.80 C per-rectal due to external factors (Carpenito, 1995)

PURPOSE:

Addressing the problem of increase in body temperature to prevent the lack of fluids or other complications due to hyperthermia.

CRITERIA:

Temperature 36 to 37.5 C, no complaints of fever, chills no, elastic skin turgor, vital signs within normal range (blood pressure, pulse, CVP and JVP)


NURSING DIAGNOSIS :

NURSING ACTION - Care Plan for Hyperthermia:
  • Monitor body temperature
  • Monitor blood pressure, respiratory frequency, and pulse
  • Monitor intake and output every 8 hours
  • Encourage much to drink when there is no contraindication
  • Maintain adequate ventilation in the room
  • Give a warm compress
  • Use clothing that is thin and absorbs perspiration
  • Encourage clients to total bedrest
  • Monitor client's hydration status

HEALTH EDUCATION:
  • Teach how to properly compress
  • Explain the importance of fluid to maintain normal body temperature

Act of collaboration:
  • Maintain intravenous fluids according to program
  • Give antipyretics according to program
  • Give therapy, for the cause of fever according to program
 

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