Assessment Diagnosis Planning Intervention Rationale Evaluation

Subjective: • Hyperthermia • After 4 hrs. Of Independent: • After 4 Hrs. of

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

Hyperthermia
By

Alavazo, Rommel John A.

BSN – 4A
UPHR-LP