Cues Nursing Diagnosis Scientific Rationale Scientific Goal Nursing Interventions Rationale Evaluation

Subjective: Hyperthermia Infectious agents After an hour of nursing Independent: Goal met. As
“Mayda hiranat tak related to disease (Vibrio cholerae) interventions, · Monitor vital signs. · This will serve as baseline evidence of
anak” as verbalized process. stimulate the patient will maintain data patient body
by the patient father. Monocytes body temperature within temperature of
release normal range. · Promote surface cooling by · To decrease temperature 37.5 and as
Objective: Pyrogenic cytokines means of tepid sponge bath. by means through patient father
· Flushed skin, stimulate evaporation and conduction. verbalized
warm to touch. Anterior hypothalamus “Waray na hiranat
· Restlessness results in · To reduce metabolic tak anak ”
· High Body Elevated thermoregulatory set point · Maintain bed rest demands and oxygen
Temperature leads to consumption
Increased Heat conservation
(Vasoconstriction/behaviour changes) · To minimize shivering
Increased Heat production · Provide warm blanket.
(involuntary muscular contractions) · Promote heat loss
result in · Loosen clothing
FEVER
Dependent: · To facilitate fast recovery
· Administer antipyretics and decrease body
orally or rectally as prescribed temperature.
Reference: by the physician.
http://www.supportiveoncology.n
et/journal/articles/0401009.pdf

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