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  • Nursing Plan

    Diunggah oleh

    Muhammad Sahal
    22 tayangan3 halaman
    1. The nursing plan includes applying warm compresses to increase vasodilation and raise body heat expenditure to resolve hyperthermia within 20 minutes, with a temperature goal of 36.5-37.5°C. 2. On February 7th, interventions for a patient with hyperthermia included assessing factors contributing to increased temperature, encouraging thin cotton clothes and fluid intake, applying warm compresses, and giving santagesic via IV with the doctor. 3. Evaluation on February 7th found the fever had decreased more than before, vital signs and appearance were improved, and the problem was resolved. The patient's condition would continue to be monitored.

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    1. The nursing plan includes applying warm compresses to increase vasodilation and raise body heat expenditure to resolve hyperthermia within 20 minutes, with a temperature goal of 36.5-37.5°C. 2. On February 7th, interventions for a patient with hyperthermia included assessing factors contributing to increased temperature, encouraging thin cotton clothes and fluid intake, applying warm compresses, and giving santagesic via IV with the doctor. 3. Evaluation on February 7th found the fever had decreased more than before, vital signs and appearance were improved, and the problem was resolved. The patient's condition would continue to be monitored.

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    22 tayangan3 halaman

    Nursing Plan

    Diunggah oleh

    Muhammad Sahal
    1. The nursing plan includes applying warm compresses to increase vasodilation and raise body heat expenditure to resolve hyperthermia within 20 minutes, with a temperature goal of 36.5-37.5°C. 2. On February 7th, interventions for a patient with hyperthermia included assessing factors contributing to increased temperature, encouraging thin cotton clothes and fluid intake, applying warm compresses, and giving santagesic via IV with the doctor. 3. Evaluation on February 7th found the fever had decreased more than before, vital signs and appearance were improved, and the problem was resolved. The patient's condition would continue to be monitored.

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    © All Rights Reserved
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    dari 3

    G.

    Nursing plan
    No Nursing Planning
    diagnose Goal Intervantion Rational
    1. Hypertermi r.t NOC : 1. Warm compresses
    increase of Thermoregulation. 1. Apply warm provide
    metabolic compresses on the vasodilation effects
    Within 1x20 forehead / axilla of blood vessels so
    minutes the that it can increase
    problem body heat
    hypertermia is expenditure through
    resolved. the pores.
    Criteria :
     T : 36,5-37,5oC
    H. Implementation
    No Day/date Time No.diagnosa Implementation Evaluation of Paraf
    action
    1. Wednesday, 06.00 Hypertermia 1. Assess the 1. Fever,
    february 7, factors of the accompanied
    2018 increase in seizure after
    temperature. immunized.
    2. Observation 2.
    vital sign BP : 100/80
    mmHg
    P : 106
    times/minutes
    R : 28
    3. Encourage to times/minutes
    use thin clothes T : 37,8oC
    made of cotton 3. Client dressed
    fabric thin clothes
    4. Applying warm
    compressed on 4. Patient felt
    the more relaxed
    forehead/axilla than before
    5. Encourage the
    client to drink a 5. The client
    lot said that he
    drank as
    many as 8
    6. Collaboration glasses a day
    with doctor to
    give santagesic 6. Santagesic
    3x150 mg via
    IV
    I. Evaluasi
    No Day/date Time No.Diagnosa Evaluation of Results
    1. Wednesday, 09.00 Hypertermi S : client said that the fever was more
    February 7, decresed than before
    2018 O :
     Client looked more relaxed than
    before
     BP : 100/80 mmHg
     T : 37oC
     Skin palpable normal
     P : 100 times/minutes
     R : 24 times/minutes
    A : problem resolved
    P : keep the patient condition
     Intervention stopped

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