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FAMILY NURSING CARE PLAN FOR FEVER

HEALTH PROBLEM FAMILY GOAL OF CARE OBJECTIVE OF INTERVENTIONS I


NURSING CARE CARE OF PLANS
NURSING METHOD OF RESOURCES REQUIRED
INTERVENTION NURSING
INTERVENTION

- Assess and monitor - Temperature 38.9ᴼC SOURCE:


client’s temperature – 41ᴼC may suggest WIKIPEDIA.ORG
Hyperthermia or - Client will be able to - Flushed skin with and note for presence acute infectious
Hyperthermia commonly known resume and maintain body temperature of of chills/ profuse disease process. A
as fever is present normal body 38.1ᴼC per axilla diaphoresis; also note sustained fever may
when the body temperature after 4 for degree and pattern be due to pneumonia
temperature is hours. - Respiratory rate of : of occurrence. or typhoid fever while
higher than 37ᴼC 21 breaths per minute a remittent fever may
which can be - Client will be free be due to pulmonary
measured orally, from complications infections; and an
such as irreversible - Pulse rate of: 89 intermittent fever may
but 37.7ᴼC if beats per minute
measured per brain or neurologic be caused by sepsis or
rectum. It occurs damage. tuberculosis.
when the body is - Unstable blood
invaded by some pressure
bacteria, viruses, - Adjust and monitor - Room temperature
or parasites. - Muscle rigidity; environmental factors may be accustomed to
Sometimes the chills like room temperature near normal body
occurrence of fever and bed linens as temperature and
may also be due to - Profuse diaphoresis indicated. blankets and linens
non- infectious may be adjusted as
factors like injury, indicated to regulate t
heat stroke or
dehydration. -It could help in
- Apply tepid sponge reducing
Some underlying bath. hyperthermia; avoid
conditions can also using alcohol and iced
cause water which may even
hyperthermia, like produce chills and
thyrotoxicosis, increase client’s
heart attack and temperature.
other forms of emperature of client.
cancer. If not
treated properly, a
client may be at - Administer - Antipyretics acts on
risk for its antipyretics as the hypothalamus,
complications prescribed by the reducing
involving febrile physician, utilizing hyperthermia.
convulsions, the 10 Rs in giving
medication.
happening mostly - Provide cooling
to pediatric clients blanket as indicated - It is helpful in
aging from 6 reducing increased
months to 6 years body temperature
of age, and brain especially with
damage; which temperatures of
could be because 39.5ᴼC – 40ᴼC.
of prolonged and
- Encourage client to
repeated febrile
increase fluid intake.
- Water regulates
convulsions. body temperature.

- Raise the side rails - To ensure client’s


at all times. safety even without
the presence of
seizure activity.

- Start intravenous - To replenish fluid


normal saline losses during
solutions or as shivering chills.
indicated.

- Provide high caloric


diet or as indicated by - To meet the
the physician. metabolic demand of
client.

- Educate client of
signs and symptoms - Providing health
of hyperthermia and teachings to client
help him identify could help client cope
factors related to with disease condition
occurrence of fever; and could help
discuss importance of prevent further
increased fluid intake complications of
to avoid dehydration. hyperthermia.

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