Professional Documents
Culture Documents
Objective: Body Temperature = 38 C Warm to touch skin RR = 45 bpm HR = 110 bpm Body sweating Seizure precaution Convulsion
Diagnosis
Inference
Planning
Intervention Apply tepid sponge bath Assess body temperature from time to time Dont do alcohol TSB
Rationale To help decrease body temperature To know what is the response of client to TSB Alcohol increases peripheral vascular constriction & CNS depression To prevent chills Hot environment promotes further increase in temperature and so much stimulus to patient may trigger seizure To prevent injury To reduce temperature
Hyperthermia related Hot environment Short term: to exposure to hot contributes to body At the end of the environment temperature of any shift, patient will be: individual. If the environment is hot, Normal in expect that the temperature temperature of an individual also Decreased increased. seizure activity
Long term: Upon discharge, the patient as well as the family members will: Know and demonstrate how to promote normothermia Nomal body temperature Skin is not warm to touch Be free from seizure activity
Dont use cold water in TSB Apply cool and quiet environment
Normal in temperature