IX.

Care Map

My fever is high Ang taas ng lagnat ko I feel very weak Masyado akong nanghihina My stool is watery basa po yung tae ko

Diarrhea related to contaminants Nausea Vomitting Headache Fever R.A 35 years old 11-26-1976 Thypoid Fever San Lazaro Hospital 7f At the end of the shift, the client will be able to report reduction in frequency of stools. Interventions: Ascertain onset and pattern of diarrhea, noting whether acute or chronic Observe and record frequency, characteristics, amount, time of day, and precipitating factors related to occurrence of diarrhea Bed rest Identify foods and fluids that precipitate diarrhea. Increase fluid intake Offer clear liquids Provide bedside commode Avoid spicy foods Administer anti-diarrheal s as prescribed(Dependent)

Hyperthermia related to increased metabolic rate; illness At the end of the shift, the client will maintain core temperature within normal range.

Interventions: Weak in appearance Monitor patient temperature Headache Flushed skin, warm to touch degree. Dry Skin Monitor heart rate and rhythm Restlessness Compromised concentration Observe for chills and profuse Limited movements diaphoresis Increased peristalsis Provide tepid sponge baths Frequent watery stools Abdominal pain Administer antipyretics as ordered (dependent) Provide high calorie diet Fatigue related to poor physical condition Maintain bed rest At the end of the shift, the client will report improve sense of energy At the end of the shift, the goal was partially met. The client was able to maintain core temperature within normal range. Interventions: Identify presence of physical and physiological disease states Note stage of disease process, nutrition state, and fluid balance Note daily energy patterns Evaluate need for individual assistance or assistive devices Evaluation:

V/S T= 38.5C BP=120/80 PR= 98 RR= 23

Evaluation: At the end of the shift, the goal was met. The client was able to report reduction in frequency of stools.

At the end of the shift, the goal was met. The client was able to report improve sense of energy.