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Fever Subjective Cues: “mainit ung pakiramdam ko.” As verbalized by the patient. Objective Cues: · Flushed skin, warm to touch. · Restlessness . · Above normal body temperature of 37.8°C
Hyperthermia related to viral Infection as manifested by increase in body temperature above normal, and flushed skin.
Presence of infectious agents in the body Lymphocytes are stimulated Lymphocytes Release Pyrogenic cytokines Pyrogenic cytokines Stimulates Anterior hypothalamus Leads to Elevated thermoregulatory set point Results to Increased Heat conservation (Vasoconstriction/be haviour changes) And Increased Heat production (involuntary muscular contractions) FEVER
After 2 hours of Nursing intervention, the patient will: Achieve a lower body temperature , from 37.8°C to 37.5°C
Independent: • Increase the patient’s fluid intake
To support circulati ng volume
Promote surface cooling by means of tepid sponge bath
To decreas e tempera ture by evapora tion and conducti on. Facilitat e heat loss by radiatio n and conducti on To reduce metabol ic demand s To
After 3 hours of Nursing intervention, the patient was able to: Achieved a lower body temperature, from 37.8°C to 37.5°C Goal met.
Have the patient lightly dressed
Maintain bed rest
Administer paracetam ol 500mg/tab
q4 hrs prn for T≥37.8 as ordered Collaborative: • Provide highcalorie diet •
facilitat e fast recover y
To meet increase d in metabol ic demand s