PELAGIO, SHIENA MAE B.

BSN II-A

Date/Time Focus Data, Action, and Response

3/6/2010 Hypothermia D: Temperature of 34.8 OC, skin cold to touch,

1:00 pm
shivering noted, and pale in appearance.

----------A: Regulated the room temperature or

relocated the patient to a warmer environment;

Removed wet clothing; Provided a blanket and

extra clothing; Provided warm liquids; Assessed

vital signs.

3:00 pm ---------------------------------------------------

R: Temperature increased from 34.8 to 35.9 OC.

--------------------------Shiena Mae B. Pelagio, SN