University of the East

RAMON MAGSAYSAY MEMORIAL MEDICAL CENTER, INC.

#64 Aurora Blvd., Brgy. Dona Imelda, Sta. Mesa, Quezon City
COLLEGE OF NURSING

Case Presentation on
Pediatrics
Presented By: N2B B5
1.1 BACKGROUND
➢ Dengue fever is a painful, debilitating mosquito-borne disease caused by any one of four closely
related dengue viruses
➢ According to World Health Organization (WHO), The number of dengue cases reported to WHO
increased ~6 fold, from <0.5 million in 2010 to over 3.34 million in 2016
➢ In the Philippines, as of 24 October, approximately 350,000 dengue cases were recorded and 1,342
deaths, the current dengue epidemic is the largest in the last ten years, or since the disease has
been monitored in the Philippines
➢ The Philippines is among the highest of these and have reported over 371,500 cases as of
November 2019. 371,717 cases were recorded between January to October 2019 compared to
180,072 for the same period last year (106 percent increase). With 1,407 deaths recorded
compared to 927 for the same period last year (62 percent increase). The case fatality rate (CFR) is
0.38 per cent, lower than 0.51 per cent in the same period last year
➢ In this case, the patient was brought to St. Victoria Hospital last December 10, 2019 @ 2:30 PM
because of 3 days on and off fever. Upon admission the patient has a temperature of 39.0C with
flushed skin and warm to touch.
1.2 CLIENT PROFILE/ BIOGRAPHIC PROFILE

➢ patient’s name B.R.Y

➢ 14 years old
➢ malanday, marikina
➢ December 21, 2005
➢ only child
➢ lives with his mother
➢ roman catholic
2.1 CHIEF COMPLAINT

The patient complains about having on and off

fever for 3 days.
2.2 PRESENT HEALTH HISTORY
The patient was complaining about having on and off fever for 3 straight
days. The patient is weak and dehydrated as evidenced by soft watery
stools.The patient’s temperature went up to 39 degrees celsius then
goes down to 37.7 then went up again to 38.4 degrees celsius and is
flushed in skin. The parents said that the patient has no appetite in
food. Upon check-up at 8 in the morning the next day, the patient was
tested for its Complete Blood Count (CBC), Urinalysis, and Dengue
test. After waiting for the result, the patient was shown to be positive in
Dengue. The patient had a cold for 1 week prior to admission
2.3 PAST HEALTH HISTORY

The patient was delivered through Normal delivery

(NSD) with the weight of 7 lbs. The parent’s cannot
remember their son’s APGAR Score and was
breastfed for 6 months up to the age of 2. The
parents also stated that their son has completed its
immunization with booster shots.
The patient also had a cold for 1 week.
2.4 FAMILY GENOGRAM
Upon interview, the
patient’s mother
stated that her
parents is
hypertensive but
does not acquire it.
The father said that
his parents have no
disease in his
family.
2.5 DEVELOPMENTAL HISTORY
Physical development:
Most 14 year old have hit puberty. Both boys and girls tend to have pubic
and underarm hair by this point. They will experience enlargement of the
testicles and penis enlargement, some of them may have nocturnal
emissions (wet dreams) for the first time. Their changing bodies can be a
source of pride or a cause e for concern. Some teens may be proud of
their adult-like bodies while others may be embarrassed or confused by
the changes they are experiencing.
Boys who hit puberty later may be more likely to feel bad about
themselves. They may experience body image issues as they are likely to
compare themselves to their peers.
2.5 DEVELOPMENTAL HISTORY
Emotional development:
Fourteen-year-old teens often start to grow convinced they know
everything
Although mood swings can still be common at age 14, they are usually
less intense than in the past. Many 14-year-olds become more
easy-going as they mature.
They have usually developed the skills they need to deal with
uncomfortable emotions in healthy ways. They may rely on their own
strategies, like journaling or listening to music, or they may turn to their
friends for support. It’s normal for 14-year-olds to be embarrassed by
their parents. They may not want to be seen being dropped off by their
parents to a dance or sporting event. Or, they may insist their parents
embarrass them when they meet friends
2.5 DEVELOPMENTAL HISTORY
Cognitive development:
Most 14-year-olds find justice and equality to be important
issues. They are ready for long-term experiences and their
interests are less fleeting. They often want to explore the
world beyond their own community, and are interested in
learning what exists beyond their school, hometown, or
country.
2.6 PSYCHOSOCIAL HISTORY
The patient is currently in 8th grade level. He doesn’t
usually go out of the house, he spends his time
watching shows on Netflix and playing basketball
with his friends. The patient usually spends his time
with his mom but when in crisis, he talks to his
friends about his problems. The patient is not picky
when it comes to food, he eats vegetables usually
takes him to have a 2nd cup of rice especially when
the food is good.When his mom is at work, he stays
at home alone.
III. THEORETICAL FRAMEWORK
According to Florence Nightingale’s Environmental Theory, ventilation is important
because a person who breathes his own air repeatedly would become sick. She also said
that we should maintain cleanliness because this will help in preventing the breeding of the
epidemic diseases. And pure water is also important because when epidemic disease shows
itself, safe water is needed to avoid infection and to ensure your health safety. The case of
dengue can be associated with Florence Nightingale theory, wherein, clean environment
plays an important role in rejuvenating the patient’s optimum level of health. According to the
mother, they have uncovered stocked water outside their house and due to continuous
raining they’ve suspected that it is one of the reasons why his son got the disease. Having a
clean, quiet and well-ventilated environment, also an effective drainage and pure water will
help the body to restore more quickly.
IV. Gordon’s Functional Health Pattern
HEALTH BEFORE DURING HOSPITALIZATION DIAGNOSI
PATTERN HOSPITALIZATION S

HEALTH SUBJECTIVE SUBJECTIVE Hypertherm

“Hindi siya sakitin “Ngayon po, nanghihina po siya kumain. Pinapainom ia r/t
PERCEPTION-
po siya ngayon ng Cephalexin, Paracetamol at Zinc
HEALTH talaga. Magana nga presence of
sulfate para sa sakit niya.”
MANAGEMENT yan kumain e. OBJECTIVE – infection
PATTERN Matindi rin uminom Patient appears weak.
ng tubig. Yung sa V/S:
nestea na lalagyan temp: 38.4
ng iced tea, minsan PR: 75
siya lang RR: 19
bp: 110/70
nakakaubos at Laboratory results:
nakakarami pa siya Serology for dengue test: IgM and IgG= POSITIVE
niyan.” WBC count as of Dec.9, 2019= 10.9 x 10^9/L
(NORMAL IS 4.5-10.0X 10^9/L)
Urinalysis indicates few bacteria
Weight= 85kg
IV. Gordon’s Functional Health Pattern
HEALTH BEFORE
PATTERN HOSPITALIZATION
NUTRITIONAL- SUBJECTIVE
METABOLIC “Kumakain po kami ng tatlong
PATTERN beses sa isang araw.
Nagbabawas a rin po ako ng
kinakaing kanin. 1 and a half
rice nalang po kinakain ko
ngayon kumpara sa dati na
tatlong tasa ng kanin. Minsan
po may meryenda pa yan sa
hapon. Kadalasan kinakain po
ni Baron ay turon para sa
meryenda.”
DURING DIAGNOSIS
HOSPITALIZATION
SUBJECTIVE Imbalanced
“Nawawalan po siya ng nutrition: less than
gana kumain. Mga body requirement
nakakadalawang subo lang
siya sa pagkain niya tapos
hindi na siya kakain.”
OBJECTIVE –
patient is weak, has intact
skin, mouth, teeth, hair,
nails, mucous membranes.
Patient has brown but
watery stools.
IV. Gordon’s Functional Health Pattern
HEALTH BEFORE DURING DIAGNOSIS
PATTERN HOSPITALIZATION HOSPITALIZATION

ELIMINATION SUBJECTIVE SUBJECTIVE

PATTERN “Karaniwan po, umiihi siya ng
tatlo o marami pang beses sa
isang araw at dumudumi siya
ng isang beses sa isang
araw.”
Fluid Volume
“Kanina pong umaga -(Dec.
10, 2019), nagtae po siya Deficit/Retention
ng apat na beses simula related to active
nung mga 12 hanggang and excessive fluid
4AM. Brown po yung kulay volume loss as
nun at matubig.” manifested by
OBJECTIVE – watery stool
Patient has brown but (diarrhea)
watery stools.
IV. Gordon’s Functional Health Pattern
HEALTH BEFORE DURING DIAGNOSIS
PATTERN HOSPITALIZATION HOSPITALIZATION

ACTIVITY- SUBJECTIVE SUBJECTIVE N/A

EXERCISE “Mahilig po akong “Nanonood lang po ako dito
PATTERN magbasketball lalo na sa sa kwarto. Maglalakad lang
school at manood ng mga ako pag mag-CCR.”
series sa Netflix. Kaya ko
naman pong alagaan sarili OBJECTIVE –
ko.” Patient has full ROM, alert
and oriented. PR and RR
regular
IV. Gordon’s Functional Health Pattern
HEALTH BEFORE DURING DIAGNOSIS
PATTERN HOSPITALIZATION HOSPITALIZATION

SLEEP-REST SUBJECTIVE SUBJECTIVE N/A

PATTERN “Natutulog po siya ng mga 6-8 “Pag wala po siyang
na oras at hindi siya natutulog magawa, natutulog lang po
ng hapon. Magkasama kami siya or nanonood ng TV.”
natutulog niyan, ako sa sala,
siya sa kama. Yung tinitirhan OBJECTIVE –
po kasi namin, nirerentahan Patient appears weak.
na studiotype. Minsan po late
na siya gumigising dahil late
naman po pasok niya, mga
1-7PM. Hindi naman po siya
nagkakanightmares at wala rin
po siyang problema sa
pagtulog.”
IV. Gordon’s Functional Health Pattern
HEALTH BEFORE DURING DIAGNOSIS
PATTERN HOSPITALIZATION HOSPITALIZATION

COGNITIVE- SUBJECTIVE SUBJECTIVE N/A

PERCEPTUAL “Wala naman po akong “Wala naman po akong
PATTERN problema sa paningin ko at problema sa paningin ko at
pandinig ko. Hindi po ako pandinig ko. Hindi po ako
nagsasalamin.” nagsasalamin.”

OBJECTIVE –
Patient has no glasses and
has no difficulty in hearing
and visualization. Alert and
oriented.
IV. Gordon’s Functional Health Pattern
HEALTH BEFORE DURING DIAGNOSIS
PATTERN HOSPITALIZATION HOSPITALIZATION

SELF-PERCEPTIO SUBJECTIVE SUBJECTIVE N/A

N “Madalas syang tahimik, kahit “Tahimik pa rin sya. Hindi
- SELF-CONCEPT kapag malungkot o naiinis. naman umiba kahit ngayon
PATTERN Mahiyain sya pero mabait na nagkasakit sya.”
naman.”
OBJECTIVE –
The patient’s body posture
was lax with shoulders
slumped. He remained eye
contact when answering
questions. He was passive
throughout the interview
IV. Gordon’s Functional Health Pattern
HEALTH BEFORE DURING DIAGNOSIS
PATTERN HOSPITALIZATION HOSPITALIZATION

ROLE SUBJECTIVE – SUBJECTIVE – N/A

RELATIONSHIPS “Kaming dalawa lang
PATTERN magkasama sa bahay.
Madalas mag-isa lang sya sa
bahay o nasa bahay sya ng
kaibigan nya.”
“Ako nagbabantay sa kanya
ngayon pero parating na
yung nanay ko galing
Batangas para magbantay.”
OBJECTIVE – The mother
of the patient was attentive
to his needs. She would
often wipe his body while
she was being interviewed.
She also assists him in
going to the comfort room.
She is often stationed at his
bedside.
IV. Gordon’s Functional Health Pattern
HEALTH BEFORE DURING DIAGNOSIS
PATTERN HOSPITALIZATION HOSPITALIZATION

SEXUALITY - SUBJECTIVE – SUBJECTIVE – N/A

REPRODUCTIVE “Okay naman. Wala naman “Wala naman akong
PATTERN akong concerns.” concerns.”

OBJECTIVE – No
significant findings
IV. Gordon’s Functional Health Pattern
HEALTH BEFORE DURING DIAGNOSIS
PATTERN HOSPITALIZATION HOSPITALIZATION

COPING - STRESS SUBJECTIVE – SUBJECTIVE – N/A

PATTERN “Kapag nag-aalala sya, “Kapag may nararamdaman
madalas sa kaibigan nya sinasabi nya naman agad
sinasabi.” sakin.”

OBJECTIVE –
The patient was silent and
he gave short responses.
IV. Gordon’s Functional Health Pattern
HEALTH BEFORE DURING DIAGNOSIS
PATTERN HOSPITALIZATION HOSPITALIZATION

VALUES - SUBJECTIVE – SUBJECTIVE – N/A

BELIEFS “Nagdarasal sya gabi-gabi.” “Nagdarasal pa rin sya lalo
PATTERN na ngayon at may sakit
sya.”

OBJECTIVE – No
significant findings
V. Laboratory Report/ Diagnostic Test Result

CBC WITH PLATELET

Name: B.R.Y Date: 12/09/2019

 TEST RESULT REF. RANGES

Hemoglobin 153 1.25-160 g/dl

Hematocrit 0.47 0.38-0.54

RBC 5.35 4.2-6.2 X 10^12/L

WBC 10.9 4.5-10.0 X 10^9/L

DIFFERENTIAL COUNT

SEGMENTERS 0.83 0.46-0.66

LYMPHOCYTES 0.08 0.20-0.40

EOSINOPHILS 0.01-0.04

MONOCYTES 0.09 0.02-0.06

PLATELET COUNT 249 150-400 X 10^9/L

BLOOD TYPING

CLOTTING TIME 3-5 minutes

BLEEDING TIME 2-5 minutes

 TEST RESULT REF. RANGES

Hemoglobin 1.36 1.25-160 g/dl

Hematocrit 0.41 0.38-0.54

RBC 4.76 4.2-6.2 X 10^12/L

WBC 5.1 4.5-10.0 X 10^9/L

DIFFERENTIAL COUNT

SEGMENTERS 0.75 0.46-0.66

LYMPHOCYTES 0.12 0.20-0.40

EOSINOPHILS 0.01-0.04

MONOCYTES 0.13 0.02-0.06

PLATELET COUNT 200 150-400 X 10^9/L

BLOOD TYPING

CLOTTING TIME 3-5 minutes

BLEEDING TIME 2-5 minutes

 SEROLOGY FOR DENGUE TEST
Name: B.R.Y Date: 12/09/2019

IgM = Negative IgG = Negative

CLINICAL INTERPRETATION
INTERPRETATION OF RESULT:

IgM Positive Primary Dengue Infection

IgM and IgG Positive Secondary Dengue Infection

IgG Positive Secondary Dengue Infection

URINALYSIS

Color: YELLOW WBC: 2-4/HPF

Transparency: SL. HAZY RBC: 1-2/HPF

Specific Gravity 1.020 Bacteria: FEW

Ph: ACIDIC Epithelial cells:

Albumin: NEGATIVE Mucus threads:

Sugar: NEGATIVE Amorphous Urates

Others: Calcium Oxalates:

Trichomonas:
VII. DRUG ANALYSIS

DRUG MECHANISM OF SIDE EFFECTS ADVERSE CONTRAINDICAT

ACTION EFFECTS IONS

Cephalexin Binds to bacterial - Diarrhea - Seizures - Hypersensitivity

cell wall - Nausea - Pseudomembra to
Classification: membrane, - Vomiting nous colitis cephalosporins
Anti-infectives causing cell death. - Upset stomach - Abdominal pain - Serious
- Rashe, Urticaria hypersensitivity
Dosage: - Eosinophilia to penicillins.
500 mg (1 cap) Hemolytic
anemia
Frequency: - Neutropenia
Q8 - Thrombocytope
nia
Route:
Oral
 Cephalexin: NURSING RESPONSIBILITIES
❏ Assess patient for infection
❏ Obtain a history to determine previous use of and reactions to penicillins or
cephalosporins.(allergic response)
❏ Obtain specimens for culture and sensitivity before initiating therapy.
❏ Observe patient for s/sx of anaphylaxis
❏ Monitor bowel function.
❏ Instruct patient to take medication around the clock at evenly spaced times and
to finish the medication completely as directed, even if feeling better.
❏ Advise patient to report signs of superinfection
❏ Instruct patient to notify health care professional if fever and diarrhea develop,
especially if diarrhea contains blood, mucus, or pus.
 DRUG MECHANISM OF SIDE EFFECTS ADVERSE CONTRAINDICAT
ACTION EFFECTS IONS

Paracetamol Inhibits the - Nausea - Skin .Hypersensitivity

synthesis of - Vomiting rash/Urticaria to paracetamol
Generic name: prostaglandins that - Constipation - Thrombocytopen - Severe
Acetaminophen may serve as - Dizziness ia hepatocellular
mediators of pain - Injection site - Anaphylactic insufficiency
Classification: and fever, primarily - Hypothermia shock - Hepatic failure
Antipyretics, in the CNS. Has - Pruritus - Hepatotoxic w/ - Products
Nonopioid no significant chronic use containing:
Analgesics anti-inflammatory - risk of ● alcohol
properties or GI haemolysis in ● Aspartame
Dosage: toxicity G6PD patients ● Saccharin
500 mg (1 tab) w/ high dose. ● Sugar or
Frequency: tartrazine
Q4
Route:
Oral (Tablet)
 Paracetamol: NURSING RESPONSIBILITIES

❏ Do not refrigerate bun

❏ Do not use in infants with hepatocellular insufficiency, severe renal impairment
and dehydration
❏ Measure the paracetamol level if toxicity is suspected, routine monitoring not
required
❏ Barbiturates, carbamazepine and phenytoin may increase clearance of
paracetamol.
 DRUG MECHANISM OF SIDE EFFECTS ADVERSE CONTRAINDICAT
ACTION EFFECTS IONS

Zinc Sulfate Serves as a - Nausea - Diarrhea .Hypersensitivity

cofactor for many - Stomach upset - Abdominal to any
enzymatic - Heartburn creams compounds in
Classification: reactions. - Vomiting the formula
Mineral and Required for - Pregnancy or
electrolyte normal growth and lactation
replacement/suppl tissue repair, - Preparations
ements wound healing, containing benzyl
and senses of alcohol should
Dosage: taste and smell. not be used in
10 mL neonates

Frequency:
OD

Route:
Oral (syrup)
Zinc Sulfate: NURSING RESPONSIBILITIES

❏ Monitor progression of zinc deficiency symptoms

❏ Encourage patient to comply with diet recommendations of health care
professional.
❏ Instruct patients receiving oral zinc to notify health care professional if severe
nausea or vomiting, abdominal pain, or tarry stools occur.
❏ Emphasize the importance of follow-up exams to evaluate progress.
VIII. ANATOMY AND PHYSIOLOGY

A second line of defense is housed within the body, finely tuned immune system
that recognizes and destroys foreign substances and organisms that enter the
body. the immune system can distinguish between the body’s own tissues and
outside substances called antigens. This allows cells of the immune army to
identify and destroy only those enemy antigens. The ability to identify an antigen
also permits the immune system to “remember” antigens the body has been
exposed to in the past, So that the body can mount a better and faster immune
response the next time any of these antigens appear. The immune system also
includes other proteins and chemicals that assist antibodies and T-cells in their
work among them are chemicals that alert phagocytes to the sites of the infection.
The compliment system, a group of protein that normally float freely in the blood
move toward infections, where they combine to help destroy microorganisms and
foreign particles
IX. PATHOPHYSIOLOGY
NURSING CARE
PLANS
 NURSING PROBLEMS
Actual:
1. Hyperthermia r/t presence of infection as evidenced by elevated body
temperature (38.4C), malaise or weakness, loss of appetite, increase in
WBC count, and positive test for dengue.
2. Fluid Volume Deficit/Retention related to active and excessive fluid volume
loss as manifested by watery stool
Fluid Volume Deficit/ Retention
ASSESSMENT
SUBJECTIVE CUES OBJECTIVE CUES
Vital Signs:
“Kanina pong umaga -(Dec. 10, 2019), Temperature: 38 degree centigrade
nagtae po siya ng apat na beses simula Blood Pressure: 110/ 70 mmHg
nung mga 12 hanggang 4AM. Brown po Heart Rate: 75
yung kulay nun at matubig.” Pulse Rate: 19
Intake and Output:
Oral Input: 720
Parental Input: 1950
8-Hour Total: 2670
8- Hour Total: 3 x Bowel Movement (Soft Watery)
 DIAGNOSIS
Fluid Volume Deficit/Retention related to active and excessive fluid volume loss as manifested by watery stool

Rationale:
Vulnerable to experiencing decreased intravascular, interstitial, and/ or intracellular fluid volumes which may
compromise health which refers to dehydration, water loss alone without change in sodium (Wayne, 2016)

Sources: Nurse’s Pocket Guide 14th Edition by Doenges; Wayne,G. (2016); Deficient Fluid Volume Nursing Care
Plans. Retrieved from https://nurseslabs.com/deficient-fluid-volume/
PLANNING

GOAL:

At the end of the hospitalization the patient will be able to decrease watery stool and normalize vital signs
especially temperature

OBJECTIVE:

Within the nursing shift or within 6 hours, the patient will be able to:

increase fluid intake

 INTERVENTION
INDEPENDENT:
- Assess skin turgor and oral mucous membranes for signs of
dehydration
- Urge the patient to drink prescribed amount of fluid
- Monitor vital signs for changes
- Assist or remind the client to drink as needed
DEPENDENT:
- Drink medication as prescribed by the physician
- Review appropriate use of medications
COLLABORATIVE:
- Review laboratory data
- Review diet as orders
Sources: Nurse’s Pocket Guide 14th Edition by Doenges; Wayne,G.
(2016); Deficient Fluid Volume Nursing Care Plans. Retrieved from
https://nurseslabs.com/deficient-fluid-volume/
RATIONALE
- To determine the signs of dehydration
- to regain the amount of fluids that is
excreted through stool and sweat
- that may be the cause or effect of
dehydration
- to increase the daily fluid intake
- to stop or limit fluid intake
- might have potential for causing or
exacerbating dehydration
- to evaluate fluid and electrolyte status
- to remove any nonessential fluid and
salt restrictions
Sources: Nurse’s Pocket Guide 14th Edition
by Doenges; Wayne,G. (2016); Deficient
Fluid Volume Nursing Care Plans.
Retrieved from
https://nurseslabs.com/deficient-fluid-volum
 EVALUATION

After 6 hours, the patient was able to:

increase fluid intake

The patient’s vitals signs were stable as evidenced by the following values:

Temp: 37.5 degrees centigrade

BP: 110/70

HR: 79

RR: 20
 ASSESSMENT
SUBJECTIVE CUES OBJECTIVE CUES

“Ngayon po, nanghihina po siya Patient appears to be weak.

kumain. Pinapainom po siya V/S:

ngayon ng Cephalexin, temp: 38.4
Paracetamol at Zinc sulfate para
PR: 75
sa sakit niya.”
RR: 19

bp: 110/70

Laboratory results:

Serology for dengue test: IgM and IgG= POSITIVE

WBC count as of Dec.9, 2019= 10.9 x 10^9/L

(NORMAL IS 4.5-10.0X 10^9/L)
 DIAGNOSIS
Hyperthermia r/t presence of infection as evidenced by elevated body
temperature (38.4C), malaise or weakness, loss of appetite, increase in WBC
count, and positive test for dengue.

Reference: Nurse’s Pocket Guide 14th Edition by Doenges

PLANNING
Short Term:
After 6 hours (within the nurse’s shift) of nursing interventions, the patient will be able to achieve
normothermia as evidenced by body temperature lowered to 36.5-37.5C.

Long Term:
After hospitalization, the patient will be able to maintain body temperature within the normal range
(36.5-37.5C) and will be able to demonstrate behaviors to monitor and promote normothermia.
 INTERVENTION
1. Independent Interventions
- Encourage ample fluid intake by mouth
(approximately 1500 to 2000 cc per day).
- Provide tepid sponge bath.
- Inform the patient to maintain bed rest or
minimize movement.
- Monitor I&O and vital signs temperature,
pulse rate, blood pressure, and respiration
rate (every 3 hours)
- Provide a comfortable environment.
RATIONALE
- To replace fluids lost due to evaporation.
- Heat loss through evaporation and conduction
- To reduce metabolic demands of oxygen consumption
- To detect dehydration, and to know fluid and electrolyte
balance in the body. Vital Signs is a reference to determine
the patient's general condition.
- To promote comfort for the patient

2. Dependent Interventions
- Administer antipyretic medication
(Paracetamol), as prescribed. - Antipyretic medications lower body temperature by
- Start intravenous normal saline solutions blocking the synthesis of prostaglandins that act in the
or as indicated. hypothalamus.
- Intravenous normal saline solution replenishes fluid losses.
3. Collaborative
- Discuss with patient and family members
about the signs and symptoms of
hyperthermia and help in identifying - Providing health teachings to the patient and family aids in
factors related to occurrence of fever. coping with disease condition and could help prevent
Inform about the importance of increased further complications of hyperthermia.
fluid intake to avoid dehydration.
Reference: Nurse’s Pocket Guide 14th Edition by Doenges
 EVALUATION
EVALUATION

After various nursing interventions, goals and objectives are met. Patient’s body temperature was
lowered to normal levels (37 C) and was maintained for 6 hours.Patient is also able to display
behaviors to promote normothermia.