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Nursing Care Plan Fever
Nursing Care Plan Fever
Dependent: Administer
antipyretic as ordered.
Nursing Care Plan 30
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Nursing Care Plan 33
Subjective: Risk for ineffective After 8 hrs. of nursing Independent: After 8 hrs. Of
“masakit ang ulo ko as cerebral Tissue interventions, the client R: Provides calming nursing
Decrease extraneous stimuli
verbalized by the perfusion related to will demonstrate stable effect, reduces Adverse interventions, the
and provide comfort
patient. cerebraledema physiological response client demonstrated
Vital signs and absence measures like back massage,
Objective: and promotes rest to stable Vital signs
of signs of intracranial quiet environment, soft voice.
Restlessness maintain or lower and absence of
pressure.
Change in motor or intracranial pressure. signs of intracranial
sensory responses pressure.
Instruct patient to avoid or
Difficulty in R: These activities
Demonstrate limit coughing, Vomiting,
swallowing increase thoracic and
behaviours/lifestyle straining at defecation,
skin discoloration intra-abdominal
changes to improve bearing down as possible.
decrease motor pressure which can
circulation.
response increase intracranial
pressure.
Prevention:
R: Continual activity
can increase intracranial
Curative: pressure
Administer supplemental
oxygen as indicated
R: Reduces hypoxemia.
Investigate reports of pain out
of proportion to degree of
injury:
R: May reflect
developing
compartment syndrome
Administer R: used to decrease
medications(antihypertensive, edema.
diuretics)
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Nursing Care Plan 36
Subjective Altered nutrition: less than The child’s weight will be ► Weight the child daily on The child shows normal
“Dalawang araw na sya body requirements related to stable and appropriate for age, the same scale and record on growth and development,
nagsususka” as verbalized by restricted intake; nausea, and normal serum protein, moist growth chart. nausea and vomiting
the mother. vomiting, swallowing and mucous membrane and under control, adequate
Objective: chewing difficulty. adequate urine output. ► Monitor skin turgor, daily caloric intake and
Weak in appearance mucous membrane and urine proper hydration
Irritable Nausea and vomiting output. verbalized by the S.O.
(+) Nausea and vomiting controlled.
Temp: 37.4 ► Position the infant or child
RR 40 upright after feeding.
PR 105
► Provide a flexible feeding
schedule with small feedings
of favourite foods.
► Consult dietician.
► Assess level of
consciousness before giving
liquids.
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