Assessment Explanation of the Problem
Sub: Hyperthermia is an elevated
“pabalik balik yung body temperature due to a
lagnak ng anak ko” as break in thermoregulation that
verbalized by the mother arises when a body produces
Obj: or absorbs more heat that it
 Skin warm to dissipates. It is sustained core
touch with a temperature beyond the
temperature of normal variance. The body
38.8 degree has different coping
Celsius mechanisms to get rid of
 Weakness excess body heat, largely
observed breathing, sweating, and
 Flushed skin increasing blood flow to the
Nursing Dx: surface of the skin. In relation
Hyperthermia related to to the nephrotic syndrome the
infectious process as patient is undergoing against
evidenced by increase in this condition that why he has
body temperature the a complication which results
normal range in hyperthermia
Reference List:
Fletcher J., (August 9, 2019).
“Hyperpyriexia: what to
know about a high
fever”_Retrieved from
https://www.medicalnewstoda
y.com/articles/318856.php#1
Goals/Objective Nursing Intervention
STO: Dx:
 Within 4 hours of
nursing interventions
the patient’s
temperature will lower
down.
LTO:
 After 3 days of nursing Tx:
intervention the  Monitor patient temperature
patient’s temperature
will be back at normal  Provide tepid sponge baths
range. From 38.8 °C-
37.0°C
Edx:
 Observe for shaking chills and
profuse diaphoresis
 Ascertained surface cooling,
loosen clothing and cool
environment.
degree and patterns.
and avoid the use of ice water
and alcohol
 Administer antipyretic drugs
as ordered by the physician.
 Advice to loosen clothing and
cool environment.
 Educate patient and the
significant others about the
signs and symptoms of
hyperthermia and help in
identifying factors related to
occurrence of fever
 Encourage the patient to know
the importance of adequate
fluid intake and protein diet.
Rationale Evaluation
 Chills often proceed during high STO:
temperature and in presence of Within 4 hours of effective
generalized infection. nursing interventions, goal
is partially met, patient’s
 May help reduce fever. Use of temperature lessened; from
ice water and alcohol may cause 38.8 degree Celsius to 38.0
chills and can elevate degree Celsius.
temperature
LTO:
 Fever pattern may aids in After 3 days of nursing
diagnosing underlying disease. intervention, goal met,
patient’s temperature is 37.0
 Heat is loss by evaporation and degree Celsius and already
conduction in normal range.
 To decrease body temperature.
 To give comfort to the patient
and help cooling down the body
temperature
 Providing health teachings to the
patient and family aids in coping
with disease condition and could
help prevent further
complications of hyperthermia.
 To prevent dehydration and
excessive fluid intake.