NCP ON FEVER

ASSESSMENT DIAGNOSIS PLANNING IMPLEMENTATION

Subjective: Hyperthermia Short term: Independent:
“My son has related within 1 hour 
fever from last to positive ofnursing  
night with bacterial intervention the Established rapport to
fatigue and infection as  patient’s mother to gain trust and
vomitting ”as manifested by elevated cooperation.
verbalized by flushed and temperature 
the patient’s warm to touch of 36.2 willlessen  
mother. skin to 37.4 Promote surface cooling
degreeCelsius. by means of undressing (
Objective: heatloss by radiation and
Long term: conduction)
Flushed skin 
Skin is warm to  within  
touch 3consecutive Demonstrate on how to
Temp: 38.2*C days of nursing i do a proper tepid sponge
PR: 109 ntervention, the bath using wet and dry
RR: 34 patient’s cloth.
 body 
temperature will  
return to its Provide nutritious diet to
normal range. meet increase metabolic
demands
Dependent:
 Administerantipyretic as
ordered
 EVALUATION EVALUATION
After 4 hours of
After all the nursin nursing
interventions the
g intervention the goal was partially
ort to clients body temp met as manifested
rust and subsided within the by the patient’s
normal range. ability to maintain
adequate fluid
volume as
evidenced by
cooling :> patient was
ressing ( relaxed
ation and >Maintained good
skinturgor 2 seconds
>Maintained normal
capillary refill
2seconds
how to >had moist mucous
d sponge membrane
nd dry >Urine output of 30-
40cc per hour 
>Stable vital
signs:BP: 90/60
mmHgPR: 88
us diet to bpmT:36.0 C
etabolic

pyretic as