This nursing note summarizes care provided to a patient experiencing hyperthermia. The note records vital signs, medications administered including IV fluids, paracetamol, and antibiotics. Nursing interventions included oxygen therapy, light clothing, increased fluid intake, and a sponge bath to reduce fever. The patient's condition was reported to the night officer on duty.
This nursing note summarizes care provided to a patient experiencing hyperthermia. The note records vital signs, medications administered including IV fluids, paracetamol, and antibiotics. Nursing interventions included oxygen therapy, light clothing, increased fluid intake, and a sponge bath to reduce fever. The patient's condition was reported to the night officer on duty.
This nursing note summarizes care provided to a patient experiencing hyperthermia. The note records vital signs, medications administered including IV fluids, paracetamol, and antibiotics. Nursing interventions included oxygen therapy, light clothing, increased fluid intake, and a sponge bath to reduce fever. The patient's condition was reported to the night officer on duty.
Address: _________________________________________________ Case No. ______________
Date and Time Focus D.A.R.
2/22/23 Hyperthermia D-Received on bed; awake -with ongoing IVF of PNSS 1L to run @ 100cc/hr; intact and infusing well at left cephalic vein - with O2 inhalation at 3LPM via NC -Latest VS: T-38, P-109, RR-30, BP- 110/80 - (+) Febrile : T-38 - (+) Difficulty of breathing
A- VS Checked and recorded
-Seen and Examined by Dr. with order’s made and carried out -Instructed pt to wear light clothing -Instructed pt to increase OFI -Tipid Sponge bath done -Administered Paracetamol 500mg IVTT PRN as ordered -Administered Trimethoprin- Sulfamethoxazole (Bactrim) 300 mgs IVTT q8 as ordered -Provided comfort and safety measures -Cared for