Situation

A 53 year old male was admitted due to fever with a body temp. of 39 C yesterday (11-7-
19, 2-10 shift). During the 6-2 shift, productive cough was noted. Patient’s IVF is #
2 PNSS 1L x 100 cc/hr at left metacarpal vein with gauge 20 IV cannula, remaining
solution is 450 cc and without other attachments. 8 am vital signs are as follows: T
37.3 C, CR 67 bpm, RR 20 cpm and BP 120/70 mmHg. At 10 am, the patient complained fever
of 38.4 C
Labs:
• WBC of 12 x 109/L (NORMAL LESS THAN 4-11 X 10(9)/L)
• Sputum AFB ( - )
• For follow up: sputum gram staining and culture sensitivity
Medications:
• Paracetamol 500 mg PRN Q4H for fever
• Antibiotic cefuroxime 500 mg/tablet b.i.d
NOTE: Give your plan of care and nursing intervention based from assessment above.