NCP 1: Hyperthermia

NURSING
CUES/ NURSING BACKGROUND
GOALS AND OBJECTIVES INTERVENTIONS AND EVALUATION
ASSESSMENT DIAGNOSIS KNOWLEDGE
RATIONALE
SUBJECTIVE: Hyperthermia Hyperthermia is a NOC: Thermoregulation NIC: Fever treatment
related to medical condition
 (+) Chills infection characterized by an GOAL: Goal not met.
elevated body
OBJECTIVE: temperature above After rendering nursing
 Patient the normal range, interventions, the client will:
was which is typically
shivering around 98.6°F  Demonstrate
 (+) (37°C). The body temperature within
Flushed maintains a balance normal range and be
skin between the heat it free of chills.
 Skin was produces and the heat
warm to it loses to the
environment. OBJECTIVES:
touch
 Temperatu Hyperthermia After 1 hour of rendering
occurs when the After 1 hour of rendering During the health care, the nursing interventions, the
re: 38.4 °C
body produces more nursing interventions the nurse will: patient:
heat than it can patient will be able to:
dissipate.
Hyperthermia can 1. Alleviate signs and 1.1 Loosen or remove 1. Remained shivering
develop due to symptoms of excess clothing and with chills while
several factors, hyperthermia such as covers. Exposing skin having minimal
including chills, shivering, and to room air decreased decrease in
environmental increased body heat and increases temperature from
factors such as temperature with the evaporative cooling. 38.4 °C to 37.9 °C
exposure to high use of non-
temperatures and pharmacologic 1.2 Provide a cool, well-
humidity levels, techniques. ventilated
physical activity such environment. Help the
as when individuals body dissipate the heat
engage in excessive more effectively.
physical activity in Adequate ventilation
high-temperature helps in facilitating the
environments, and exchange of hot air for
certain medication or cooler air, which can
drugs such as certain help reduce the body
antipsychotic drugs, temperature.
antidepressants, and
illicit drugs.
1.3 Keep clothing and bed
linens dry. Wet
clothing or bedding
can worsen the
condition by trapping
heat radiating from the
body, leading to an
increase in body
temperature.

1.4 Provide cooling

blankets as requested.
Use cooling blankets
that circulate water
when the body
temperature is needed
to be cooled quickly.
This helps alleviate
chilling and shivering.

1.5 Encourage oral fluid

intake. Replenishing
lost fluids due to
 sweating and
preventing
dehydration.

1.6 Advised to do tepid

sponge bath. Helps
lower the body
temperature by
evaporative cooling
and conduction.

2. Achieve the desired 2.1 Administered 2. Temperature

therapeutic benefits of
the antipyretic
medication as
evidenced by stabilized
temperature () and
absence of signs and
symptoms including
chills.
paracetamol 300 decreased from 38.4
mg/IV as ordered. °C to 37.9 °C. Chills
Paracetamol is a with shivering were
rational option for still reported and
managing observed. –
hyperthermia because Physician was
it reduces fever by notified.
blocking the
production of
prostaglandins and
provides pain relief. It
is readily available and
generally safe to use in
mild to moderate cases.
NCP 2:

NURSING
CUES/ NURSING BACKGROUND
GOALS AND OBJECTIVES INTERVENTIONS AND EVALUATION
ASSESSMENT DIAGNOSIS KNOWLEDGE
RATIONALE
SUBJECTIVE: NOC: NIC:
.
GOAL: Goal not met.
OBJECTIVE:
Long Term Goal:

After rendering nursing

interventions, the client will:

OBJECTIVES:

After 8 hours of rendering

nursing interventions the
patient will be able to:

1. Attain normal respiration as

evidenced by effortless
breathing with normalized O2
saturation and rate of
respiration while lying with the
use of non-pharmacologic
techniques. During the health care, the After 8 hours of rendering
nurse will: nursing interventions, the
patient was able to: