CUES Objective: >patients temperature is above normal range.
NURSING DIAGNOSIS Hyperthermia related to the infection of salmonella typhi.
SCIENTIFIC EXPLANATION Body temperature elevated above normal level that is usually caused by
OBJECTIVES After 4 hours of nursing
NURSING INTERVENTIONS > Monitor patient temperature degree
RATIONALE >Fever pattern may aids in diagnosing underlying disease.
EVALUATION After 4 hours of nursing intervention goals and objectives was met as evidenced
intervention client and patterns. will be able to
several factors related maintain core to illness. As inoculation temperature within normal range as evidenced by: >Observe for shaking chills and profuse diaphoresis
>Chills often precede during high temperature and
by:
>restlessness
occurs, proliferation of bacteria follows
-Body temperature is lowered to 37C
>warm to touch
and multiplication occurs. Once the bacteria starts to - Body temperature is lowered to 37C.
in presence of generalized infection.
>V/S taken are as follows: T = 37.6 C PR = 20 RR = 92 BP = 90/60
grow in number, it will soon reach it pathogenic level that will result into pyrexia or fever as a defense mechanism of the body.
>Provide tepid sponge baths and avoid the use of ice water and alcohol.
>May help reduce fever. Use of ice water and alcohol may cause chills and can elevate temperature.
>Maintain bed rest
>To reduce
or minimize movement.
metabolic demands of oxygen consumption.
>Encourage client to increase fluid intake.
>Water regulates body temperature.
Dependent: >Administer antipyretics as prescribed by the physician , utilizing 10Rs in giving medication. >Antipyretics acts on the hypothalamus, reducing hyperthermia.