Nursing Care Plan

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Nursing Care Plan for Hyperthermia

Hyperthermia

Definition:

Circumstances where an individual experiencing or at risk of increased body temperature continuously above 37.8 per oral or per-rectal 38.8 ° C because of the increased vulnerability to external factors.

Nursing Care Plan for Hyperthermia

Related Factors:

Related to decrease the ability to sweat : (Special Treatment)
  • Situational
  • Exposure to heat (sun)
  • Clothing that does not comply with the climate
Related to a decrease in circulation:
  • Extreme weight loss
  • Dehydration
  • Insufficiency hydration for heavy activity
  • Maturisional
Related to temperature regulation is not effective:
  • Newborns
  • Premature Babies
  • Elderly

Major Data:

Higher temperature 37.8 orally or 38.8 º C per rectal

Minor Data:
  • Skin redness
  • Warm to the touch
  • Respiratory frequency increased
  • Tachycardia
  • Goosebumps
  • Dehydration
  • Pain or illness-specific or general (eg, headache, fatigue)
  • Malaise / fatigue / weakness
  • Loss of appetite

Expected Outcomes

Individuals will:
  1. Identifying risk factors to hyperthermia.
  2. Connecting method of prevention of hyperthermia.
  3. Maintaining body temperature within normal limits.

Nursing Intervention Nursing Care Plan for Hyperthermia
  1. Teach clients the importance of maintaining adequate fluid intake (at least 2000 ml / day unless there are contraindications to heart or kidney disease) to prevent dehydration
  2. Monitor input and output.
  3. Assess whether clothing or bedcovers too warm for the environment or activities planned.
  4. Teach the importance of increased fluid intake during hot weather and exercise
  5. Explain why the children and the elderly at higher risk of hyperthermia.
  6. Explain the need to avoid alcohol, caffeine, and eat lots and heavy food during hot weather.
  7. Explain the importance of wearing baggy clothes, thin and absorbs sweat
  8. Teach early signs of hyperthermia or heat stroke: Skin redness, fatigue, headache, loss of appetite.

Nursing Care Plan for Ineffective Thermoregulation