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    Herpes NCP

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    Sanny L Asim Jr.
    The patient's temperature was 38.6°C. The nursing care plan aimed to decrease the patient's temperature to 37.5°C within 1 hour and return vital signs to normal range within 4 hours through interventions like tepid sponge baths, oral fluids, and antipyretics as needed.

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    Herpes NCP

    Uploaded by

    Sanny L Asim Jr.
    124 views3 pages
    The patient's temperature was 38.6°C. The nursing care plan aimed to decrease the patient's temperature to 37.5°C within 1 hour and return vital signs to normal range within 4 hours through interventions like tepid sponge baths, oral fluids, and antipyretics as needed.

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    herpes-ncp

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    The patient's temperature was 38.6°C. The nursing care plan aimed to decrease the patient's temperature to 37.5°C within 1 hour and return vital signs to normal range within 4 hours through interventions like tepid sponge baths, oral fluids, and antipyretics as needed.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    124 views3 pages

    Herpes NCP

    Uploaded by

    Sanny L Asim Jr.
    The patient's temperature was 38.6°C. The nursing care plan aimed to decrease the patient's temperature to 37.5°C within 1 hour and return vital signs to normal range within 4 hours through interventions like tepid sponge baths, oral fluids, and antipyretics as needed.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
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    JH CERILLES STATE COLLEGE

    in consortium with
    Western Mindanao State University
    West Capitol Road, Balangasan District, Pagadian City

    PATIENT INITIALS : DATE :


    STUDENT NURSE : AREA of ROTATION :
    YEAR LEVEL and BATCH : CLINICAL INSTRUCTOR :

    NURSING CARE PLAN


    ASSESSMENT DIAGNOSIS PLANNING INTERVENTION RATIONALE EVALUATION
    Subjective Short Term Independent Short Term
    ”Nurse, murag gihilantan After 1 hour of 1. Monitor vital signs.  Vital signs provide After 1 hour of
    akong anak” as Elevated body appropriate nursing more accurate appropriate nursing
    verbalized by the temperature intervention the indication of core intervention the
    significant other. patient’s temperature temperature. patient’s temperature
    related to disease
    will decrease to decreases to 37.5oC.
    Objective process 37.5oC. 2. Provide tepid sponge  TSB helps in
     Temperature: 38.6C bath. Do not use lowering the body Long Term
     RR: 26cycle per Long Term alcohol. temperature and After 4 hours of
    minute After 4 hours of alcohol cools the appropriate nursing
     appropriate nursing skin too rapidly, intervention the
     Hot, flushed skin intervention the causing shivering. patient’s vital signs
     Increased respiratory patient’s vital signs Shivering increases has returned to normal
    rate will return to normal metabolic rate and range; with a
     Diaphoresis range; with a body temperature temperature of 36.5-
    temperature of 36.5- 37.5oC,pulse rate of
     Warm to touch
    37.5oC,pulse rate of 60-100bpm and
    60-100bpm and 3. Remove excess  These decrease respiratory rate of 12-
    respiratory rate of clothing and covers. warmth and increase 20 cycles per min.
    12-20 cycles per evaporative cooling.
    min.
    4. Promote a well-  To promote clear
    ventilated area to flow of air in the
    patient. patient’s area. One
    way of promoting
    heat loss.
    5. Advise patient to  Additional fluids
    increase oral fluid help prevent elevated
    intake. temperature
    associated with
    dehydration.

    6. Maintain bed rest.  Reduce metabolic


    demands/ oxygen
    consumption

    7. Provide high-calorie  To meet increased


    diet. metabolic demands.

    8. Educate and advise  Teaching the


    support system Support system the
    (relative) to do TSB right way to do TSB
    when patient feels will help in knowing
    hot. what to do in case
    - Luke warm water the patient’s
    only. temperature
    - Make sure that increases
    armpits and groins
    were included in
    doing TSB.

    9. Monitored VS and  To know the


    recheck. effectiveness of
    nursing
    interventions done
    and to know the
    progress of
    patient’s condition.
    Dependent  These drugs inhibit
    10. Provide antipyretic the prostaglandin
    medications as that serve as
    indicated. mediators of pain
    and fever.

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