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Nursing Care Plan for Hyperthermia

Nursing Care Plan for Hyperthermia

Hyperthermia

Definition:

Circumstances where an individual experiencing or at risk of increased body temperature continuously above 37.8 by 38.8 º C orally or rectally as an increased susceptibility to external factors.

Related factors:

Action
Associated with decreased ability to sweat:
(Special Treatment)

Situational
Related to exposure to heat (sun)
Related to clothing that does not fit with the climate
Related to a decrease in circulation:
Extreme weight
Dehydration
Insufficiency associated with hydration for strenuous activities
Maturisional
Related to temperature regulation ineffective:
Newborns
Premature Babies

Evidenced by

Temperature over 37.8° C (100° F) orally, or 38.8° C (101° F) rectally
Flushed skin
Malaise/weakness
Warm to touch
Increased respiratory rate
Tachycardia
Shivering/goose pimples
Dehydration
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 Care Plan for Hyperthermia – Interventions :

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 the planned activities.
4. Teach the importance of increased fluid intake during hot weather and exercise
5. Explain why children and the elderly more at risk of hyperthermia.
6. Explain the need to avoid alcohol, caffeine, and eat a lot of weight and food during hot weather.
7. Explain the importance of wearing baggy clothes, thin and absorbs perspiration
8. Teach early signs of hyperthermia or heat stroke: Skin redness, fatigue, headache, loss of appetite.

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