Subjective: Hyperthermia related to Following 8-hours of Independent:

“ wala jud siya’y gana
pirmi mokaon. Gagmay
juhd kaao na siya ug kin-
an bisag kaniadto, samot
na karong nahospital
siya”, as verbalized by the
mother.
Objective:
Weight: 18 kg
Poor skin turgor
Reported episodes of
vomiting
T= 38.8
P= 128 bpm
R= 30 cpm
inflammation process as nursing care, patient will be - Monitor core temperature.
evidence by increase body able to:
temperature.
Temp of 38.9-41.1 C suggests
- Maintain infectious disease process.
temperature within - Tepid sponge bath to promote
normal range of surface cooling
36.5-37.5 degree - Monitor environmental temp,
Celsius. limit/add bed linens as indicated,
room temp/number of blankets
should be altered to maintain near-
normal body temp.
- Instruct to increasefluid
intake to prevent dehydration and
support circulating volume and
tissue perfusion
- Maintain bed rest to reduce
metabolic demands
- Provide with a high caloric
diet to meet metabolic demands
Dependent:
- Administer antipyretics as
ordered, use to reduce fever
by its central action on the
hypothalamus.