DX NOC Rasional

NOC
NIC Rasional NIC
1. Nutrition
imbalanced, less
than body
requirement
related to
inability to
absorb nutrients























2. Hyperthermi
associated with
an increassed
rate of
metabolism

















Nutrition status:
nutrition intake;
nutrient intake to
meel metabolic needs

Indicator:
1. Sodium
intake (4)
2. Vitamin
intake (3)


















Thermoregulation:
balance among heat
production heat again
and haet loss

Indicator:
1. Increased
skin
temperature
(3)
2. Radial pulse
rate (4)













Patient's
nutritional
intake is
adequate
























In order for a
patient's body
temperature
is normal
Nutrition therapy:
helping or providing or
fluid intake of a
balanced diet


Activity:
1. provide
appropriate
information
about the
nutritional
needs and how
to meet those
needs.
2. instruct the
patient to
follow a diet
consisting of
complex
carbohydrates
and protein,
and avoid
simple sugars,
fast food,
caffeine or soft
drinks

Temperature
Regulation; achieve
and maintain a body
temperature
withnormal range

Activity:
1. Teach patient
or family in
temperature to
prevent and
identify early
hyperthermia.
2. Give
antipyretic
drugs,
according to
the needs







Make patients
can maintain
the vitamins
and nutrients
in the body























For nurses to
know the
symptoms of
hyperthermia
early







3. Skin
integrity,impaired
related to
mechanical
factor
(inflammation)


















Tissue integrity : skin
& mucous
membranes;
flow rate of the small
blood vessels in the
extremities and
maintaining tissue
function.

Indecator :
1. Skin
lesions(3)
2. Skin
temperature
(4)





Skin survailance:
analysis of patient data
to maintain the
integrity of the skin
and mucous
membranes.

Activity:
1. Monitoring
your skin from
the rash
2. monitoring of
the skin:
redness and
damaged area.