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NCP Uti

This nursing care plan is for a patient experiencing hyperthermia secondary to a urinary tract infection. The plan includes monitoring the patient's temperature, white blood cell count, nutritional status, and administering interventions like antipyretics and intravenous fluids to reduce the fever. The goal is for the patient's temperature to decrease to normal levels and for them to report no further chills by the end of the nurse's shift. Teaching the patient about hyperthermia and increasing fluid intake is also part of the evaluation plan.

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3K views2 pages

NCP Uti

This nursing care plan is for a patient experiencing hyperthermia secondary to a urinary tract infection. The plan includes monitoring the patient's temperature, white blood cell count, nutritional status, and administering interventions like antipyretics and intravenous fluids to reduce the fever. The goal is for the patient's temperature to decrease to normal levels and for them to report no further chills by the end of the nurse's shift. Teaching the patient about hyperthermia and increasing fluid intake is also part of the evaluation plan.

Uploaded by

yasira
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as DOCX, PDF, TXT or read online on Scribd
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Davao Medical School Foundation. Inc.

Medical School Drive, Bajada, Davao City


College of Nursing

Assessment Diagnosis Planning Intervention Evaluation


Objective: hyperthermia At the end of Independent: Goal partially
Flushed skin R/T to infection my shift the 1. Monitor white blood cell (WBC) count met as
with body secondary to patients Rationale: An increasing WBC count indicates the bodys efforts to combat evidenced by
temperature urinary tract temperature pathogens; Very low WBC count may indicate a severe risk for infection. decreased
of 38.3 C per infection will decrease 2. Assess and monitor nutritional status, weight, history of weight loss, and serum temperature
axilla into normal albumin. from 38.3 to
ratioanle: levels, the Rationale: Patients with poor nutritional status may be anergic or unable to muster a 37.9, (-) chills
Patients skin macrophages patient will cellular immune response to pathogens making them susceptible to infection.
warm to produce a report 3. Provide high caloric diet or as indicated by the physician.
touch pyrogen is absence of Ratioanle:To meet the metabolic demand of client.
called chills and 4. Monitor patients temperature and note for presence of chills/ profuse diaphoresis
Patient is Interleukin-1 fever Rationale: temperature of greater than 37.7 (99.8 F) may indicate infection; very
experiencing when they high temperature accompanied by sweating and chills may indicate septicaemia.
chills come into 5. Adjust and monitor environmental factors like room temperature and bed linens as
contact with indicated.
VS taken as certain bacteria Rationale: Room temperature may be accustomed to near normal body temperature
follows: and viruses and blankets and linens may be adjusted as indicated to regulate temperature of
T: 38.3 that increases client.
P:87 the bodys 6. Apply tepid sponge bath
R:24 temp. and Rationale: It could help in reducing hyperthermia;
BP:110/70 helps signal 7. Encourage client to increase fluid intake.
helper T cells Rationale: Water regulates body temperature.
into action 8. Educate client of signs and symptoms of hyperthermia and help him identify factors
(medical related to occurrence of fever; discuss importance of increased fluid intake to avoid
surgical book, dehydration.
brunner and Ratioanle: Providing health teachings to client could help client cope with disease
suddarth 13th condition and could help prevent further complications of hyperthermia
edition) Dependent:
1. Administer antipyretics as ordered
Rationale: Antipyretics acts on the hypothalamus, reducing hyperthermia
2. Start intravenous normal saline solutions or as indicated
Rationale: To replenish fluid losses during shivering chills.

SUBMITTED TO: Ms. Gremma W.Baratas RN, MN SUBMITTED BY: Yasierah K.Agalin , St.N DATE: february 14, 2017
Clinical Instructor BSN 3 student
Davao Medical School Foundation. Inc.
Medical School Drive, Bajada, Davao City
College of Nursing

Nursing Care Plan

SUBMITTED TO: Ms. Gremma W.Baratas RN, MN SUBMITTED BY: Yasierah K.Agalin , St.N DATE: february 14, 2017
Clinical Instructor BSN 3 student

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