Definition:
Circumstances where an individual experiencing or at risk of increased body temperature continuously above 37.8 per oral or per-rectal 38.8 ° C because of the increased vulnerability to external factors.
Nursing Care Plan for Hyperthermia
Related Factors:
Related to decrease the ability to sweat : (Special Treatment)
- Situational
- Exposure to heat (sun)
- Clothing that does not comply with the climate
- Extreme weight loss
- Dehydration
- Insufficiency hydration for heavy activity
- Maturisional
- Newborns
- Premature Babies
- Elderly
Major Data:
Higher temperature 37.8 orally or 38.8 º C per rectal
Minor Data:
- Skin redness
- Warm to the touch
- Respiratory frequency increased
- Tachycardia
- Goosebumps
- Dehydration
- Pain or illness-specific or general (eg, headache, fatigue)
- Malaise / fatigue / weakness
- Loss of appetite
Expected Outcomes
Individuals will:
- Identifying risk factors to hyperthermia.
- Connecting method of prevention of hyperthermia.
- Maintaining body temperature within normal limits.
Nursing Intervention Nursing Care Plan for Hyperthermia
- 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
- Monitor input and output.
- Assess whether clothing or bedcovers too warm for the environment or activities planned.
- Teach the importance of increased fluid intake during hot weather and exercise
- Explain why the children and the elderly at higher risk of hyperthermia.
- Explain the need to avoid alcohol, caffeine, and eat lots and heavy food during hot weather.
- Explain the importance of wearing baggy clothes, thin and absorbs sweat
- Teach early signs of hyperthermia or heat stroke: Skin redness, fatigue, headache, loss of appetite.
Nursing Care Plan for Ineffective Thermoregulation
