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NURSING CARE PLAN

ASSESSMENT DIAGNOSIS INFERENCE PLANNING INTERVENTION RATIONALE EVALUATION


Independent:
Subjective: • Hyperthermia • Tuberculous • After 4 hrs. • Monitor heart rate • Dysrhythmias • After 4 hrs.
related to meningitis is the Of nursing and rhythm. and ECG Of nursing
“Nilalagnat ang infectious most severe interventions changes are intervention
anak ko” as process and form of , the client common due to s, the client
verbalized by the dehydration. tuberculosis. It will maintain electrolyte was able
mother. causes severe core imbalance and maintain
neurologic temperature dehydration and core
Objective: deficits or death within normal direct effect of temperature
in more than half range. hyperthermia within
• Flushed skin, of cases. on blood and normal
warm to touch. Tuberculois cardiac tissues. range.
meningitis • Record all • To monitor or
• Increased begins sources of fluid potentiates fluid
respiratory insidiously with a loss such as and electrolyte
rate. gradual urine, vomiting loses.
fluctuating fever, and diarrhea.
• V/S taken as fatigue, weight • Promote surface • To decrease
follows: loss, behavior cooling by means temperature by
changes, of tepid sponge means through
T: 37.8 headache, and bath. evaporation and
P: 110 vomiting. This conduction.
R: 45 early phase is • Wrap extremities • To minimize
followed by with cotton shivering.
neurologic blankets.
deficits, loss of • Provide • To offset
consciousness, supplemental increased
or convulsions. oxygen. oxygen
A dense demands and
gelatinous consumption.
exudate • Administer • To support
(outpouring) replacement circulating
forms and fluids and volume and
envelops the electrolytes. tissue
brain arteries perfusion.
and cranial • Maintain bed • To reduce
nerves. It rest. metabolic
creates a demands and
bottleneck in the
flow of the oxygen
cerebrospinal consumption.
fluid, which • Provide high • To increased
leads to calorie diet, tube metabolic
hydrocephalus. feedings, or demands.
parenteral
nutrition.
• Administer • To facilitate fast
antipyretics orally recovery.
or rectally as
prescribed by the
physician.

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