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are secreted. These intervention, the monitoring falls that
exogenous pyrogens patient¶s G nticipate may cause
are destroyed and temperature will and attend to injury
absorbed by be in the normal needs G To help
O
phagocytes and then range from 36.5 C G dminister patient in
o
synthesis and to 37.5 C. medication as his èLs
Nursing èiagnosis: secretion of ordered like G jsed to
prostaglandin in the paracetamol reduce fever
anterior hypothalamus by its
Hyperthermia occurs. The central
related to hypothalamus action on the
ingestion of micro increases set point Odx: hypothalamus
organism secondary causing now fever.
to infection G Oncourage to
increase G To avoid
fluid intake dehydration
G dvise to
remove extra
G Number of
thick
blankets
clothing or
should be
blanket
altered to
maintain
near-normal
temperature
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G Oncourage to G To fight for
eat a well infection and
balanced diet for faster
recovery
G To further
G Oncourage to
assess
report any
patient¶s
feeling of
status
discomfort
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EXPLANATION OF NURSING
ASSESSMENT PLANNING RATIONALE EVALUATION
THE PROBLEM INTERVENTIONS
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dehydration of
varying
Tx:
severity.
Nursing Severe G Provide a G !est
èiagnosis: dehydration may quiet decreases
cause death environment intestinal
especially in to promote motility and
!isk for fluid children. rest reduces
volume deficit metabolic
related to rate
increased bowel
movement
G To replace
G Provide water lost
and other electrolytes
fluid needs
Odx:
G Some fruits
are stool
G Oncourage to formers
eat high
fiber diet
foods like
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banana
and apple.
G Rnstruct
patient to
avoid foods
that
are oily, G Some foods
spicy and may
precipitate
caffeine gastric
cramping.
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