Hyperthermia

Hyperthermia

(_)Actual (_) Potential

Related To:
[Check those that apply]
(_) CNS Pathology
(_) Dehydration
(_) Exposure to heat/sun
(_) Impaired physical environment
(_) Infection
(_) Inflammation
(_) Peripheral neuropathy related to injury
(_) Vigorous activity
Other:_____________________________
____________________________________
____________________________________

As evidenced by:
[Check those that apply]
Major:
(
Must be present)
(_) Temperature over 37.8 C (100 F) orally, or 38.8 C (101 F) rectally.
Minor:
(
May be present)
(_) Flushed skin (_) Warm to touch (_) Increased respiratory rate
(_) Tachycardia (_) Shivering/goose pimples (_) Dehydration
(_) Malaise/weakness (_) Loss of appetite

Date &
Sign.
Plan and Outcome
[Check those that apply]
Target
Date:
Nursing Interventions
[Check those that apply]
Date
Achieved:
The patient will:

(_) Maintian normal body temperature.

(_) Other:

(_) Assess temperature q ___ hours.

(_) Assess possible etiology of increased temperature.

(_) Encourage fluids when indicated.

(_) Administer antipyretics per physician's order.

(_) Remove excess clothing or blankets.

(_) Provide air condition/fan if appropriate.

(_) Other:________________
________________________
________________________
________________________

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Patient/Significant other signature

__________________________
RN signature

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