Angelite Nurses: 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

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RN signature

Angelite Nurses