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:________________
________________________
________________________
________________________

 

 

__________________________
Patient/Significant other signature

 

__________________________

RN signature