Nursing Care Plan Hipertermi

1.  Nursing Care Plan Student: Niken Ariska Prawesti/131411133002 Patient Initials/Age: An.A/3years old Dates Cared For:16/10/2015 Prawesti/131411133002 Medial !iagnosis: "titis Media !e#inition o# Medial !iagnosis: "M is a grou$ o# in#la%%atory diseases o# t&e %iddle ear.  N'()*N+ PC-! PA-*NPA-*N N'()*N+ (A-*"NA/P(*NC*P) A'A-*"N !*A+N")*) , "'-C"M) *N-(N-*"N) $eted "uto%e • )'PP"(-*N+ !A-A Planning *ntrentions  Nursing *nterention • Assess%ent , !iagnosis

y$ert&er%ia r/t in#la%%atory $roess o# t&e in#etion )uetie: 1. -&e $arents said t&at t&eir son was &ad a #eer sine two days ago. 2. 7e &as een listless and &is oral intake &as  een well elow nor%al8 "etie: 1.-e%$erature: 409C 2.-&e Patient look listless and lost o# a$$etite 3.Pulse:110 $er %inutes(es$iration rate:24 ti%es $er %inutes.

)-: 1.Monitor t&e te%$erature as 1.Patien ody %u& as $ossile te%$erature wit&in 36.59C ; 3<.59C 1/2. +ie o%$ress =old or  war%? $atient in t&e groin and 2.Patient will %aintain aila ital sign =>lood  $ressurePulse and 1/3. Monitor t&e intake and (es$.rate? . out$ut o# t&e $atient

1.Monitoring t&e 1."uto%e %et. Patient te%$erature ontinuely an %aintained ody aoid t&e o%$liation early. te%$eratures at 36.59C; 3<.59C 2.Co%$ress in t&e groin and ailla an e use to derease 2."uto%e %et.Patient t&e ody te%$erature. %aintained ital sign t&roug& s&i#t in nor%al range 3.Monitor intake and out$ut restritly an e use to early 3."uto%e not %et.)N 3.Parents will erali@e 1/4.Monitor dereased leel o#  warning o# de&idration. eduated $atient on understanding t&e onsiousness i%$ortane o# te%$erature i%$ortane o#   4.C&ange in e&aiour and regulation and t&e $ossile te%$erature regulation 2.Monitor lood $ressure %entation is an early sign o#  negati e##ets o# t&e old. and t&e $ossile  $ulse te%$erature and de&idration eause o#  negatie e##ets o# t&e res$.rate &y$ert&er%i. old. 2/2.Note t&e #lutuations in 2.-&e &ange o# ital sign  lood $ressure an e used #or early -: indiation o# o%$liation. 1.Patient will dis$lay 3.duated t&e $arents on adeuate ody i%$ortane o# te%$erature 3.Preents t&e de&idration y te%$eratures= te%$. regulation and t&e $ossile knowing t&e negatie e##ets 36.59C;3<.59Cnor%al negatie e##ets o# t&e old. o# &y$ert&er%ia. skin olor?.

2.!ata Analysis  No . 1.

!ata )uetie: 1. -&e $arents said t&at t&eir son was &ad a #eer sine two days ago.

tiology )eondary in#etion =*n#luen@astre$tooous?

-&e ateria in#eted t&e %iddle ear  2. 7e &as een listless and &is oral intake &as een well elow nor%al8 Me&anis% o# in#la%atory "etie: 1.-e%$erature: 40 9C *nrease o# ody te%$erature 2.-&e Patient look listless and lost o# a$$etite 3.Pulse:110 $er %inutes(es$iration rate:24 ti%es $er %inutes.

Prole%s y$ert&er%ia