NCP FOR LEPTOSPIROSIS
ASSESSMENT DIAGNOSIS OUTCOME PLANNING INTERVENTION EVALUATION
IDENTIFICATION
Subjective Data: Hyperthermia Patient will be At the end of 8 INDEPENDENT: The goal was met. The
“parang inaapoy related to able to maintains hours of nursing - Adjust and monitor environmental factors like room patient was able to
sa init yung bacteria of the body temperature intervention the temperature maintain normal body
pakiramdam ko” genus Leptospir between normal patient will be R: Room temperature may be accustomed to near temperature from 38.8 C
normal body temperature
as verbalized by a range of 36.5-37.5 able to maintain from 37.5C
the patient C. normal body
-Eliminate excess clothing and covers
temperature. R:Exposing skin to room air decreases warmth and
increases evaporative cooling.
-Perform Tepid Sponge Bath
Objective Data: R: Reduce heat loss by evaporation
-warm to touch
-flushed skin -Encourage ample fluid intake by mouth
-dry mucous R:If the patient is dehydrated or diaphoretic, fluid loss
membrane contributes to fever.
-malaise or
-Provide high caloric diet or as indicated by the physician
weakness
R:Appropriate diet is necessary to meet the metabolic
-increased heart demand of the patient.
and respiratory
rate -Raise the side rails at all times
-Vital Sign: R:This is to ensure patient’s safety even without the
presence of seizure activity.
BP:110/90mmHg
PR: 110 bpm DEPENDENT:
RR: 26cpm - Start intravenous normal saline solutions or as indicated.
T:38.8 C R: Intravenous normal saline solution replenishes fluid
losses during shivering chills.
-Give antipyretic medications as prescribed.
R: Antipyretic medications lower body temperature by
blocking the synthesis of prostaglandins that act in
the hypothalamus.