nursing diagnosis for fever 2024-2025
nursing diagnosis for fever 2024-2025
A medical condition known as fever, hyperthermia, or pyrexia, is characterized by an uncontrolled rise in body temperature above 37.5 degrees Celsius.
It occurs when the hypothalamus, the body’s thermoregulatory center, is unable to regulate the normal range of body temperature between 36 and 37.5 degrees Celsius.
The most common etiologies or causes of hyperthermia are an ongoing infection, trauma, exposure to a hot environment, and an elevated metabolic rate as a result of intense activity.
Some medications can also cause a fever, either as a side effect (like antibiotics, sulfa drugs, and chemotherapy agents) or as a withdrawal symptom (like heroin or fentanyl withdrawal).
Various methods, including tympanic, axillary, oral, and rectal, can be used to measure fever.
When caring for a patient with hyperthermia, the following are five nursing care plans that a nurse might consider.
The desired result: The patient will have a temperature that has stabilized and is within the normal range within four hours of nursing interventions.
Nursing Diagnosis for Fever
Fever Nursing Care Plan 1
Diagnosis in nursing: A temperature of 38.5 degrees Celsius, rapid and shallow breathing, flushed skin, a lot of sweating, and a weak pulse all point to hyperthermia caused by an upper respiratory tract infection (URTI).
| Fever Nursing Interventions | Rationales |
| Assess the patient’s vital signs at least every 4 hours. | to aid in the development of an accurate diagnosis and monitor the efficacy of medical treatment, particularly administered antibiotics and fever-reducing medications like Tylenol. |
| Get rid of too much clothing, blankets, and bedding. Alter the temperature of the room. | To regulate the temperature of the environment and make it more comfortable for the patient. |
| Administer the prescribed antibiotic and anti-pyretic medications. | The patient’s hyperthermia is rooted in a bacterial infection that can be treated with an antibiotic. Normalize the body temperature and stimulate the hypothalamus with the fever-reducing medication. |
| Offer a tepid sponge bath. | to make it easier for the body to cool down and to make you feel comfortable. |
| Elevate the head of the bed. | The patient will be able to breathe more effectively when their head is elevated because elevating the head helps the lungs expand. |
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