Sunday, November 30, 2008

Nursing SOAPIE - Fever

S> "Gihilantan gihapon siya (He still has a fever)," as verbalized by the SO.
O> Received patient with newly hooked IVF D5 0.3% NaCL 1 liter regulated at 60cc/hr
> Temp 40.3C, PR 128bpm, RR 52cpm
> Hot, flushed skin noted
A> Hyperthermia related to inflammatory process secondary to croup.
P> After 30 minutes of nursing intervention, the patients's body temperature will be reduced to
at least 39C.
I> Assessed vital signs.
> Removed excess clothing and covers.
> TSB done.
> Encouraged increase fluid intake.
> Given 0.5ml of Paracetamol 125mg/5ml syr.
E> Temp 38.6C at 11am.

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