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Subjective: Short Term Goal Facilitate tepid sponge bath Decrease body temperature After 1 hour of Nursing
“May lagnat ata sya through conduction Interventions patients
mainit kasi katawan Partly condition improved
nya” as verbalized Compensatory Facilitate increase in fluid To prevent dehydration or
by her husband intake possible fluid and
After one hour of electrolyte imbalance
Objectives: nursing
Temp: 37.9 ̊ C interventions Restrict tight clothing Provide comfort and allow
RR: 26 cycle/min patients body for convection of heat.
Increased temperature will
respiratory rate decrease from 37.9 ̊ Facilitate checking of Encourage proper
Warm to touch C to 36.5 ̊ C temperature circulation.
Dry lips
Facilitate administration of To compare with baseline
Flushed face paracetamol as prescribed data
WBC: 4000/mm⅜ by physician (mechanism of action)
Nursing Diagnosis:
Alteration
Thermoregulation,
Hypertermia R/T infection
Drug Study
GenericName Brand Classification Dosage Mechanism Indications Contraindications Side Effects Nursing
Name of actions Implications
Ceftriaxone Cefizox Cephalosporins Normally 1- Acts by Treatment of Hypersensitivity GI complaints, For IM doses
Sodium 2 g/day interfering sepsis, to Soft of 2g,
(every 24 with meningitis, cephalosphorins stools/diarrhea, divided dose
hours.) for bacterial cell abdominal and penicillins nausea equally and
severe wall infections, vomiting, give in
infections of synthesis, infections of stomatitis, different
those caused thereby the Headaches, sites.
by poorly altering the bones,joints, vertigo and Use with
susceptible osmotic soft tissue oliguria caution in
bacteria stability of and wounds, clients with
the actively infection of history of
growing kidneys and G.I. disease,
bacterial cell lower urinary especially
and resulting tract, for colitis
in its death pneumonia,
and
infections of
genital
organs
including
Gonnorrhea.
Drug Study
GenericName Brand Classification Dosage Mechanism Indications Contraindications Side Effects Nursing
Name of actions Implications