1. Assessment Diagnosis Planning Intervention Evaluation
Subj: “Nahihilo ako, kainit- Hyperthermia related to After 2 hours of nursing Administer antipyretyic The patient’s temperature
init kasi”, as verbalized by exposure to hot intervention the patient’s (paracetamol) orally as was subsided from 37.9ºC
the patient. environment. temperature will subside ordered. to 37.2ºC.
from 37.9ºC to 36.9ºC Promote surface
Obj: cooling by means of
Flushed Skin tepid sponge bath
Warm to touch
v/s taken as follows:
BP: 120/90
T: 37.9ºC
P: 78 bpm
R: 20 bpm