NURSING CARE PLAN Patient: JB Age: 1 year and 8 months Assessment Subjective: Objective: Hot to touch Teary eyes

Irritable Febrile 38.9 Lab results (UA) -Puss cells TNTC -Bacteria 3+ -Increase WBC 16.7 Nursing Diagnosis Hyperthermia r/t infectious process Diagnosis: UTI C/C: Fever Evaluation The patients condition is improved.

Planning

Intervention Facilitated monitoring of temperature every 1 hour Provided tepid sponge bath. Avoid using of alcohol.

Rationale For baseline purposes

Short term goal Wholly compensatory After 2 hours of nursing intervention the patient will be able to resume and maintain normal body temperature.

To promote heat loss by evaporation and conduction. Note: use of alcohol may cause elevating temperature. It can also cause skin dehydration Fluid promotes renal blood flow and flushes bacteria from the urinary tract. Cooling process begins and reduce core temperature. Decreases warmth and increases evaporative cooling. Antipyretics acts on the hypothalamus, reducing hyperthermia and antibiotics to fight against infection

Provided oral fluid intake

Controlled environmental temperature. Moved patient to a cool ventilated area. Removed excess clothing and covers.

Dependent: Administration of Paracetamol 1.3mL PO q4 and Cefuroxime 250mg IV q8 prescribed by the physician.