BODY TEMPERATURE ALTERATION (9)    NUPA ASSESSMENT PROBLEMS (1927.2)

Name Value
PROBLEM BODY TEMPERATURE ALTERATION
PLAN
  • Assess for causative and contributing factors.
  • Monitor and record the patient's temperature at frequent intervals, using the same instrument and method until temperature stabilized
  • Monitor and record physical indicators such as heart and respiratory rate, blood pressure, skin condition, mental status, chills and diaphoresis.
  • Employ measures to reduce elevated temperatures such as ice bags to axilla and groin, tepid sponge baths, cooling blanket and PRN medications, as ordered.
  • Employ measure to increase low body temperature such as warm blankets, heating blanket and warm fluid intake (oral), unless contraindicated.
  • Encourage fluid intake, unless contraindicated, and record intake and output.
  • Educate patient /family on procedures for decreasing/increasing temperature.
  • Other
DESIRED OUTCOME
The state in which the individual is failing to maintain body temperature 
within normal range.
ACTIVE YES