| PLAN |
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- Assess for causative and contributing factors.
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- Monitor and record the patient's temperature at frequent intervals, using the same instrument and method until temperature stabilized
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- Monitor and record physical indicators such as heart and respiratory rate, blood pressure, skin condition, mental status, chills and diaphoresis.
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- Employ measures to reduce elevated temperatures such as ice bags to axilla and groin, tepid sponge baths, cooling blanket and PRN medications, as ordered.
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- Employ measure to increase low body temperature such as warm blankets, heating blanket and warm fluid intake (oral), unless contraindicated.
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- Encourage fluid intake, unless contraindicated, and record intake and output.
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- Educate patient /family on procedures for decreasing/increasing temperature.
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- Other
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