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    NCP TB Meningitis

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    Mark Adrian D. Dizor
    Monitor vital signs every hour. Monitor intake and output. Assist with ambulation. Provide comfort measures. Monitor for signs of dehydration. After 4 hrs. Of nursing interventions, the client was able maintain core temperature within normal range with the assistance of the nursing staff.

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    NCP TB Meningitis

    Uploaded by

    Mark Adrian D. Dizor
    328 views1 page
    Monitor vital signs every hour. Monitor intake and output. Assist with ambulation. Provide comfort measures. Monitor for signs of dehydration. After 4 hrs. Of nursing interventions, the client was able maintain core temperature within normal range with the assistance of the nursing staff.

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    Ncp Tb Meningitis

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    Monitor vital signs every hour. Monitor intake and output. Assist with ambulation. Provide comfort measures. Monitor for signs of dehydration. After 4 hrs. Of nursing interventions, the client was able maintain core temperature within normal range with the assistance of the nursing staff.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    328 views1 page

    NCP TB Meningitis

    Uploaded by

    Mark Adrian D. Dizor
    Monitor vital signs every hour. Monitor intake and output. Assist with ambulation. Provide comfort measures. Monitor for signs of dehydration. After 4 hrs. Of nursing interventions, the client was able maintain core temperature within normal range with the assistance of the nursing staff.

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    of 1

    ASSESSMENT

    DIAGNOSIS Hyperthermia related to infectious process and dehydration

    BACKROUND KNOWLEDGE Tuberculous meningitis is the most severe form of tuberculosis. It causes severe neurologic deficits or death in more than half of cases. Tuberculois menin gitis begins insidiously with a gradual fluctuating fever, fatigue, weight loss, behavior changes, headache, and vomiting. This early phase is followed by neurologic deficits, loss of consciousne ss, or convulsions.

    PLANNING

    INTERVENTION RATIONALE Dysrhythmias and ECG changes are common due to electrolyte imbalance and dehydration and direct effect of hyperthermia on blood and cardiac tissues. To monitor or potentiates fluid and electrolyte loses. To decrease temperature by means through evaporation and conduction. To minimize shivering. To offset increased oxygen demands and consumption. To support circulating volume and tissue perfusion.

    EVALUATION

    Objective: Flushed skin, warm to touch. Increased respiratory rate. V/S taken as follows:

    After 4 hrs. Of nursing interventions , the client will maintain core temperature within normal range.

    Independent: Monitor heart rate and rhythm. Record all sources of fluid loss such as urine, vomiting and diarrhea. Promote surface cooling by means of tepid sponge bath. Wrap extremities with cotton blankets. Provide supplemental oxygen. Administer replacement fluids and electrolytes. Maintain bed Rest

    After 4 hrs. Of nursing intervention s, the client was able maintain core temperature within normal range.

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