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Actual nursing care plan for bronchitis

S “labad jud akong ulo”


O - Temp. 38 ºC -Headache
-Warm to touch
A Hyperthermia related to inflammation of the bronchioles
P At the end of 30 mins nursing intervention I will be able to lower down the
body’s temperature of my client.
I Independent
1. perform tepid sponge bath
R: heat loss by evaporation and conduction
2. monitor the temperature
R: to note if the TSB has been effective
3. Discuss the importance of increase fluid intake.
R: to prevent dehydration
Dependent
1. Administer antipyretic as prescribed (paracetamol 500mg q 6 º for fever)
R: inhibits the release of prostaglandins does decreases the body temperature.
E After 30 mins of nursing intervention the client temperature has lowered
down to 37 º C

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