BSN Notes: Common Signs And Symptoms: Fever

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Fever
·         A body temperature above the usual range is called fever. (usually > 38 degree Celsius)
·         Fever is an important defense mechanism.
·         Pyrogens: any substance that causes fever. A true fever results from an alteration in the hypothalamic set point.
·         Pyrogens stimulate the release of hormones in an effort to promote the body’s defense against infection.
·         These hormones also trigger the hypothalamus to raise the set point, inducing a febrile episode.
Causes
·         Infection
·         Inflammation
·         Pathology of temperature control system
Physical Examination
·         Attention must be paid to the chronology of events and to other signs and symptoms preceding the fever.
·         Laboratory Tests
 Management
Medical Management
·         Aspirin
·         Acetaminophen - Paracetamol
·         Non-Steroidal Anti Inflammatory Drugs (NSAlDs)        
·         Corticosteroids
Nursing Diagnosis
·         Hyperthermia related to infection
·         Risk for deficient fluid volume related to increased metabolic rate, diaphoresis and decreased oral intake
Interventions
·         Assess vital signs frequently
·         Avoid heavy layers of clothing
·         Change linen frequently
·         Assess for dry lips & tongue, poor skin turgor, sunken eyes.
·         Encourage fluid intake 
·         Administer IV fluids if necessary
·         Monitor intake & output

·         Advice rest 

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notes.nursium.com: BSN Notes: Common Signs And Symptoms: Fever
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