· 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.
· Pathology of temperature control system
· Attention must be paid to the chronology of events and to other signs and symptoms preceding the fever.
· Laboratory Tests
· Acetaminophen – Paracetamol
· Non-Steroidal Anti Inflammatory Drugs (NSAlDs)
· Hyperthermia related to infection
· Risk for deficient fluid volume related to increased metabolic rate, diaphoresis and decreased oral intake
· 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