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VISION MISSION

A premier university in historic Republic of the Philippines Cavite State University shall provide
Cavite recognized for excellent, equitable and relevant
excellence in the development CAVITE STATE UNIVERSITY educational opportunities in the arts,
of morally upright and globally Don Severino Delas Alas Campus science and technology through
competitive individuals. quality instruction and relevant
Indang, Cavite research and development activities.
It shall produce professional, skilled
College of Nursing and morally upright individuals for
global competitiveness.

NURSING CARE PLAN

Name of Patient: Date of Admission:


Age & Sex: Ward No./Room No./Bed No.:
Chief Complaint: Diagnosis:
ASSESSMENT DIAGNOSIS PLANNING INTERVENTION RATIONALE EVALUATION
After 8 hours of nursing GOAL MET
Cues: Risk for intevention the client will  Discuss the  To assess and
hypothermia related be able to: signs and recognize the After 8 hours of
 T – 36. 1 C to exposure to cold symptoms of signs and nursing intevention
 Acrocyanosis environment as A. Identify signs hypothermia symptoms of the objectives were
 Decrease in manifested by: hypothermia
and symptoms of met as evidenced by:
blood glucose  Provide  To prevent
hypothermia
level;  T- 36.1 C appropriate further A. Reported
such as;
hypoglycemia;  Newborn thermal care decreased in signs and
35mg/dl exposure to through; body symptoms
-Acrocyanosis
 conduction cool maintaining a temperature. seen and
(their warm enviroment; -Falling delivery room  -to restore manifested by
body heat open crib temperature of normal the baby such
temperature
transfers to  Convection 25-28 degrees temperature as:
cooler objects  Radiation centigrade, or organ -T 36.1 C
-Decreased
that they come  Conduction wrapping the function. -Free from
glucose level
into direct newborn with  -Balance any
contact with) clean, dry cloth, among heat complications.
B. Display core
 evaporation place knitcap on production, B. Displayed
from exposure temperature infant’s head, heat gain, and temperature
of wet skin within the normal and place heat loss.
range. within the
surfaces lost to droplight or
the atmosphere
Submitted By: Submitted To:
Section:
VISION MISSION
A premier university in historic Republic of the Philippines Cavite State University shall provide
Cavite recognized for excellent, equitable and relevant
excellence in the development CAVITE STATE UNIVERSITY educational opportunities in the arts,
of morally upright and globally Don Severino Delas Alas Campus science and technology through
competitive individuals. quality instruction and relevant
Indang, Cavite research and development activities.
It shall produce professional, skilled
College of Nursing and morally upright individuals for
global competitiveness.

 convection C. Be free from under radiant  -Heat loss in normal range


(their body complications warmer newborn is T- 37. 2 C
heats transfers greatest C. Stabilized and
to the air through head maintained
surrounding and by
the newborn’s
them) evaporation
 radiation (their and temperature.
warm body heat convection.
transfers to
cooler objects
around them)

Submitted By: Submitted To:


Section:

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