Question

PN 200 Fundamentals of Nursing II Concept Map - Fever of Unknown Origin Greg Crew was admitted to your unit with the diagnosis of "fever of unknown origin". He has been admitted with the same symptoms on at least three other occasions where there was failure to establish a diagnosis. He has had a fever of 100.8 for over three (3) days has been on a series of antibiotics with no positive outcome which would be resolution of the fever. He is admitted to your unit with the diagnosis of "fever of unknown origin" and weight loss of 6 pounds in 2 weeks. You note there is tenting over the stemum and his eyes appear sunken. He is receiving DIENS 100 ml. per hour via infusion pump. Tylenol 650 mg by mouth every 4 hours for lever over 100.4, blood, urine and sputum for culture and sensitivity, increase oral fluids to 2.500 ml per 24 hours, and bedrest with bathroom privileges. Please complete your concept map. Reviewed 9/19 •Fever of unknown orgin failure to establish dx •Fever 100.8 (3 days) • weight loss of 6 lbs in ank eyes appear sunkententing over sternum DISNS com per hr • Tylenol oromg •1 oral fluids to 2000 ml per athr

CARE OF A PATIENT WITH A FEVER OF UNKNOWN ORIGIN. FOR NURSING DIAGNOSIS THEYRE ASKING FOR R/T AND AEB, INTERVENTIONS 5 MIN, 1 POSITIVE, 1 NEGATIVE, 4 EVALUATION PLEASE HELP TY!

Answer 1

Nursing Diagnosis;

AEB: Fever of unknown origin (FUO)

Failed to find out the etiology during 3 other instances.

R/T undiagnosed

AEB; Signs of dehydration such as tented sternum, sunken eyes, weight loss.

R/T dehydration due to hyperthermua

Interventions:

Tylenol medication

every 4 hours monitor the temperature

IV fluid for dehydration every 2 hours

Bed rest

Cold compress and stay cool

Evergy level monitoring

Positive outcomes:

Fever reduces with body temperature coming down to 38.5 degree

Negative outcome:

Etiology could be infection, malignancy, nosocomial or immune deficiency syndrome., drug induced

Evaluation;

To study the fever pattern

CBC blood picture especially neutrophil count

Comprehensive medical history.

HIV serology testing

Chest x ray

LFT

Electrolytes

Blood & urine culture

urine analysis

Skin PPD

CT scan of abdomen and pelvis

Finally assign to most likely category for further evaluation such as malignancy, autoimmune, infection and miscellaneous etc