Hyperthermia - NCP for Hodgkin's Lymphoma
Nursing Care Plan for Hodgkin's Lymphoma
Hodgkin lymphoma, also called Hodgkin disease, is a cancer of the lymphatic system. The lymphatic system forms part of the immune system. It contains specialised white blood cells called lymphocytes that help protect the body from infection and disease. Hodgkin lymphoma arises when developing lymphocytes undergo a malignant change, and multiply in an uncontrolled way. These abnormal lymphocytes, called lymphoma cells, form collections of cancer cells called tumours, in lymph nodes (sometimes known as ‘glands’) and other parts of the body.
The most common symptom of Hodgkin lymphoma is a firm, usually painless swelling of a lymph node (swollen glands), usually in the neck, under the arms or in the groin. Other symptoms may include:
- recurrent fevers
- excessive sweating at night
- unintentional weight loss
- persistent fatigue and lack of energy
- generalised itching or a rash
Hyperthermia related to the ineffectiveness of thermoregulation secondary to inflammation.
Goal: body temperature back to normal,
Characterized by:
- Temperature 36-37o C
- Acral warm
- Capilarry refill less than 3 seconds.
1. Observation of the patient's body temperature.
R /: By monitoring the temperature is expected to be known state so that it can take appropriate action.
2. Encourage and provide plenty of drink (according to the needs of children under the age of fluid).
R /: With a lot of drinking is expected to help maintain fluid balance in the body.
3. Give a warm compress on the forehead, axilla, abdomen and groin.
R /: Compress can help lower the patient's body temperature by conduction.
4. Instruct the patient to put on thin clothes, loose and easy to absorb sweat.
R /: The clothing is expected to prevent evaporation so that the body fluid balance.
5. Collaboration in the provision of antipyretics.
R /: Antipyretics will inhibit heat release by the hypothalamus.
