Ms. Monstera Peru, 21 year, was brought to the hospital with chief complaint of difficulty of breathing, chest pain, fever and diarrhea. She was admitted with the diagnosis COVID-19 Confirmed. Upon...

Ms. Monstera Peru, 21 year, was brought to the hospital with chief complaint of difficulty of breathing, chest pain, fever and diarrhea. She was admitted with the diagnosis COVID-19 Confirmed. Upon assessment of the admitting nurse, Ms. Peru’s vital signs are as follows: BP = 130/90, PR = 110 bpm, RR = 25 cpm Temperature = 38.9 degrees Celsius. Ms. Peru is using accessory muscle for breathing, have flushed skin and is holding her chest as if massaging it. Ms. Peru, told the nurse that “nahihirapan akong huminga” and “mamatay na baa ko.”

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Extracted text: DIAGNOSIS GOALS AND OUTCOMES INTERVENTIONS EVALUATION • Ineffective thermoregulation because of Maintain oxygen level infection related to Covid-19, febrile body for an effective breathing response and flushed skin.