Nursing activities: Assess the body temperature and monitor every 4-6 hrs or more frequently if fever is persistently high 38.5° c. Tepid sponge using warm or tap water. Avoid using cold water for causes vasoconstriction and reduces heat evaporation from the body surface and sometimes results in shivering. Do not scrub vigorously for the patients have capillary fragility, and it may cause multiple minute skin hem- orrhage, petechii or sometimes ecchymoses. The recommend technique is to use a few semi-wet towels, scrub softly over the extremities in the same direction toward center of the body, and then spread the towels over the forehead, neck, axilla, anterior chest wall and the back. Use as many small towels to cover the areas or great vessels. The average time of epid sponge is 15 minutes. If the patient is