Heat + Cold Flashcards

1
Q

normal body temp range

A

96.4-99.1 F

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2
Q

Which types of weather make thermal transfer less efficient for us

A

as ambient temp and humidity increase, the thermal transfer becomes less efficient

Heat + humidity runs the highest risk

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3
Q

what is temp homeostasis a balance of (and what happens when its lost)

A

heat dissapation=heat accumulatoon

when heat accumulation surpasses heat dissipation homeostasis is lost and hyperthermia occurs

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4
Q

what are the 5 common types of heat illness

A
  1. heat edema
  2. heat cramps
    3 heat syncope
  3. heat exhaustion
    5 heat stroke
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5
Q

Wha is heat edema and who does it impact

A

mildest form of heat illness that occurs in those unacclimatized in extreme heat

Transient peripheral vasodilation complicated by orthostatic pooling of venous return

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6
Q

Symptoms of heat edema

A
  • mild dependent edema in hands/feet
  • normal vital signs
  • may have concurrent symptoms of heat exhaustion
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7
Q

what are heat cramps and who does it occur to

A

during or after strenuous activity in unacclimatized ind in extreme heat
-attributed to excessive fluid/sodium loss via sweat and neg sodium balance

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8
Q

symptoms of heat cramps

A

acute mm spass
normal vital signs
may have concurrent symptoms of heat exhaustion

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9
Q

what is heat syncope and what is due to

A

typically associated w prolonged standing or with a sudden rise from seated/laying pos
-results from inadequate cardiac output and postural hypotension from prolonged dehydration

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10
Q

symptoms of heat syncope

A
  • acute/sudden temp loc
  • pts usually recover rapidly
  • normal vital signs
  • may have concurrent symptoms of heat exhaustion
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11
Q

what is mc heat related illness (+ temp range)

A

heat exhaustion

99.1-104

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12
Q

symptoms of heat exhaustion

A
  • ha
  • extreme weakness
  • dizziness/vertigo
  • heat sensations
  • heat cramps
  • chills
  • vommiting/nausea
  • irritability etc
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13
Q

what is a heat stroke and two major forms

A

condition in which body temp is elevated to a lvl that causes damage to a body tissues
-med emergency

  1. classical
  2. exertion
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14
Q

what is classical heat stroke, who does it happen to

A

caused by env exposure and results in core hyperthermia above 104

  • primarily in elderly + chronic illness
  • can develop slowly over several hours/days
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15
Q

What is exertionl induced heat stroke and who does it occur in usually

A

associated with hard exertion/exercise in hot/humid env resulting in core hyperthermia above 104

  • primarily affects younger/active persons
  • rapid onset
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16
Q

the dx of heat stroke is reliant on what two major factros

A
  1. hyperthemia (>104/40)

2. CNS dysfunction

17
Q

predisposing factors to heat injury

A
  1. climate
  2. ex/ strenuous activity
  3. age
  4. pre existing illness
  5. certain drugs
  6. hydration status
    7, skin disease
  7. lack of acclimatization
  8. prev hx.
18
Q

first aid for heat deema

A
  • removal from hot env + cool
  • address possibility of dehydration
  • get pt recumbent and elevate legs
  • prevent reoccurrence w gradual return to activity in hot env
19
Q

heat cramps first aid

A
  • remove from hot env and cool
  • address dehydration and loss of electrolytes
  • gentle stretching
  • prevent reoccurrence w gradual return to activity in hot env
20
Q

heat syncope first aid

A
  • remove from hot env
  • get pt in recovery pos
  • initiate cooling
  • address dehydration and loss of electron
  • prevent reoccurrence w gradual return to hot
21
Q

heat exhaustion first aid

A

removal from hot env
get in recovery pos
initiate cooling asap
adress dehydration and the loss of electos, monitor symtoms

prevent reoccurrence w proper hydration and gradual return to hot env

22
Q

why is heat stroke serious serious

A

mortality rate and organ damage from heat stoke appear to be directly proportional to length of time bw core body temp elevation and initiation of cooling

  • cool as fast as possible *
23
Q

First aid for heat stroke

A

-monitor core temp/vitals

  • cool
  • aggressive cooling stopped when temps reach 101
  • transport for advanced care
24
Q

cooling methods for heat stroke

A

water immersion
wet towel application
cool air and water spray
ice packs to neck, axilla,groin

25
exposure to cold can cause the following emergencies (3)
1. frost nip 2. frost bite 3. hypothermia
26
what is frost nip
a superficial injury caused by freezing of a small area (nose, cheek, fingers, toes)
27
frost nip s/s
- feels like skin is burning - stings - may go numb - skin color flushed, then turns green as body realizes it is not able to warm body part (frostbite) red=frost nip grey-frost bite
28
tx of frost nip
prevention is key (warm clothes etc) thawing out skin by applying steady pressure w hand (dont rub) put cold areas in axilla/groin
29
frost bite s/s
waxy white appearance in injured area (not red) flesh is hard and solid to touch jts stiffen no pain
30
frost bite tx
``` get to shelter dont rub warm w warm water/covering do not bend/straiten limbs till thaw after thaw encourage to move transport immediately ```
31
hypothermia def
a fall in core temp < or equal to 96.4 (35.7)
32
s.s of hypothermia
``` decreased coodination numbness in extremities feels cold/weary slurred speach etc etc ```
33
5 stages of hypothermia
1. shivering 2. apathy + decreased mm function 3. decreased lvl of responsiveness 4. decreased vital signs 5. death
34
hypothermia tx
- move pt from cold env and prevent further heat loss - handle pt gently - monitor vitals - if cardiac arrest do CPR - actibey rewarm