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1 A&E > Hypo/hyperthermia > Flashcards

Hypo/hyperthermia Flashcards

1
Q

What is normal temperature?

A

35- 37.5

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2
Q

What is normal temperature in elderly?

A

35-36

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3
Q

State two options for measuring temperature

A

tympanic device
rectal thermometer
bladder catheter sensor

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4
Q

What constitutes mild hypothermia?

A

35-32

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5
Q

moderate hypothermia?

A

32-28

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6
Q

severe hypothermia?

A

<28

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7
Q

What are the features of mild hypothermia

A

shivering, tachyopnoeic, tachy followed by reduction in HR and BP
impaired judgement
apathetic
diuresis

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8
Q

State two features of moderate hypothermia

A

absence of shivering
reduced GCS
pupil dilation
hyporeflexia
reduced gag reflex

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9
Q

Two features of severe hypothermia?

A

asystole
arrhythmia
unconscious

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10
Q

List three differentials for hypothermia

A

drugs
alcohol
neglect
fatigue
injury
inappropriate clothing

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11
Q

State two drugs that can cause hypothermia

A

beta blockers
heroin

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12
Q

List two options for warming hypothermic person

A

bear hugger
bladder lavage (usually used for hyperthermia)
warm IV fluids

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13
Q

State two internal causes of hyperthermia

A

infection and drugs

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14
Q

What are the components of qSOFA

A

confusion/reduced GCS
RR >22
SBP <90

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15
Q

Define sepsis

A

life threatening organ dysfunction and dysregulation in response to infection

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16
Q

Define septic shock

A

circulatory collapse

17
Q

How is sepsis defined in terms of qSOFA

A

> 2

18
Q

What is malignant hyperthermia?

A

anaesthesia reaction- unpredictable
calcium channel mutation

19
Q

List two risk factors for heat stroke

A

CNS dysfunction
alcohol
obesity
skin conditions
dehydrated
illness

20
Q

List two options for cooling hyperthermic patient down

A

cold IV fluids
Arctic sun
bladder lavage
ECMO

21
Q

State one drug that can cause neuroleptic malignant syndrome

A

antipsychotics
metoclopramide
levodopa

22
Q

Name a drug that can cause serotonin syndrome

A

SSRI
tramadol

1 A&E (22 decks)

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