Hypothermia

Question 1

Why must you be cautious with the elderly?

Answer 1

They often don’t complaint of or feel cold so they don’t try to warm up.

Question 2

How would younger people develop hypothermia?

Answer 2

Cold exposure (near-drowning) 
Impaired consciousness (e.g. following excess alcohol or drug overdose)

Question 3

Under what core temperature is classed as hypothermia?

How is core temp measured?

Answer 3

<35 *C

Rectally

Question 4

Causes:

Why may it occur in the elderly?

What can cause low room temperatures?

What causes impaired thermoregulation?

Answer 4

Impaired homeostatic mechanisms

Poverty and poor housing

Pneumonia
MI
Heart failure

Question 5

The patient:

Why is shivering somewhat of a good sign?

Answer 5

it means the hypothermia is mild.

If they aren’t shivering, it is severe

Question 6

What are some signs of hypothermia? - list them

Answer 6

Confusion 
Agitation 
Low GCS 
Coma 
Bradycardia 
Hypotension

Question 7

What type of ear thermometers can accurately predict core temperature?

Answer 7

Infrared ear thermometers

Question 8

Treatment:

You need to warm them slowly.

How is this done?

Answer 8

Remove any wet clothing
Hot air duvets
Warm oxygen therapy

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