hypothermia Flashcards

1
Q

The Society of Pediatric Nurses recommends the use of

A

temporal artery thermometry for infants younger than 3 months without fever and for patients older than 3 months with or without fever, ill or well;

rectal thermometry for infants younger than 3 months unless contraindicated by diagnosis;

tympanic methods for children 6 months of age or older, with correct positioning of the ear; and

oral methods for children 6 months of age or older when the patient can cooperate.

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2
Q

Measure and monitor the patient’s temperature during

A

all phases of perioperative care.

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3
Q

Select the temperature measurement site and method in collaboration with the perioperative team based on

A
requirements of the procedure, 
anesthesia type, 
anesthesia delivery method,
 accessibility of the body site for measurement, and
 invasiveness of the method.
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4
Q

How should temps be measured?

A

Use the same site and method of temperature measurement throughout the perioperative phases when clinically feasible.

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5
Q

Determine the frequency of patient temperature measurement based on

A

the individual patient assessment and the health care organization’s policies and procedures.

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6
Q

Calibrate the selected temperature-monitoring device according to

A

the manufacturer’s written instructions for use.

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7
Q

Hypothermia

A

Temp below 36 C (96.8)

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8
Q

Hypothermia

A

Core Temp below 36 C (96.8)

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9
Q

When the patient’s temperature is outside the normothermic range,

A

communicate the patient’s temperature to the perioperative team.

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10
Q

Implement methods for preventing or treating hypothermia for all patients during

A

all phases of perioperative care.

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11
Q

Symptoms of hypothermia

A
  1. Drowsiness
  2. Decrease heart rate
  3. Decrease in respiration
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12
Q

How long does it take for a pt core temp to drop after induction

A

1 hour

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13
Q

Vasodilation

A

Causes heat to transfer from the pt core to periphery

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14
Q

conductive heat

A

when pt skin is touching a cold object

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15
Q

conductive heat

A

heat loss occurring when pt skin is touching a cold object

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16
Q

convective heat

A

occurs when air moves across the pt skin

17
Q

Evaporative

A

when skin prep dries

18
Q

radiant

A

occurs when OR environment is cooler then the pt body temp

19
Q

Intervention to prevent unplanned hypothermia in infants

A

limit and minimize the amount of skin exposed during surgery
Use equipment to warm pt airway
Use an active warming device to cover the pt skin

20
Q

When does an infants temp decrease after induction

A

Within 10 minutes

21
Q

normothermia

A

36 to 38 96.8 to 100.4

22
Q

vigorous warming may cause

A

hyperthermia

23
Q

irrigation fluids should be warmed at

A

normal body temperature 98.6

24
Q

ischemic tissue should never

A

be heated ischemic tissue and application of heat increases the risk of thermal injury