hypothermia

Question 1

The Society of Pediatric Nurses recommends the use of

Answer 1

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.

Question 2

Measure and monitor the patient’s temperature during

Answer 2

all phases of perioperative care.

Question 3

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

Answer 3

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

Question 4

How should temps be measured?

Answer 4

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

Question 5

Determine the frequency of patient temperature measurement based on

Answer 5

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

Question 6

Calibrate the selected temperature-monitoring device according to

Answer 6

the manufacturer’s written instructions for use.

Question 7

Hypothermia

Answer 7

Temp below 36 C (96.8)

Question 8

Hypothermia

Answer 8

Core Temp below 36 C (96.8)

Question 9

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

Answer 9

communicate the patient’s temperature to the perioperative team.

Question 10

Implement methods for preventing or treating hypothermia for all patients during

Answer 10

all phases of perioperative care.

Question 11

Symptoms of hypothermia

Answer 11

1. Drowsiness
2. Decrease heart rate
3. Decrease in respiration

Question 12

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

Answer 12

1 hour

Question 13

Vasodilation

Answer 13

Causes heat to transfer from the pt core to periphery

Question 14

conductive heat

Answer 14

when pt skin is touching a cold object

Question 15

conductive heat

Answer 15

heat loss occurring when pt skin is touching a cold object

Question 16

convective heat

Answer 16

occurs when air moves across the pt skin

Question 17

Evaporative

Answer 17

when skin prep dries

Question 18

radiant

Answer 18

occurs when OR environment is cooler then the pt body temp

Question 19

Intervention to prevent unplanned hypothermia in infants

Answer 19

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

Question 20

When does an infants temp decrease after induction

Answer 20

Within 10 minutes

Question 21

normothermia

Answer 21

36 to 38 96.8 to 100.4

Question 22

vigorous warming may cause

Answer 22

hyperthermia

Question 23

irrigation fluids should be warmed at

Answer 23

normal body temperature 98.6

Question 24

ischemic tissue should never

Answer 24

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