Thermo- Hyper/Hypothermia Flashcards
What temperature can cause brain damage?
Above 106 can cause brain damage
What temperature is considered a fever in adults and children?
Treat fever when it is > 101 F in adults and greater than 102 F in children
start to worry at 100.4 F
What are priority clinical manifestations that the patient will have if they have hyperthermia?
Temperature > 101 F Flushing Hot skin Tachycardia Tachypnea
What are nursing interventions to perform for a patient who is hyperthermic?
- Continuous fluids should be given because the patient will have a high temperature so they will be sweating which releases fluids from the body
- antpyretics
- cool the room
- ice packs on the necks, armpits, and groin
- treat malignant hyperthermia with dantrolene
What temperature is considered a hypothermic temperature?
core temperature < 95 F
Who are at more risk for hypothermia?
Infants/older adults at increased risk due to less fat in their body
What is the protective response?
The protective response is the body’s natural response to cool you down if youve been in the sun for too long, etc. cold can be very protective because metabolism slows down which can save the brain
When is a patient considered “dead”?
A patient is not dead until he is warm and dead
How is hypothermia part of the trauma triad of death?
temperature is too low and vessels constrict too much which causes lack of perfusion and tissue death and can cause acidosis and hypercoagulability
What are priority manifestations of hypothermia?
Temperature < 95 F for adults and < 82 F for peds
Slurred Speech
Depressed mental status
What are nursing interventions to perform on a hypothermic patient?
Warming Blankets
Remove wet clothing and dry the patient
Warm IV fluids
Reduce exposure
