The patient was placed initially on a sliding scale of insulin. The patient underwent incision and drainage of his right foot on July 17, had no complications and tolerated surgery well. One day post-op the patient spiked a temperature to 101 degrees Fahrenheit. The patient was placed on Unasyn. He defervesced quickly. At the time of discharge his vital signs were stable. He was afebrile. His antibiotics were changed to Augmentin and he was discharged to his daughter’s home.…
In the operating room, patients were cardiovascular, respiratory and body temperature monitored through the Dixtal 2020. The multiparameter monitor CO2 expiratory concentration was maintained between 35 and 40 mmHg by controlling the ventilatory variables Hemodynamic variables determined the anesthesia . The systolic, diastolic and mean, like heart rate were recorded and annotated at various times:…
Hypothermia is a dysfunction of the hypothalamus and occurs when more heat is lost than the body can generate.…
Marian suffered from a heat stroke causing her body to experience hyperthermia. Marian body went through the process of homeostasis from experiencing hyperthermia. “Homeostasis is a state of body equilibrium or stable internal environment of the body.”(Marieb 8) Homeostasis protects the body by allowing it to adapt to the environment. Marian homeostasis tried to cool the body but failed. Though Marian was lucky her daughter found her in time. When a heat stroke occurs the body’s homeostasis shuts down where the temperature can reach high enough to cause brain damage to where you die. Heat strokes can cause damage internally well as externally. Hyperthermia causes a positive feedback mechanism within the body. “A positive feedback mechanism is a feedback that tends to cause the level of variable to change in the same direction as an initial change.”( Marieb 9) When the body stimulus rises the hypothalamus’s thermoreceptors start to work as the body’s thermostat. The thermoreceptors send messages allowing the hypothalamus to make temperature changes in the core. When the core starts to raise the heat loss mechanism starts one or two things: “dilation of cutaneous blood vessels or enhanced sweating.”(Marieb 833) “Dilation of cutaneous blood vessels is where the vessels swell with warm blood, heat is lost from the radiation, conduction, and convection” (Marieb 833) Some symptoms for a heat stroke are “throbbing headache, dizziness and light-headedness, lack of sweating despite the heat, red hot skin, muscle weakness or cramps, nausea and vomiting, rapid heartbeat, which may either strong or weak, rapid shallow breathing, behavioral changes such as confusion, disorientation or staggering, seizures, and unconsciousness.”( http://firstaid.webmd.com/heat-stroke-symptoms-and-treatment)…
Perioperative routine practices vary from state to state and even facility to facility. It is important for the surgical nurse to be well versed in perioperative procedures and constantly question the effectiveness and positive/negative outcomes related to each one. Several preoperative procedures take place on the surgical unit of my hospital, and after research and discussions with surgeons, I discovered a preoperative procedure that could be tweaked in order to improve post-op results.…
Hypothermia related to immersion in cold water as evidenced by muscle rigidity and shivering. (411)…
Wood, Stephen C. 1991. Interactions Between Hypoxia and Hypothermia. Annual Reviews Inc., Albuquerque, NM, USA.…
Also, if the persons temperature was to fall too low and not be brought back to normal by homeostasis, the person would result in hypothermia, also causing the body’s cells to be destroyed as they cannot survive under body temperature lower than 37 degrees, as well as the body’s enzymes to be destroyed as they also require normal body temperature to function, again resulting in death. Hypothermia is a state where the body's normal body temperature of 37°C (98.6°F) drops below 35° (95°F). When the body is exposed to cold the mechanisms are unable to fill in heat that is lost to organisms surroundings. Hypothermia is caused normally when a person is around a cold environment or staying outside for a long period of time in the cold rain or wind. When the body gets too cold it usually acts fast in order to become warm and giving a message to the brain allowing the person to wear more layers of clothing or going inside. However during hypothermia if the cold tends to continue the body's automatic defense will try to prevent any heat loss through various ways and this could be through:…
The author writes “stiff, curled form” and “tortured fetal positions” to describe what conditions hypothermia can place your body in. This gives the reader chills and curiosity as to what is to come next.…
Evidence that was gathered validated that a high percentage of patient that have TKA surgery had hypothermia and increased pain. The quality of the evidence gathered was from good clinical expertise and randomized controlled studies. Comparative Evaluation/decision making: evidence that could be used is that the group of patients using the warming gown had lower pain scores, used less opioids, had increased oral temperature, and improved patient satisfaction and the needs for more research into the efficacy and safety of specific types of active warming devices, and their environmental implications. Translation/application: more research is needed at this…
DeLamar, L.(2007) ‘ Anaesthesia’ in Rothrock J (ed) Alexander’s care of the patient in surgery. 13th edn. Missouri: Mosby. Pp.120 – 122.…
Shock is a life threatening condition that occurs when the organs and tissues of the body are not receiving an adequate flow of blood. In a sense the circulatory system is failing to effectively deliver oxygen to the cells thus resulting in reduced tissue perfusion. It is characterised by hypoxia and inadequate cellular function that lead to multiple organ failure and potentially death (Kleinpell 2007). This essay will focus on hypovolemic shock in particular, and relate it to patient with complications following gastrointestinal bleeding.…
Only five to thirty percent of patients survive hospitalization and make it to hospital discharge (AHA, 2011). Doctors are now discovering the highly effective treatment of doctor induced hypothermia for cardiac arrest patients. Hypothermia is defined as a decrease in the core body temperature below 35 degrees Celsius or 95 degrees Fahrenheit (Ward, 2011). It is then characterized by whether it occurred accidentally or if it was induced purposefully. There are multiple uses for medically induced hypothermia. Doctor induced hypothermia is the most effective therapeutic treatment for out-of-hospital sudden cardiac…
Sessler, D. I. (2009). _Temperature monitoring and perioperative thermoregulation_. Retrieved , from July 14, 2014…
To what extent does inducing hypothermia benefit patients? What exactly are the benefits, and do they come with risks? There have been many trials dealing with therapeutic hypothermia that exhibit advantageous neurological outcomes post-cardiac arrest. Most of these trials lead to a decrease in the mortality rate of the patients. Our team decided on this topic after hearing about how induced hypothermia helped in…