HYPOTHERMIA

SEVERE MALNUTRITION risk of hypothermia Impaired thermoregulatory control Lowered metabolic rate Thermal insulation from body fat

Marasmus Concurrent infections denuded skin infants

HIGH RISK

RECTAL TEMPERATURE LESS THAN 35.5C OR 95.5F

AXILLARY TEMPERATURE LESS THAN 35C OR 95F

A low reading thermometer(29C-42C)used to measure temp. of malnourished child If temp does not register on normal thermometer, hypothermia assumed and treated Always measure blood glucose and screen for infections

TREATMENT
REWARM BY PROVIDNG HEAT- USING RADIATION,CONDUCTION OR CONVECTION AVOID RAPID REWARMING-DISEQUILIBRIUM MONITER TEM. TILL >36.5C FEED THE CHILD IMMEDIATELY,2HOURLY CLOTHE CHILD WITH WARM CLOTHES ENSURE HEAD COVERED WITH SCARF OR CAP GIVE APPROPRIATE ANTIBIOTICS LOOK FOR HYPOGLYCEMIA AND TREAT

IN CASE OF SEVERE HYPOTHERMIA RECTAL TEMP.<32C

WARM HUMIDIFIED OXYGEN FOLLOWED BY 5ml/kg OF 10% DEXTROSE IV OR 50ml OF 10% DEXTROSE BY NASOGASTRIC ROUTE WARM FEEDS ORALLY OR THROUGH NASOGASTRIC TUBE IF FEED INTOLERANCE/CONTRAINDICATION FOR NASOGASTRIC FEEDING,START PREWARMED MAINTENANCE IV FLUIDS

PREVENTION
FEED FREQUENTLY,2HOURLY PLACE CHILDS BED IN A DRAUGHT FREE AREA KEEP CHILD WELL COVERED PUT IN CONTACT WITH MOTHERS BARE CHEST/ABDOMEN MINIMIZING EXPOSURE AFTER BATHING OR EX. KEEP THE CHILD DRY ALWAYS

Thank you