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Mary Roche, RN, MSN, CS Community College of Rhode Island August 15, 2011
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Learning Objectives:
After studying this section you should be able to:
Fever
1. Fever is a regulated rise in body temperature at least 1.5 to 2 degrees above an individuals normal body temperature. 2. Related factors include infection, tissue injury, illness or trauma, dehydration, blood transfusion, medication, increased metabolic rate. 3. The most frequent causes of fever are infection and inflammation.
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Administer Antipyretics
1. Antipyretics are medications that are effective against fever and include acetaminophen, aspirin, and other non-steroidal antiinflammatory medications. Aspirin and other salicylates are effective for treating fever because they act directly on the hypothalamus to decrease temperature set-point. 2. Treating a fever can mask the symptom of an illness so it is important to know if the absence of fever is a sign of recovery or simply a result of the use of an antipyretic. Knowing the half-life of an antipyretic will help. 3. The half-life of acetaminophen is 2 hours. It will influence temperature for about 4 to 6 hours. 4. Treatment with aspirin or acetaminophen is relatively safe. 5. Serious side effects can occur at high doses.
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2. As soon as the person is able, provide a well-balanced diet. 3. Carbohydrates may be the food of choice because they are easily digested and provide energy. 4. Maintaining fluid volume is essential for maintaining the balance between heat loss and heat gain. 5. Dehydration often contributes to the development of hypothermia. 6. Clients with fever often lose fluid due to sweat that occurs when the set-point decreases.
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Teaching
Teach that fever enhances the immune system response in the presence of infection; peak beneficial effects occurs at an oral temperature of 104 degrees. Recommend a liberal intake of fluid. Teach that the use of antipyretics is the most effective way to reduce an infection related fever.
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Ineffective Thermoregulation
Definition: Temperature fluctuation between hypothermia and hypothermia.
Defining Characteristics
Fluctuations in body temperature above or below the normal range Cool skin Cyanotic nail beds Flushed skin Hypertension Increased respiratory rate Pallor Reduction in body temperature below normal range Seizures/convulsions Slow capillary refill Shivering
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Interventions
Monitor temperature as ordered or use continuous monitoring. Monitor vital signs as ordered. Maintain consistent room temperature. Assess: hypothermia/hypothermia for early intervention. Assess cardiopulmonary status. Adjust clothing as appropriate.
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Heat Therapies
Heat can be applied in a variety of dry or moist methods. Use care when applying a heating pad because it can cause serious burns if set too high. Some institutions allow the use of heating pads only with preset limits to prevent burns. Avoid using heat therapy immediately after surgery to prevent bleeding into the incision or wound bed.
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Cold Therapies
Cold decreases pain and inflammation and can reduce swelling. To apply cold therapy you can use a compress, an ice pack, or an ice bag. For a small area, such as a finger, consider filling a glove with ice. Always cover an ice bag before placing it on a clients skin to avoid a cold injury.
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Hyperthermia
A non-regulated elevation in body temperature related to an imbalance between heat gain and heat loss. In hyperthermia the temperature set-point is not elevated as it is in fever. Most common example is heat stroke. Heat stroke is an extreme elevation of body temperature, usually above 105 degrees, resulting in altered central nervous system function and shock. In heat stroke, heat loss cannot keep up with heat gain.
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Hypothermia
A state in which body temperature is reduced below normal. Heat production cannot keep up with heat loss. An example of hypothermia would be when a person falls through the ice of a lake and loses heat rapidly in the cold water.
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Presentation Credits
This presentation was developed for Mary Roche under contact with Peter Martin, dba Stacy House Designs. The presentation is the sole, copyrighted property of Mary Roche. Copies of this and other presentations can be seen on the Internet at http://www.stacyhouse.com. Please fill out the guestbook selection when visiting that site. Thank you. Mary Roche & Peter Martin
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The End.
Mary Roche, MSN, RN, CS
The End.
Mary Roche, MSN, RN, CS