Hypothermia and Hyperthermia (Nursing Assessment)
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Hypothermia is a condition where the body's mechanism for temperature regulation difficulties to overcome the pressure of cold temperatures. Hypothermia can also be defined as the temperature of the inside of the body below 35 ° C. The human body is able to regulate the temperature in termonetral zone, which is between 36.5 to 37.5 ° C. Outside this temperature, the response of the body to regulate temperature will be active balancing heat production and heat loss in the body.
Hyperthermia is an increase in the core temperature of the human body that usually occurs due to infection. Hyperthermia can also be defined as a body temperature that is too hot or high. Generally, people will sweat to lower body temperature. However, in certain circumstances, the temperature can rise quickly up spending the sweat does not provide sufficient effect.
Nursing Assessment for Hypothermia and Hyperthermia
1. History of pregnancy
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Nursing Assessment for Hypothermia and Hyperthermia
1. History of pregnancy
- Labor difficulties with infant trauma
- Drug abuse
- The use of anesthesia or analgesia in women
- Prematurity
- Apgar scores were lower
- Asphyxia with resuscitation
- CNS abnormalities or damage
- Body temperature below 36.5 C or above 37.5 C
- Maternal fever that precipitate neonatal sepsis
- Bradycardia
- Tachycardia in hyperthermia
- Poor food intake
- Vomiting or abdominal distension
- Losing weight means
- Central cyanosis or pallor (hypothermia)
- Skin redness (hyperthermia)
- Edema of the face, shoulders and arms
- Cold on the chest and extremities (hypothermia)
- Perspiration (hyperthermia)
- Weak cry.
- Decreased reflexes and activity
- Fluctuations in temperature above or below the normal range according to age and weight
- Nasal flaring or decreased breath, iregguler
- Chest retraction.
- Expiratory grunting.
- Episodes of apnea or tachypnea (hyperthermia)
- Oliguria.
- Serum glucose levels, to identify the decrease in energy used due to the response to cold or heat.
- Blood gas analysis, to determine the increase in carbon dioxide and oxygen levels decrease, indicating the risk of acidosis.
- Blood Urea Nitrogen levels, indicating an increase in impaired kidney function, and potential oliguric.
- Study electrolyte, to identify an increase in potassium associated with impaired renal function.
- Culture of body fluids, to identify the presence of infection.
