Hypo/hyperthermia Flashcards
(22 cards)
What is normal temperature?
35- 37.5
What is normal temperature in elderly?
35-36
State two options for measuring temperature
tympanic device
rectal thermometer
bladder catheter sensor
What constitutes mild hypothermia?
35-32
moderate hypothermia?
32-28
severe hypothermia?
<28
What are the features of mild hypothermia
shivering, tachyopnoeic, tachy followed by reduction in HR and BP
impaired judgement
apathetic
diuresis
State two features of moderate hypothermia
absence of shivering
reduced GCS
pupil dilation
hyporeflexia
reduced gag reflex
Two features of severe hypothermia?
asystole
arrhythmia
unconscious
List three differentials for hypothermia
drugs
alcohol
neglect
fatigue
injury
inappropriate clothing
State two drugs that can cause hypothermia
beta blockers
heroin
List two options for warming hypothermic person
bear hugger
bladder lavage (usually used for hyperthermia)
warm IV fluids
State two internal causes of hyperthermia
infection and drugs
What are the components of qSOFA
confusion/reduced GCS
RR >22
SBP <90
Define sepsis
life threatening organ dysfunction and dysregulation in response to infection
Define septic shock
circulatory collapse
How is sepsis defined in terms of qSOFA
> 2
What is malignant hyperthermia?
anaesthesia reaction- unpredictable
calcium channel mutation
List two risk factors for heat stroke
CNS dysfunction
alcohol
obesity
skin conditions
dehydrated
illness
List two options for cooling hyperthermic patient down
cold IV fluids
Arctic sun
bladder lavage
ECMO
State one drug that can cause neuroleptic malignant syndrome
antipsychotics
metoclopramide
levodopa
Name a drug that can cause serotonin syndrome
SSRI
tramadol
