ross hypothermia

Question 1

If a patient has a loss of pain response they are at what level of hypothermia

Answer 1

severe

Question 2

severe hypothermia is below ___ F or between _____ and ____-C

Answer 2

80, 9-27

Question 3

At _______C you will start to have acid base abnormality

Answer 3

26

Question 4

at ________C you will have hypothension

Answer 4

24

Question 5

At _______C you have a max risk of vtach

Answer 5

22

Question 6

at ________C you will have asystole

Answer 6

18C

Question 7

Conduction is ____________ contact

Answer 7

direct

Question 8

convection is a _________ from warmer to coller

Answer 8

flow of heat

Question 9

mild hypothermia with normal mentation tx

Answer 9

warm environment, warm and dry clothing, warm, sweet drinks, active movement

Question 10

Since assesment is based on temp and vital signs (including consciousness) you would treat a pt with temp of 91 with AMS as a _________

Answer 10

moderate

Question 11

If temp is a 96 (36C), get a probe that checks below 95 to monitor centrall

Answer 11

foley or rectal

Question 12

Active external rewarming is used in moderate or sever hypothermia. Recapture is :

Answer 12

warm blankets, coverhead, bairhugger.

Question 13

acitve external rewarming also includes external sources:

Answer 13

heating packs, warm environment, warm humidified O2

Question 14

Active external rewarming__________ (moa)

Answer 14

adds heat (bairhugger)

Question 15

Minimal invasive rewarming (3 examples)

Answer 15

warm water foley irrigation, warm IVF, nasogastric tube

Question 16

if they have AMS with vital signs, next question is:

Answer 16

stable or unstable

Question 17

*AMS +vitals: what counts as stable? tx

Answer 17

bradycardia, mild hypotension, afib. no meds….just warm up up

Question 18

*Core temp less than __________ is automatically unstable

Answer 18

80

Question 19

*Unstable criteria for AMS+ vitals

Answer 19

core tem less than 80, hypotension (systolic <90), ventricular arrhythmias, TX with ecmo

Question 20

HT3 clniical symtpoms

Answer 20

unconcious, vitals present

Question 21

tx for HT2

Answer 21

active external and minimally invasive rewarming (warm environment, heating blanket, warm parenterla fluids), need core temp monitoring

Question 22

tx for HT3

Answer 22

H2 treatment, transfer to ECMO center d/t high risk of cardiac arrest

Question 23

Sx of HT3

Answer 23

unconcious, vitals present. Temps <80, <28C

Question 24

HT4 sx

Answer 24

vitals absent, caridac arrest is possible <32

Question 25

Slow deflection after the QRS and before T

Answer 25

osborne wave, J wave, hypothermia hump

Question 26

What EKG finding will you find with hypothermia?

Answer 26

prolonged PR and wide QRS

Question 27

EKG changes are best found in leads _____ and _______

Answer 27

II, V6

Question 28

___________ is an induced hypervolemic state (relative)

Answer 28

cold diuresis

Question 29

CNS cerebral metabolism descreases ______ for every 1 degree drop

Answer 29

6%, cognitive and motor impairment