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HYPOTHERMIA (Diagnostic Tests (Low temperature probe placed in esophagus,…
HYPOTHERMIA
Diagnostic Tests
Low temperature probe placed in esophagus, bladder or rectum
SPO2 monitoring
ABG
ECG
Chest X-ray
Levels/Clinical Findings
mild
32-35° C (90-95°F)
Clinical findings
tachypnea, tachycardia
increased BP
confusion
ataxia
dysarthria
shivering
excessive diuresis
bradycardia
moderate
28-32°C (82-90°F)
Clinical findings
reduced RR, HR, CO
reduced consciousness
hallucinations
mydriasis
loss of shivering
loss of airway protection
severe
<28°C (<82°F)
Clinical findings
coma
areflexia
apnea
ventricular arrhythmias
asystole
Etiology
exposure to cold
drop in body temperature to <35° C or <95° F
Respiratory Management
Warm supplemental O2
SPO2 above 90%
heated nebulizer with aerosol mask
high flow nasal cannula
airway management
mechanical ventilation
use heated humidification
prevents aspiration
Lisa Stevenson