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Heat Illness - Coggle Diagram
Heat Illness
heat stroke
core temp 104F
altered mental status, inability to produce sweat, circulatory collapse with decrease in HR and BP
cardiac arrythmias r/t electrolyte imbalance
extreme disorientation, fatigue, weakness
concerns of cerebroedema and hemhhorage from direct injury to brain AEB cerebral blood flow
"hot and dry"
treatment
stabilize ABC and rapidly reduce temperature
cooling methods
remove clothing, cover with wet sheet, place in front of large fan, ice bath, ice bags on groin, neck, armpits, administer cool fluids or lavage with cool fluids, promote oral fluid intake
once temp is reduced to 102, less aggressive cooling measures are utilized
monitor for rhabdomyosis, myoglobinuria, and DIC
continue aggressive fluid resusicitation. not achieved yet when urine is still tea colored
heat exhuastion
prolonged exposure to heat over hours or days
can occur with various temperatures depending on length of exposure
elderly and people who work in uncontrolled temperatures, such as firefighters
can occur with active or sedentary lifestyles
treatment
monitor cardiac fun r/t e- imbalance
place in cool area and remove restrictive clothing
place moist sheet over patient to decrease core temperature
provide oral fluids, preferably water
initiate normal saline IV if oral solutions are not tolerated
accurately document I&O
s/s
temperature of 99.6-105.8 F
"hot and sweaty"
patient education
elderly, high schoolers, collegiate athletes, parents, coaches, volunteers
hydration
taking breaks out of the sun
cognitive of heat index and using it to direct activiities
when unable to avoid strenuous activities encourage hydration and breaks moreso