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Hyperthermia - Coggle Diagram
Hyperthermia
Management
Active
Cold IV fluids
Cold peritoneal lavage
Extracorpeal circuits
RRT
Bypass
ECMO
Passive
Ambient room tempreture
Remove clotheing
Moisten skin
Fans
Ice packs
Malignant hyperthermia
Stop triggers
Suxamethonium
Volatiles
Dantrolene 1mg/kg
Monitor
CK
UO
Myoglobin levels
NMS
Withdrawel of antipsychotics
Bromocriptine
Dantrolene
Serotonin syndrome
Benzodiazepines
Propranolol
Serotonin antiagnists
Cyproheptadine
Definitions
Pyrexia
Temp >37.5
Fever
Resetting of the hypothalamus
Infectious
Bacterial
Viral
Fungal
Non infectious
Burns
Pancreatitis
Transfusion reactions
Malignancy
Intracranial pathology
May respond to paracetamol
Hyperpyrexia
41
Hyperthermia
Temp >37.5
NOrmal hypothalamatic set point
Imbalance between heat production and loss
No response to antipyretic therapy
Causes
Heat producation
Drugs
Malignant hyperthermia
Ryonidine receptor
Autosomal dominant
Chomosome19
Serotonin syndrome
Rapid onset
Muscular excitability
increased reflexes
Altered mentation
Autonomic dysfunction
Dose dependent
Neuroleptic malignant syndrome
Slow onset
Extrapyramidal
REduced reflexes
Triad
Hyperthermia
Rigidity
Autonomic instability
Endocrine
Exertional
Reduced loss
Conservation
NEonates
Envirnmental (non exertional)
Classical heat stroke
Drugs
anticholinergics
Heat stroke
Triad
altered mental status
Recent exposure to hot weath
Hyperthermia >40
Risk factors
Young
Old
Chronic disease
Outdoor workers
pregnant women
Alteletes
High risk medications
Diuretics
Antidepressants
Socially excluded eg substance misuse