Intervensi dan Pencegahan gangguan termoregulasi

Heny Suseani P.,SKp., M.Kes

Diskusikan !! (15 menit)

Identifikasi intervensi keperawatan yang dapat dilakukan untuk mencegah terjadinya hipertermi dan hipotermia !

Salah satu kelompok akan mempresentasikan hasil diskusi tentang pencegahan hipotermia dan satu kelompok akan menpresentasikan pencegahan hipertermia!

Risk for imbalanced body temperature

Additional optional intervention Bathing Energy management Heat/cold application

Hemodynamic regulation Kangaroo care Medication management Nutrition management Rescucitation neonate Blood product administration Skin surveillance Surveillance

Suggested NIC :

•Cereberal edema management

•Enviroment management

•Enviroment management : comfort

•Fever treatment

•Fluid management

•Fluid monitoring

•Malignant hypertermia precaution

•Postanesthesia care

•Temperature regulation

•Temperature regulation : intraoperative

•Vital sign monitoring

Ineffective thermoregulation

Additional optional intervention Anxiety reduction Blood product administration Medication administration Peripherally inserted central

(PIC) catheter care Phelebotomy : arterial blood

sampel

Suggested NIC : •Bathing

•Enviroment management

•Fever treatment

•Fluid management

•Fluid monitoring

•Hemodynamic regulation

•Temperature regulation

•Temperature regulation : intraoperative

•Vital sign monitoring

Hypothermia

Shock prevention Surveillance safety Temperature regulation Temperature regulation :

intraoperative Vital sign monitoring

Additional optional intervention Heat/cold application Shock management : cardiac Shock management : vasogenic Peripherally inserted central (PIC)

catheter care Total Pareneral nutrition (TPN)

administration

Suggested NIC : •Circulatory care

•Ciculatory precaution

•Electrolyte monitoring

•Enviroment management

•Fluid/electrolyte management

•Fluid management

•Fluid monitoring

•Hemodynamic regulation

•Hypothermia treatment

•Oxygen theraphy

•Respiratory monitoring

•Shock management

Prevention of hypothermia

While medical emergencies can occur in association with hypothermia (for example, people with diabetes who develop very low blood sugar), most cases of hypothermia are preventable with good planning and good judgment.

Wear appropriate clothing for the weather. Prepare for the worst when enjoying an outdoor activity if

cold weather is a possibility. If choosing to drink alcohol, make certain there is a sober person who will be responsible for your safety.

For the elderly and the poor who may not have adequate home heating in the winter, communities should insure that safe housing is available. Shut-ins should have routine social service or family contacts.

hypothermia

Hypothermia : reaction of tranfusion rapid infusion of large amounts of cold blood, which

decreases body temperature

Nursing intervention : Stop transfusion Warm patient with blanket Obtain an ECG

Prevention : Warm blood to 950 – 980 F (350 -36,70 C) especilly

before massive tansfusion

Hyperthermia

Shock management Skin surveillance Termperature regulation Temperature regulation :

intraoperative Vital sign monitoring

Additional optional intervention Heat/cold application Nutrition management Oxygen theraphy Peripherally inserted central

(PIC) catheter care Seizure management Seizure precaution Total Pareneral nutrition (TPN)

administration

Suggested NIC : •Bathing

•Enviroment management

•Fever treatment

•Fluid management

•Heat exposure treatment

•Hemodynamic regulation

•Infection control

•Infection protection

•Malignant hyperthermia precaution

•Medication management

•Mediacatioan prescribing

Prevention of Hyperthermia

Use common sense in avoiding excessive activity in situations in which heat is present.

Adequate intake of fluids before, during and after exercise in any situation also is essential.