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Nursing Care Plan for Hypothermia

Hypothermia

Hypothermia is a condition in which core temperature drops below the required temperature for normal metabolism and body functions which is defined as 35.0 °C (95.0 °F). Body temperature is usually maintained near a constant level of 36.5–37.5 °C (98–100 °F) through biologic homeostasis or thermoregulation. If exposed to cold and the internal mechanisms are unable to replenish the heat that is being lost, a drop in core temperature occurs. As body temperature decreases, characteristic symptoms occur such as shivering and mental confusion.


Nursing Care Plan for Hypothermia


Nursing Care Plan for Hypothermia

Related Factors:
  • Situational (Personal, environmental)
  • Heat, rain, wind
  • Clothing that does not comply with the climate
  • Decrease in circulation:
  • Extreme weight loss
  • Consuming alcohol
  • Dehydration
  • Inactivity
  • Maturisional
  • Takefektif temperature regulation:
  • Newborns
  • Elderly

Major Data:
  • Temperatures below 35.5 ยบ C per rectal
  • Cold skin
  • Pallor (medium)
  • Shivering (mild)

Minor Data:
  • Mental disorder / sleepy / restless
  • Decrease in pulse and respiration
  • Kakeksia / malnutrition

Expected Outcomes

Individuals will:
  1. Identifying risk factors of hypothermia.
  2. Connecting method of maintaining warmth / heat loss prevention.
  3. Maintain body temperature within normal limits.
Nursing Intervention Nursing Care Plan for Hypothermia
  1. Teach clients to reduce exposure to the cold environment of the old.
  2. Explain to family members that neonates, infants and the elderly are more susceptible to heat loss.
  3. Teach early signs of hypothermia: skin cold, pale, shivering.
  4. Explain the need to drink 8-10 glasses of water every day
  5. Explain the need to avoid alcohol on the very cold weather.
  6. Teach them to put on extra clothing.

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