Heat Exhaustion & Heat Stroke

Heat Exhaustion

It is the inadequacy or the collapse of peripheral circulation due to volume and electrolyte depletion

Heat Stroke

If untreated heat stroke —> it can lead to?

temperature increased

what is the temperature of patient with heat exhaustion?

pale ashen moist

what is the assessment for skin in patient with heat exhaustion?

Heat stroke

It is a medical emergency defined as the combination of hyperpyrexia (40.6 C) and neurologic symptoms.

above 40.6 C

what is the temperature of patient with heat stroke / hyperpyrexia?

Heat stroke

caused by the shutdown or failure of the heat-regulating mechanisms of the body

Hypothalamus

what is the thermoregulator center?

altered LOC, NO sweating, warm to touch, increased HR and RR

Assessment for heat stoke

loose clothing, cool the patient, supine with feet slightly elevated

management for heat exhaustion and heat stroke

102 F or 38.9 C

in management of heat stroke, reduce the internal core temperature to what level, as rapidly as possible?

scalp, neck, axillae, groin

location of application of ice packs to patient with heat stroke

Hypothermia

Monitor and record the core temperature continually during cooling process to avoid

3-4 hrs

hyperthermia may recur spontaneously within ___ hrs

iced saline lavage

cool fluid peritoneal dialysis

cool fluid bladder irrigation

If temperature fails to decrease, initiate core cooling by (3)

PLR

what is the fluid of choice for heat stroke? to replace fluid losses?

KCL, sodium bicarbonate, diazepam

what are the medications administered for heat stroke?

Acute Tubular Necrosis

what is COMPLICATION OF HEAT STROKE?

IFC with urometer

what is the device used to measure urine output?

iced saline lavage

cool peritoneal dialysis

cool fluid bladder irrigation

what are the ACTIVE COOLING INTERVENTIONS?

Acute Tubular Necrosis

decreased blood flow in the renal tubules eventually leads to necrosis