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1.
Rev Enferm ; 33(1): 55-62, 2010 Jan.
Artigo em Espanhol | MEDLINE | ID: mdl-20201201

RESUMO

A deep understanding about the causes and situations which predispose a patient to hypothermia can prevent its progression and the emergence of complications which present life-threatening risks and can lead to irreversible organ deterioration. The distinct degrees of hypothermia require a diagnosis and a distinct therapeutic treatment which share common pillars based on: the need to employ general measures which counterarrest the deterioration of those organs caused by heat loss; and the use of internal or external reheating methods which vary due to the degree of hypothermia and the hemodynamic stability of the patient. In moderate or severe cases, a nurse's role, as one who collaborates in patient treatment, requires paying special attention to strict monitoring of vital constants, neurological, metabolic and cardio-respiratory signs, as well as collaborating in various therapeutic procedures. As a nursing diagnosis, hypothermia refers to those situations in which a nurse's professional competence capacitates he/she to carry out actions which resolve that prejudicial situation a patient faces.


Assuntos
Hipotermia , Humanos , Hipotermia/complicações , Hipotermia/diagnóstico , Hipotermia/etiologia , Hipotermia/terapia
2.
Rev. Rol enferm ; 33(1): 55-62, ene. 2010. tab
Artigo em Espanhol | IBECS | ID: ibc-79195

RESUMO

Un profundo conocimiento sobre las causas y situaciones que predisponen a la hipotermia puede evitar su progresión y la aparición de complicaciones que comportan riesgo vital y deterioro orgánico irreversible. Los distintos niveles de la misma precisan un diagnóstico y abordaje terapéutico distinto compartiendo pilares comunes basados en: la instauración de medidas generales, que contrarresten el deterioro de los distintos órganos producidos por la pérdida de calor; y en medidas de recalentamiento interno o externo que variarán en función del grado de hipotermia y la estabilidad hemodinámica del paciente. El rol de enfermería en los casos de moderada y severa, como actividad de colaboración, presta especial atención a una estrecha monitorización de las constantes vitales, signos neurológicos, metabólicos y cardiorrespiratorios así como la colaboración en distintos procedimientos terapéuticos. La hipotermia como diagnóstico de enfermería se refiere a aquellas situaciones en las que la competencia profesional capacita para llevar a cabo actuaciones que resuelvan esta situación perjudicial para el individuo(AU)


A deep understanding about the causes and situations which predispose a patient to hypothermia can prevent its progression and the emergence of complications which present life-threatening risks and can lead to irreversible organ deterioration. The distinct degrees of hypothermia require a diagnosis and a distinct therapeutic treatment which share common pillars based on: the need to employ general measures which counterarrest the deterioration of those organs caused by heat loss; and the use of internal or external reheating methods which vary due to the degree of hypothermia and the hemodynamic stability of the patient. In moderate or severe cases, a nurse’s role, as one who collaborates in patient treatment, requires paying special attention to strict monitoring of vital constants, neurological, metabolic and cardio-respiratory signs, as well as collaborating in various therapeutic procedures. As a nursing diagnosis, hypothermia refers to those situations in which a nurse’s professional competence capacitates he/she to carry out actions which resolve that prejudicial situation a patient faces(AU)


Assuntos
Humanos , Masculino , Feminino , Hipotermia/diagnóstico , Hipotermia/enfermagem , Hipotermia/terapia , Fatores de Risco , Desidratação/complicações , Desidratação/enfermagem , Regulação da Temperatura Corporal/fisiologia , Hipotermia/fisiopatologia , Hipotermia/reabilitação , Regulação da Temperatura Corporal
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