Gotta follow the rules!
Core temperature modality used during targeted temperature management
What is rectal or urinary catheter?
The band that you will document everything related to normothermia treatment and the Arctic Sun
What is the Targeted Temperature Management band? Please make sure you have this band! If you don't, tell Chelsea and she will help you
Length of time you can leave the Arctic Sun pads on your patient as long as they are clean, dry and intact
What is 5 days?
You are doing the bedside shiver assessment and note that the patient's shivering is localized to their neck and chest. What is the patient's score and what would you do?
What is 1 and nothing? Goal according to the guideline is BSAS less than or equal to 1 so you wouldn't necessarily have to do anything since they have met the goal.
Frequency of assessing and documenting the Bedside Shiver Assessment Scale (BSAS)
What is every 15 minutes x4 then hourly following initiation?
Goal temperature for normothermia management
What is 36 C?
Frequency of skin assessments and documentation while on the Arctic Sun
What is on initiation and every 2 hours? This includes pulling the pads back completely to assess the skin underneath!
The trend indicator on the Arctic Sun tells us this
What is the rate of change in the patient's temperature over the previous 5 minutes? Up arrows indicate patient temperature is increasing; down arrows indicate patient temperature is decreasing
You are initiating the Arctic Sun on your patient and they do not have a temperature sensing urinary catheter. What is your next step?
What is insert a rectal temperature probe? Do not replace the urinary catheter!
If you see no visible shivering, the body part(s) that you should palpate for early signs of shivering
What is the pectoralis muscles and the neck/mandible region?
You must have this from the provider (either verbal or written) prior to initiating the Arctic Sun
What is an order?
Frequency of assessing and documenting the patient's temperature
What is every 15 minutes x4 then hourly?
One of the reasons we care about the trend indicator
What is any increase in the trend indicator shows that the patient is generating heat (fever, shiver, seizure)? If the patient is generating heat, the machine has to work harder to bring the temperature down or maintain normothermia.
You notice that the trend indicator has increased from your previous assessment. What should you do?
What is assess your patient?! If the trend indicator is increasing, your patient is generating heat. Do a shiver assessment, check temperature, implement counterwarming measures.
Warming device that should be used to counterwarm a patient when they are shivering
What is the Baer Hugger set at 43 C? Can also use warm blankets!
When you would collaborate with the provider to consider discontinuation of normothermia treatment
What is when the trend indicator on the Arctic Sun is stable at 0 for greater than 24 hours and/or per provider's orders?
What is every 15 minutes x4 and then hourly?
Button that you must press before disconnecting the pads from the device so you don't flood your patient's bed with water
What is the "Empty Pads" button?
You have to take your temperature unstable patient to CT unfortunately. You are really worried about their temp during this really long CT. What should you do?
What is drain the pads but leave them on? The pads act like a human koozie to maintain temperature. Xray, CT, and MRI can all shoot through the pads!
Medications that can be given to manage and treat shivering per provider's orders
What is anti-pyretics and anti-shiver medications (Precedex and sedation!)?
Reasons we would start a patient on normothermia treatment
What is to preserve brain function due to extremes of temperature outside of normal range refractory to conservative treatment? Give examples!
Frequency of vital sign documentation
What is hourly or per provider's orders?
On the graph on the Arctic Sun screen, the patient's info is ______ and the machine's info is ______
What is patient's info is yellow and machine's info is blue?
The trend indicator keeps increasing but your BSAS is 0 and the patient does not have a fever. You wonder if you have enough pad coverage on the patient. What percentage of body surface area needs to be covered?
What is 40%? If your patient isn't generating any heat (shiver, fever, seizure), consider adding another pad to cover more body surface area.
The reason we want to prevent or decrease patient shivering
What is shivering generates heat which makes the Arctic Sun work harder to control the temperature at 36 C?