Acronyms
CA
What is Cardiac Arrest?
Core temperature of ≤35°C
What is hypothermia?
Acetaminophen is an example of this type of drug.
What is an Antipyretic?
Should be reached ASAP, but no later than six hours from initiation.
What is the Target Temperature or Cooling Goal?
The EPIC flowsheet to document TTM on.
What is the 411 or Targeted Temperature Management Flowsheet?
TTM
What is Targeted Temperature Management?
Dilated pupils and diminished gag reflex may be seen in this temperature range.
What is Moderate Hypothermia or 30°C to 33.9°C?
The body temperature is high, usually from infection, medication or head injury.
What is Hyperthermia or Fever?
The recommended target temperature for a comatose survivor of CA with a GCS <8.
What is 32-34°C?
Documentation during these phases includes q1° temperature, q1° urine output, q1° machine water temperature, q1° skin assessments, and q1° shivering assessment.
What are the Initiation-Cooling, Maintenace and Rewarming Phases?
GCS
What is Glasgow Coma Scale?
These medications can affect heat transfer and increase skin injury when using a forced air warmer.
What are vasopressors and vasodilators?
Three non-pharmacological nursing interventions for cooling a patient.
What is reducing room temperature, turning ventilator heater off, and ice packs to the axilla & groin?
The patient has maintained the targeted temperature for 24 hours. You can begin rewarming at a rate of ____°C per hour.
What is 0.25?
This assessment may not be accurate when the TTM is 32-34°C.
What is the Train of Four (TOF)?
ROSC
What is Return of Spontaneous Circulation?
This must be a continuous and consistent measurement site.
What is a core temperature reading?
_______ worsens neurological outcome, increases mortality, increases heart rate and increases metabolic rate of a critically ill patient.
What is Hyperthermia or a Fever?
If this drug was administered during the cooling phase, it could be released during the rewarming phase.
What is SQ insulin?
When the TTM is 32-34°C consider holding this six hours prior to rewarming.
What is electrolyte replacement therapy?
BSAS
What is the Bedside Shivering Assessment Scale?
This type of skin injury can occur from using a forced air warmer, therefore skin needs to be assessed hourly.
What is a thermal injury?
The thermoregulatory center of the brain.
What is the hypothalamus?
The RN would anticipate the potential use of these three order sets during targeted temperature management of a patient.
What are the analgesia/sedation, the vasoactive, and the neuromuscular blockade order sets.
The ways to measure core temperature on a patient. (Name 4)
What are rectal, bladder, esophageal and pulmonary artery temperature measurements?