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7053317
Hypothermie
Description
Mind Map on Hypothermie, created by Elisa Mekes on 20/11/2016.
Mind Map by
Elisa Mekes
, updated more than 1 year ago
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Created by
Elisa Mekes
over 7 years ago
38
1
0
Resource summary
Hypothermie
Definition
rektale Körpertemperatur konstant unter 36°C
Stadien
Grad 1
37°-34°C
bewusstseinsklar, Absinken von RR+Puls, Kältezittern (fehlt bei Sgl.) Schmerzen)
Grad 2
34°-30°C
Somnolenz, Bradykardie, niedriger RR, Arrythmie, keine Schmerzen
Grad 3
30°-27°C
Koma, kaum tastbarer Puls ,Absinken von AF+Atemtiefe, keine Reflexe)
Grad 4
< 27°C
Atem-, und Kreislaufstillstand, keine Pupillenreaktion
Maßnahmen
Monitoring (EKG, RR, SpO2, Temperatur ggf. zentral+peripher)
Dekubitusprophylaxe
Pupillenkontrolle
Flüssigkeitsbilanzierung
Wärmemanagement z.B. durch angewärmte Kleidung, Wärmebetten/Inkubatoren, Wärmedecken, angewärmte Infusionslsg.
Hautinspektion
WICHRTIG: langsames Erwärmen (1°C pro Std.)!
Ursachen
Kälteexpositionen
Wärmeregulationsstörungen
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