Intervensi dan Pencegahan

gangguan termoregulasi
Heny Suseani P.,SKp., M.Kes
Diskusikan !! (15 menit)
 Identifikasi intervensi keperawatan yang
dapat dilakukan untuk mencegah
terjadinya hipertermi dan hipotermia !
 Salah satu kelompok akan
mempresentasikan hasil diskusi tentang
pencegahan hipotermia dan satu
kelompok akan menpresentasikan
pencegahan hipertermia!
 Risk for imbalanced body temperature
Suggested NIC :
•Cereberal edema management
•Enviroment management
•Enviroment management : comfort
•Fever treatment
•Fluid management
•Fluid monitoring
•Malignant hypertermia precaution
•Postanesthesia care
•Temperature regulation
•Temperature regulation : intraoperative
•Vital sign monitoring
Additional optional intervention
 Bathing
 Energy management
 Heat/cold application
 Hemodynamic regulation
 Kangaroo care
 Medication management
 Nutrition management
 Rescucitation neonate
 Blood product administration
 Skin surveillance
 Surveillance
 Ineffective thermoregulation
Suggested NIC : Additional optional intervention
•Bathing  Anxiety reduction
•Enviroment management  Blood product administration

•Fever treatment  Medication administration

 Peripherally inserted central
•Fluid management
(PIC) catheter care
•Fluid monitoring
 Phelebotomy : arterial blood
•Hemodynamic regulation sampel
•Temperature regulation
•Temperature regulation : intraoperative
•Vital sign monitoring
 Hypothermia
Suggested NIC :
•Circulatory care
•Ciculatory precaution
•Electrolyte monitoring
•Enviroment management
•Fluid/electrolyte management
•Fluid management
•Fluid monitoring
•Hemodynamic regulation
•Hypothermia treatment
•Oxygen theraphy
•Respiratory monitoring
•Shock management
 Shock prevention
 Surveillance safety
 Temperature regulation
 Temperature regulation :
intraoperative
 Vital sign monitoring
Additional optional intervention
 Heat/cold application
 Shock management : cardiac
 Shock management : vasogenic
 Peripherally inserted central (PIC)
catheter care
 Total Pareneral nutrition (TPN)
administration
Prevention of hypothermia

 While medical emergencies can occur in association with

hypothermia (for example, people with diabetes who
develop very low blood sugar), most cases of
hypothermia are preventable with good planning and
good judgment.
 Wear appropriate clothing for the weather.
 Prepare for the worst when enjoying an outdoor activity if
cold weather is a possibility. If choosing to drink alcohol,
make certain there is a sober person who will be
responsible for your safety.
 For the elderly and the poor who may not have adequate
home heating in the winter, communities should insure
that safe housing is available. Shut-ins should have
routine social service or family contacts.
hypothermia
 Hypothermia : reaction of tranfusion
 rapid infusion of large amounts of cold blood, which
decreases body temperature
 Nursing intervention :
 Stop transfusion
 Warm patient with blanket
 Obtain an ECG
 Prevention :
 Warm blood to 950 – 980 F (350 -36,70 C) especilly
before massive tansfusion
 Hyperthermia
Suggested NIC :
•Bathing
•Enviroment management
•Fever treatment
•Fluid management
•Heat exposure treatment
•Hemodynamic regulation
•Infection control
•Infection protection
•Malignant hyperthermia precaution
•Medication management
•Mediacatioan prescribing
 Shock management
 Skin surveillance
 Termperature regulation
 Temperature regulation :
intraoperative
 Vital sign monitoring
Additional optional intervention
 Heat/cold application
 Nutrition management
 Oxygen theraphy
 Peripherally inserted central
(PIC) catheter care
 Seizure management
 Seizure precaution
 Total Pareneral nutrition (TPN)
administration
Prevention of Hyperthermia
 Use common sense in avoiding excessive
activity in situations in which heat is
present.
 Adequate intake of fluids before, during
and after exercise in any situation also is
essential.