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24 Cards in this Set
- Front
- Back
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Heat and Cold are used for Tx for injuries.
What organ in the body regulates our temperature? |
the hypothalamus acts as a thermostat to maintain us at 37ºC or 98.6º F
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the body will respond to heat or cold both locally and systemically.
when do you use cold as therapy? |
the reduce inflammation from injury to muscles & skeleton
apply cold first 24 to 48 hrs after injury this is called cyrotherapy |
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what is vasoconstriction and what are some EX of?
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vasoconstritction is body's reaction to conserve energy. Shivering. hair standing up, called PILOERECTION
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what is vasodialtation?
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persperation occurs to promote heat loss
sweating |
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the nurse has a legal responsiblility for safe applications of ...
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heat and cold applications
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what would a decreased circularatory system have with hot and cold applications?
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a bad effect so the nurse could question a doctor's orders for a cold pack!
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what would be a local response to a heat Tx?
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vasodilation
reduced blood viscocity reduced muscle tension increased capillary permeability |
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what is the body's response to cold Tx?
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vasoconstriction
local anethesia (stops the pain) reduced cell metabolism increased blood vicosity decreased muscle tension |
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what would you never put a heating pad on?
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a tooth ache. It would possibly send infection through the body
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would you put a heating pad on a pain in the lower right quadrent?
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no. it could rupture an appendix!
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would you put a heat pad on a pt with dementia?
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no. they will forget and you'll burn them
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you would assess a pt b/f putting on a hot cold Tx. Assess for what?
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alterations in skin integrity
contraindications to hot/cold like any skin injury level of consciousness cognitive state |
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why do we not give heating pads to the pts in Oregon?
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seniors have impaired tactile feelings
they wouldn't know it if they were getting a burn!` |
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Old people can fall asleep w/ a heating pad on and what?
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burn themselves!
don't use hot stones either! |
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what about edema and heat?
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increased risk for burns w/ edema b/c any decreased vascular circulation issue is a burn issue
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what is masseratin?
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when moisture causes skin to break down ...you get 2 layers together and its thin, ruby color. This is from mositure getting to skin from a heating Tx.
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what about evaporation?
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may cause Pt to experience chill
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What does a warm soak provide?
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promotes ciculation
debrides wounds relaxes muscles lessens edema a way to apply some meds |
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what does federal law prohibit?
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federal and state laws prohibit use of heating pads in nursing homes, assisted living, residential care, even w/ provider's order1
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what is the maximun length a cold pack can stay on?
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30 minutes
cold pack rule is 10 on and 10 off b/c of vasodialation. leaving a cold pak on constistantly would cause a skin injury |
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a cold compress for 20 minutes requires what?
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a doctors order
observe for burning, numbing, mottling, redness, extreme paleness, bluish skin, discoloration |
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so 20 minutes is the limit for heat or cold Tx. what would you put on a sprain. hot or cold?
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cold to a muscle sprain to stop pain, control bleeding, prevent edema
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after the 20 Tx when can you put on another cold pack?
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in an hour
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what do you do b/f putting on a cold heat Tx?
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document the baseline
what skin looked like b/f therapy how client responded |
