Thermoregulation in the Neonate Essay

1770 Words Aug 30th, 2011 8 Pages

By: Shubhada Ponkshe



Thermoregulation is a critical physiologic function that is closely related to the transition and survival of the infant. An understanding of transitional events and the physiologic adaptations that neonates must make is essential to helping the nurse provide an appropriate environment and help infants maintain thermal stability.

Optimizing the thermal environment has proven significant for improving the chances of survival for small infants. Understanding the basic physiologic principles and current methodology of thermoregulation is important in the clinical care of these tiny infants.

Thermoregulation is the ability to balance heat production
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Management of mild hypothermia / cold stress: • Hypothermia can be prevented by maintaining a neutral thermal environment and reducing heat loss. • Cover adequately - remove cold clothes and replace with warm clothes • Warm room/bed • Take measures to reduce heat loss • Ensure skin-to-skin contact with mother; if not possible, keep next to mother after fully covering the baby • Breast feeding • Monitor axillary temperature every ½ hour till it reaches 36.50 C, then hourly for next 4 hours, 2 hourly for 12 hours thereafter and 3 hourly as a routine

Management of moderate Hypothermia / Cold stress :(32oc to 35.9oc) • Skin to skin contact • Warm room/bed • Take measures to reduce heat loss • Provide extra heat: 200 W bulbs, Heater, warmer, incubator, apply warm towels.

Management of severe Hypothermia / Cold stress: (< 320C) •

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