30 cases of cerebral hemorrhage with central high fever of Nursing.docVIP

 PAGE \* MERGEFORMAT 5 30 cases of cerebral hemorrhage with central high fever of Nursing [Keywords:] central high fever; cooling measures; nursing experience Central high fever is caused by hypothalamic syndrome, cerebral hemorrhage important clinical manifestations. Non-infectious fever, no more chills, antibiotic treatment fails, the temperature in the incidence of early (48 hours) can be a sudden increase to above 39 , hot hot type mostly missed. uneven temperature distribution, the limbs skin temperature is not high, but the head and trunk temperatures are high, and bilateral asymmetry of skin temperature, dry skin without sweating. simply poor cooling effect of drugs, and physical cooling there a certain effect. 1 Clinical data Five were treated in our hospital 30 patients with cerebral hemorrhage, (all diagnosed by CT), of which 18 males and 12 females, maximum age 78 years, the smallest in 38 years. In 30 cases, 20 cases of abnormal body temperature (66.7%), in which high fever (39 above) in 14 cases, heat type, 12 cases as the missed hot. irregular fever in 4 cases, 4 cases of remittent fever. 2 central high fever cooling measures 2.1 physical cooling 2.1.1 ice into the ice cap to ice and ice caps, the wear in the patient’s head to the brain at a low temperature environment, to reduce brain tissue metabolism, reduce the oxygen consumption of brain cells. 2.1.2 bagged ice water ice together with a rubber ice cold water to make smooth edges so as not to wear the skin can become. Another rubber gloves or plastic bags can be broken into the big ice surface vessels were placed in the. 2.1.3 sponge bath with warm water can be 32 ~ 36 or 30% to 50% alcohol sponge bath. As follows: start from the patient side of the neck, from top to bottom along the outside of the upper arm to the back of the hand; after transthoracic, As for the armpit along the inside upper arm palm, rub the other side of the same method. began rubbin