Effects of Peripheral Cold Application on Core Body Temperature and Hemodynamic Parameters in Febrile Patients in the Neurosurgical ICU

2.50
Hdl Handle:
http://hdl.handle.net/10755/243312
Category:
Abstract
Type:
Presentation
Title:
Effects of Peripheral Cold Application on Core Body Temperature and Hemodynamic Parameters in Febrile Patients in the Neurosurgical ICU
Author(s):
Asgar Pour, H.; Yavuz, M.
Author Details:
Asgar Pour, H., PhD, RN, hasgarpour23@yahoo.com; Yavuz, M., PhD, RN;
Abstract:
Purpose: To investigate the effects of fever on hemodynamic parameters and effects of peripheral cold application (PCA) on core body temperature (CBT) and hemodynamic parameters in febrile patients in the neurosurgical ICU (NICU).  

Methods: This study was an experimental, repeated-measures performed in the NICU. The research sample included all patients with fever in postoperative period. PCA was performed for 20 min. CBT and hemodynamic parameters were measured at admission, 1 h before the onset of fever, before, immediately after and 30 min after the end of PCA.  

Results: During fever, systolic blood pressure (SBP), mean arterial blood pressure (MAP) and  arterial oxygen saturation (O2Sat) decreased by 5.07 ± 7.89 mmHg, 0.191 ± 6.00 mmHg, and 0.742% ± 0.97%, respectively, whereas the pulse rate and diastolic blood pressure (DBP) increased by 8.528 ± 4.42 beats/per min and 1.842 ± 6.9 mmHg, respectively. Immediately after PCA, CBT decreased by 0.3°C, and pulse rate, SBP, DBP, MAP, and O2Sat increased by 3.3 beats/per min, 1.40 mmHg, 1.87 mmHg, 0.98 mmHg, and 0.27%, respectively. Thirty minutes after the end of PCA, CBT, DBP, MAP, and pulse rate decreased by 0.57°C, 0.34 mmHg, 0.60 mmHg, and increased by 0.98 mmHg and 0.04%, respectively.

Conclusion: A degree celsius (1ºC) increase in core body temperature was decline of 4.43 mmHg in systolic blood pressure , 0.166 mmHg mean arterial blood pressure and 0.64% O2Sat and increase of 1.61 mmHg in diastolik arterial blood pressure and 7.46 beats/per min pulse rate. According to these results, changes in hemodynamic parameters occur during elevations in core body temperature. PCA increases SBP, DBP, MAP, and O2Sat and decreases CBT and pulse rate. Thus, accurate and careful measurements of hemodynamic parameters play an important role in preventing complications before, during, and after nursing interventions related to fever.

Keywords:
fever; peripheral cold application; hemodynamic parameters
Repository Posting Date:
12-Sep-2012
Date of Publication:
12-Sep-2012
Conference Date:
2012
Conference Name:
23rd International Nursing Research Congress
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Brisbane, Australia

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_GB
dc.typePresentationen_GB
dc.titleEffects of Peripheral Cold Application on Core Body Temperature and Hemodynamic Parameters in Febrile Patients in the Neurosurgical ICUen_GB
dc.contributor.authorAsgar Pour, H.en_GB
dc.contributor.authorYavuz, M.en_GB
dc.author.detailsAsgar Pour, H., PhD, RN, hasgarpour23@yahoo.com; Yavuz, M., PhD, RN;en_GB
dc.identifier.urihttp://hdl.handle.net/10755/243312-
dc.description.abstract<b>Purpose: </b>To investigate the effects of fever on hemodynamic parameters and effects of peripheral cold application (PCA) on core body temperature (CBT) and hemodynamic parameters in febrile patients in the neurosurgical ICU (NICU).<b>&nbsp;&nbsp;</b><p><b>Methods: </b>This study was an experimental, repeated-measures performed in the NICU. The research sample included&nbsp;all patients with fever in postoperative period. PCA was performed for 20 min. CBT and hemodynamic parameters were measured at admission, 1 h before the onset of fever, before, immediately after and 30 min after the end of PCA. &nbsp; <p><b>Results: </b>During fever, systolic blood pressure (SBP), mean&nbsp;arterial&nbsp;blood pressure (MAP) and&nbsp; arterial oxygen saturation (O2Sat) decreased by 5.07 &plusmn; 7.89 mmHg, 0.191 &plusmn; 6.00 mmHg, and 0.742% &plusmn; 0.97%, respectively, whereas the pulse rate and diastolic blood pressure (DBP) increased by 8.528 &plusmn; 4.42 beats/per min and 1.842 &plusmn; 6.9 mmHg, respectively. Immediately after PCA, CBT decreased by 0.3&deg;C, and pulse rate, SBP, DBP, MAP, and O2Sat increased by 3.3 beats/per min, 1.40 mmHg, 1.87 mmHg, 0.98 mmHg, and 0.27%, respectively. Thirty minutes after the end of PCA, CBT, DBP, MAP, and pulse rate decreased by 0.57&deg;C, 0.34 mmHg, 0.60 mmHg, and&nbsp;increased by 0.98 mmHg and 0.04%, respectively. <p><b>Conclusion: </b> A degree&nbsp;celsius&nbsp;(1<sup>&ordm;</sup>C)&nbsp;increase&nbsp;in core body temperature&nbsp;was decline of&nbsp;4.43 mmHg in systolic blood pressure&nbsp;, 0.166 mmHg mean&nbsp;arterial blood pressure&nbsp;and 0.64% O2Sat and increase of 1.61 mmHg in diastolik arterial blood&nbsp;pressure and 7.46 beats/per min pulse rate.&nbsp;According to these results, changes in hemodynamic parameters occur during elevations in core body temperature.&nbsp;PCA increases SBP, DBP, MAP, and O2Sat and decreases CBT and pulse rate. Thus, accurate and careful measurements of hemodynamic parameters play an important role in preventing complications before, during, and after nursing interventions related to fever.en_GB
dc.subjectfeveren_GB
dc.subjectperipheral cold applicationen_GB
dc.subjecthemodynamic parametersen_GB
dc.date.available2012-09-12T09:20:29Z-
dc.date.issued2012-09-12-
dc.date.accessioned2012-09-12T09:20:29Z-
dc.conference.date2012en_GB
dc.conference.name23rd International Nursing Research Congressen_GB
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen_GB
dc.conference.locationBrisbane, Australiaen_GB
All Items in this repository are protected by copyright, with all rights reserved, unless otherwise indicated.