Skip Navigation LinksHome > January 2013 - Volume 43 - Issue 1 > Improving outcomes with therapeutic hypothermia
Nursing:
doi: 10.1097/01.NURSE.0000425950.21341.54
CE Connection

Improving outcomes with therapeutic hypothermia

Free Access
Article Outline
Collapse Box

Author Information

For more than 56 additional continuing education articles related to emergency care topics, go to NursingCenter.com/CE.

Earn CE credit online: Go to http://www.nursingcenter.com/CE/nursing and receive a certificate within minutes.

Back to Top | Article Outline

INSTRUCTIONS Improving outcomes with therapeutic hypothermia

TEST INSTRUCTIONS

* To take the test online, go to our secure website at http://www.nursingcenter.com/ce/nursing.

* On the print form, record your answers in the test answer section of the CE enrollment form on page 37. Each question has only one correct answer. You may make copies of these forms.

* Complete the registration information and course evaluation. Mail the completed form and registration fee of $21.95 to: Lippincott Williams & Wilkins, CE Group, 74 Brick Blvd., Bldg. 4, Suite 206, Brick, NJ 08723. We will mail your certificate in 4 to 6 weeks. For faster service, include a fax number and we will fax your certificate within 2 business days of receiving your enrollment form.

* You will receive your CE certificate of earned contact hours and an answer key to review your results. There is no minimum passing grade.

* Registration deadline is January 31, 2015.

Back to Top | Article Outline
DISCOUNTS and CUSTOMER SERVICE

* Send two or more tests in any nursing journal published by Lippincott Williams & Wilkins together by mail, and deduct $0.95 from the price of each test.

* We also offer CE accounts for hospitals and other healthcare facilities on nursingcenter.com. Call 1-800-787-8985 for details.

Back to Top | Article Outline
PROVIDER ACCREDITATION

Lippincott Williams & Wilkins, publisher of Nursing2013 journal, will award 2.3 contact hours for this continuing nursing education activity.

Lippincott Williams & Wilkins is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation.

Lippincott Williams & Wilkins is also an approved provider of continuing nursing education by the District of Columbia and Florida #FBN2454. This activity is also provider approved by the California Board of Registered Nursing, Provider Number CEP 11749 for 2.3 contact hours.

Your certificate is valid in all states. This activity has been assigned 1.0 pharmacology credits.

The ANCC's accreditation status of Lippincott Williams & Wilkins Department of Continuing Education refers only to its continuing nursing educational activities and does not imply Commission on Accreditation approval or endorsement of any commercial product.

Improving outcomes with therapeutic hypothermia

GENERAL PURPOSE: To provide nurses with information about management of patients undergoing therapeutic hypothermia. LEARNING OBJECTIVES: After reading the preceding article and taking this test, you should be able to: 1. Describe the physiology related to therapeutic hypothermia. 2. Identify indications for therapeutic hypothermia. 3. Discuss patient management issues related to therapeutic hypothermia.

1. Which temperature is within the target range for therapeutic hypothermia?

a. 90° F

b. 94° F

c. 30° C

d. 35° C

2. Which statement about therapeutic hypothermia is accurate?

a. It decreases metabolism by 1% for every 1° C drop in body temperature.

b. It protects long-term brain function.

c. It's used in patients who regain consciousness after ROSC.

d. It's most appropriate for hemodynamically unstable patients.

3. Which parameter would generally make a patient a candidate for therapeutic hypothermia?

a. age 15

b. BP 78/60

c. pulseless for less than 60 minutes

d. Glasgow Coma Scale of 10

4. Excluded from therapeutic hypothermia would be the patient who

a. was pulseless for 45 minutes.

b. is mechanically ventilated.

c. arrives at the hospital 4 hours post cardiac arrest.

d. is pregnant.

5. Noninvasive cooling methods

a. include closed-loop systems.

b. require less nursing care than invasive methods.

c. are extremely effective in reducing body temperature.

d. don't require temperature monitoring.

6. What percentage of the body should be covered with gel pads for cooling?

a. 40%

b. 50%

c. 60%

d. 80%

7. One disadvantage of gel pads is that they

a. frequently leak.

b. are expensive to use.

c. require manual temperature adjustments.

d. frequently cause skin breakdown.

8. The cold water immersion system described

a. is used for all cooling phases.

b. cools target organs as effectively as invasive methods.

c. keeps patients cool for 48 hours.

d. is portable.

9. Advantages of the cold water immersion suit include

a. rare overcooling.

b. ease of maintaining target temperature.

c. cooling in less than 1 hour.

d. defibrillation safety.

10. Invasive cooling methods

a. rapidly induce hypothermia.

b. use moderately cold solutions to prevent shivering.

c. use D5W I.V. infusions.

d. are preferred in patients with renal failure.

11. Baseline data to collect before induction include

a. erythrocyte sedimentation rate.

b. Western blot.

c. type and crossmatch.

d. serum amylase.

12. Recommendations for patient management during therapeutic hypothermia include all of the following except

a. an oro- or nasogastric tube.

b. two CVADs.

c. electroencephalographic monitoring.

d. I.V. sedation and analgesia.

13. After ROSC, target temperature should be achieved within no more than

a. 1 hour.

b. 2 hours.

c. 3 hours.

d. 4 hours.

14. What's the ideal heart rate for patients undergoing therapeutic hypothermia?

a. 40 to 45 bpm

b. 50 to 60 bpm

c. 65 to 75 bpm

d. 80 to 85 bpm

15. To avoid dysrhythmias, body temperature should be no less than

a. 82° F.

b. 84° F.

c. 86° F.

d. 88° F.

16. To combat shivering, warm compresses should be placed on the patient's

a. face.

b. axilla

c. chest.

d. groin.

17. Hypothermia is most likely to cause

a. hyperphosphatemia.

b. hyperkalemia.

c. hypermagnesemia.

d. hyperglycemia.

18. Which statement about rewarming is accurate?

a. It's usually started 48 hours after induction.

b. It should be done over 2 to 4 hours.

c. It can cause hypotension.

d. It usually includes a potassium infusion.

Figure. No caption a...
Image Tools

© 2013 Lippincott Williams & Wilkins, Inc.

Login