ratio's with induced hypothermia patients

[**LaurelRN]

Poll: Are your induced hypothermia patients kept 1:1 throughout cooling/maintenance and rewarming?

Thanks in advance :)

[VANurse2010]

It's the rewarming phase you need to be worried about!!! To fast and cerebral edema=bad news!!

With intravascular cooling, the rewarming is done at a controlled rate via the machine. It would seem if you can't control rewarming, perhaps they shouldn't be doing it.

[jamst149]

Hahaha. We don't intravasc cool. We use the artic sun. At the hospital that tth was started at (and written in up to date). So you are right. They shouldn't be doing it. Cause its the rewarming phase you need to be worried about.

[jamst149]

Send them them to us and we will try and fix your mistakes.

[jamst149]

cliff calloway

jon rittenberger

ankur doshi

jonathen elmer

I can go on

[jamst149]

AKA mistakes still happen and cerebral edema is the one you most want to watch for, Or do you not agree? I mean there is is also hyper/hypo kalemia. Seizures, not even sure why i'm typing this just check the up to date!

[renardeau, BSN, RN]

Ours are ideally 1:1 if staffing allows but just for the first 6 hours just because of the busy nature of sometimes doing a stat head CT and admission work if the patient is a little unstable... it's just a nice courtesy to get them all settled and that way the nurse can focus on getting the patient to goal temp within an acceptable time frame.

[PMurphyRN518]

They try n only give us two pts but sometimes we have 3 which is insane but our staffing sucks.