FerrousVirago

I couldn't tell you, as that was my first experience with therapeutic hypothermia and there wasn't much time to delve into the ins and outs of it....I find that article interesting though, since 36 was what we were maintaining at as "normo-thermic" after the rewarming process.

OMG, thank you!! This pt probably really did not need this (pretty extensive anoxic brain injury, extremely poor prognosis, absolutely zero signs of reflexes, including shivering) but that makes so much more sense than just for pain.

scheduled, liquid PO q6h

Nursing student here: I just did my clinicals in ICU this past week and have a question regarding the use of acetaminophen. One of my patients was a post v-fib cardiac arrest, intubated, RASS -5, on fentanyl and propofol. Downtime before they got ROSC was 38 min, so he was on hypothermic protocols. Entire situation was most likely due to abrupt EtOH w/d as he had a history of alcoholism; bystander reported seizure before he went into cardiac arrest. Liver enzymes are through the roof. No fever, and we were cooling him down to 33 degrees. Can someone tell me the rationale behind an order for acetaminophen? Was this strictly a secondary pain medication? There were obviously bleeding concerns since we had him hypothermic, so is this a better choice than an NSAID or something? I meant to discuss this with my preceptor but it got crazy insane on the floor and I never got a chance. I don't think either one of us even took a bathroom break until at least 7 hours into the shift, lol.