Therapeutic Induced Hypothermia Essay

Therapeutic Induced Hypothermia Essay

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During clinical this week, the student nurse got the opportunity of an observational experience in a Specialty Care Unit. The student was directed to the Surgical Intensive Care Unit (SICU) to observe a patient that was critically ill and receiving extensive treatment. The student observed a nurse caring for a patient while administering therapeutic hypothermia after cardiac arrest.
The patient L.E. is a 73 year old male. The patient has no history of coronary artery disease or any problems with his heart. Yet, he suffered an event of ventricular fibrillation which he was shocked for followed by a massive heart attack while unaccompanied at a restaurant. Upon arrival to the Southcoast Hospital he went into ventricular tachycardia in the Emergency Room and was shocked a second time. According to the Southcoast critical care manual, these events are part of the inclusion criteria for therapeutic hypothermia after cardiac arrest. He fits the first inclusion criteria listed which is: cardiac arrest with return of spontaneous circulation (ROSC) with initial rhythm of ventricular fibrillation, pulseless ventricular tachycardia, pulseless electrical activity or asystole. The protocol has been provided at the end of the paper.
The Arctic Sun is an experimental study but has various supportive data. When a person such as L.E. experiences a heart attack, one of the body’s responses is increased body temperature. An increased body temperature contributes to ischemic brain damage post cardiac arrest. The Arctic Sun is a system that provides targeted temperature management in the neurologically impaired patient. Pads are placed on approximately 40% of the body and a temperature probe is inserted. L.E. had two temperatur...


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... and many nurses have not yet had the experience of implementing it. It is complex and challenging and the importance of a multidisciplinary approach is critical. The nurse has to rely or her own judgment while valuing and recognizing the expertise of other team members. The article summarizes article perfectly, “One life saved by means of successful implementation of the therapy, "Therapeutic Induced Hypothermia", is an example of science translated into practice on account of commitment, collaboration and achievement of the multidisciplinary team.





Works Cited

Voelzing, L., Willoughby, L., & Loree, K. (2008). Therapeutic induced hypothermia: when every minute counts -- a multidisciplinary team approach. Dynamics, 19(2), 43. Retrieved from EBSCOhost.

http://www.medivance.com/html/contributions_tempManagement.htm


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