Although the scenario involving the traveler at the beginning of this article is fictional, it's representative of very real circumstances that are common in winter environments and are associated with the development of cold injury in people at risk. Although virtually any body part can be affected, the areas most often involved are the hands, feet, nose, and ears.1, Frostbite can develop in areas covered by clothing that offers inadequate protection from environmental conditions or is so tight it impairs circulation. Goldsmith LA, et al., eds. 7. 11. Mayo Clinic College of Medicine and Science, Mayo Clinic Graduate School of Biomedical Sciences, Mayo Clinic School of Graduate Medical Education, Mayo Clinic School of Continuous Professional Development, for video Mayo Clinic Minute: Why the risk of frostbite is greater than you think, Mayo Clinic on Incontinence - Mayo Clinic Press, NEW Mayo Clinic on High Blood Pressure - Mayo Clinic Press, Mayo Clinic on Hearing and Balance - Mayo Clinic Press, FREE Mayo Clinic Diet Assessment - Mayo Clinic Press, Mayo Clinic Health Letter - FREE book - Mayo Clinic Press, Financial Assistance Documents Minnesota, Mayo Clinic Minute: Why the risk of frostbite is greater than you think, Mayo Clinic Minute: Don't get bit by frostbite, Expert Alert: Don't let common winter injuries take you down. 280 0 obj <> endobj Metal coffee cans with long-burning candles. Although intravenous iloprost is not yet approved by the U.S. Food and Drug Administration, it is considered first-line therapy for grades 3 and 4 frostbite when given up to 72 hours after injury in patients for whom tPA therapy is contraindicated. Diagnosing frostbite is based on your signs and symptoms, skin appearance, and a review of recent activities in which you were exposed to cold. R - Remove all constricting clothing and jewelries. If a thermometer is unavailable, an uninjured extremity should be placed in the water for 30 seconds to confirm that the temperature is tolerable. If the patient consents, taking a digital photograph of the affected areas can help to establish a baseline for trending after rewarming occurs and as the cold injury evolves. The following are the therapeutic nursing interventions for Hypothermia: 1. What constitutes our bodys protection against external threats? To do this, the affected area is placed and soaked for 30 to 45 minutes in a 37 to 40 degree Celsius whirlpool until the tips of the injured part flushes. Advertising revenue supports our not-for-profit mission. Complete demarcation of tissue necrosis after frostbite may take up to three months. Although alcohol may initially produce vasodilation in the extremities and provide a subjective sensation of warmth, it will increase heat loss and can lead to poor decision-making. All-in-One Nursing Care Planning Resource E-Book: Medical-Surgical, Pediatric, Maternity, and Psychiatric-Mental HealthIncludes over 100 care plans for medical-surgical, maternity/OB, pediatrics, and psychiatric and mental health. Here are the common goals and expected outcomes forHypothermianursing diagnosis. The rewarming process may be very painful. GPP]p$tMN\; = ^:z MBishJS#%usPX'pAiEwQvO[ablsvYex4P4)_a--Xrj HHb2|?\[p9%GgW/Kq6k0z=zv|?ef7L xxa,IwK0ycc!4_[c *~(AXBrM6uk r]Lp+h^XF[m:4H~H 4-$$Ep{@@Q;8tZ#}[C&#:pQ9RZ\SozNnOn" mQ:
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