Therapeutic Hypothermia Training

Hi there! Welcome to Therapeutic Hypothermia Training!

The American Heart Association has endorsed Therapeutic Hypothermia as a treatment protocol post-cardiac arrest because it improves survival rates and reduces long-term neurologic damage.  Therapeutic hypothermia involves lowering the core body temperature which halts internal injury processes to protect the brain and internal organs. 

Learning Objectives
1. Nurse will demonstrate understanding of induces hypothermia by scoring a passing score on post-assess

2. Nurse will list 3 potential complications of induced hypothermia

3. Nurse will verbalize understanding of nursing care of a patient receiving induced hypothermia after cardiac arrest.

Pre-Test

Therapeutic Hypothermia is endorsed by the American Heart Association and the American Academy of Neurology for what group of patients?

  • Kidney Transplant Patients
  • Patients Post-Cardiac Arrest
  • Patients with Cerebral Palsy
  • Patients with Traumatic Brain Injury

According to the American Heart Association guidelines, which Post-Cardiac arrest patients are eligible for Therapeutic Hyperthermia?

  • Any Post-Cardiac arrest patient who can’t follow verbal commands after return of spontaneous circulation
  • All patients who are Post-Cardiac arrest
  • Patients who do not regain circulation after Cardiac Arrest
  • Patients with the best insurance

What are the intended outcomes of Therapeutic Hypothermia in Post-Cardiac Arrest patients? Select 2 Answers.

  • Improving survival rates
  • Improving neurologic function
  • Improving weight loss
  • Reversing heart damage

Content Training

Presentation

Supporting Video

Source:

[Piedmont Healthcare]. (October 9, 2017). Therapeutic hypothermia: Cool treatment helps         cardiac arrest patients [Video File]. Retrieved from https://www.youtube.com/watch?v=SBnOBPMscBE

Post-Test

Therapeutic Hypothermia is endorsed by the American Heart Association and the American Academy of Neurology for what group of patients?

  • Kidney Transplant Patients
  • Patients Post-Cardiac Arrest
  • Patients with Cerebral Palsy
  • Patients with Traumatic Brain Injury

What is the greatest predictor of poor neurological outcomes after therapeutic hypothermia?

  • Reduced urine output
  • Paresthesia in the extremities
  • Lack of pupillary light response
  • Persistent tachycardia

During the Rewarming phase, why is the patient's temperature increased gradually by 0.15-0.5 degrees Celsius per hour?

  • To prevent electrolyte shifts that could cause cardiac arrhythmias
  • To prevent rapid onset of hyperthermia
  • To reduce oxygen demands on the heart
  • To allow better monitoring of patient response

What are the three phases of Therapeutic Hypothermia?

  • Cardiac Phase, Chilling Phase, Warming Phase
  • Induction Phase, Maintenance Phase, Rewarming Phase
  • Cooling Phase, Reanimation Phase, Recovery Phase

The nurse helps ensure a reduced core temperature for a patient is maintained for a set period of time - 24 hours. The temperature set-point should be within which range?

  • 28-30 degrees Celsius
  • 32-36 degrees Celsius
  • 38-40 degrees Celsius

Why do families feel hopeless and detached from the patient undergoing TH? Select all that apply.

  • Patient is cold to the touch
  • Patient appears lifeless
  • Patient appears emaciated
  • Patient exhibits hallucinations
  • Patient appears unmoving

During TH the patient receives neuromuscular blocking agents and sedation. Why is it important for the nurse to assess for shivering?

  • Shivering would cause heart block
  • Shivering can increase metabolic rate, increase intracranial pressure and increase oxygen consumption
  • Shivering will suddenly wake a person out of a state of sedation

Select three complication of Therapeutic Hypothermia.

  • Difficulty determining neurological prognosis due to reduction of neuro-excitability during hypothermia. Predicting neurological prognosis can be prolonged.
  • Cardiac Electrical Storms can be triggered leading to ventricular fibrillation in patients with concurrent early repolarization syndrome (ERS).
  • Increased risk of pneumonia or sepsis
  • Increased risk of metastatic cancer
  • High rate of bone fractures