Definition of the NANDA label
Hypothermia is the state in which the body temperature falls below normal limits.
Core body temperature below the normal diurnal range due to failure of thermoregulation.
- Reduction of body temperature below normal limits.
- Mild chills.
- Skin coldness.
- Moderate paleness.
- Slow capillary filling.
- Cyanosis of the nail bed.
- Infant with insufficient energy to maintain sucking – Infant with insufficient weight gain (< 30 g/day) – Irritability
- Metabolic acidosis
- Respiratory distress
- Exposure to a cold environment.
- Illness or trauma.
- Injury affecting the function of the hypothalamus.
- Absence or decrease in the ability to produce chills.
- Inappropriate clothing for the ambient temperature.
- Alcohol consumption.
- Vasodilator drugs.
- Loss of heat by skin evaporation due to cold environment.
- Decreased metabolism.
- Old age.
- Delay in breastfeeding
- Early bathing of newborn
- Increase in oxygen demand
At risk population
- Economically disadvantaged
- Extremes of age
- Extremes of weight
- High-risk out-of-hospital birth
- Increased body surface area to weight ratio
- Insufficient supply of subcutaneous fat
- Unplanned out-of-hospital birth
- Damage to hypothalamus
- Immature stratum corneum
- Increase in pulmonary vascular resistance (PVR)
- Ineffective vascular control
- Inefficient nonshivering thermogenesis
- Pharmaceutical agent
- Radiation therapy
- Thermoregulation: neonate.
- Vital signs monitoring.
- Temperature regulation.
- Temperature regulation: intraoperative.
- Treatment of hypothermia.
- Newborn care
Other NANDA diagnoses:
00070 Impaired adaptation
00115 Risk for disorganized infant behavior
00122 Sensory perception disturbance
00126 Deficient knowledge
00197 Risk for dysfunctional gastrointestinal motility
00183 Readiness for enhanced comfort
00101 Inability of the adult to maintain its development
00100 Delayed surgical recovery
00099 Ineffective health maintenance
00211 Risk for impaired resilience