00008 Ineffective thermoregulation

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00008 Ineffective thermoregulation

Definition of the NANDA label

Ineffective Thermoregulation is the state in which fluctuations in body temperature occur between hypothermia and hyperthermia.

Temperature fluctuation between hypothermia and hyperthermia.

Defining characteristics

  • Fluctuations in body temperature below and above normal limits.
  • Coldness of the skin.
  • Cyanosis of the nail beds.
  • Reddened skin.
  • Hypertension.
  • Increased respiratory rate.
  • Paleness (moderate).

Related factors

  • Diseases.
  • Trauma.
  • Immaturity.
  • Old age.
  • Alteration of consciousness.
  • Sedation.
  • Vasoconstrictor or vasodilator drugs.
  • Fluctuations in ambient temperature.
  • Obesity.
  • Weight too low.
  • Inappropriate clothing for the ambient temperature.

At risk population

  • Extremes of age
  • Extremes of weight
  • Extremes of environmental temperature
  • Increased body surface area to weight ratio
  • Insufficient supply of subcutaneous fat

Associated condition

  • Alteration in metabolic rate
  • Brain injury
  • Condition affecting temperature regulation
  • Decrease in sweat response
  • Illness
  • Inefficient nonshivering thermogenesis
  • Pharmaceutical agent
  • Sedation
  • Sepsis
  • Trauma

NOC

  • Thermoregulation.
  • Thermoregulation: neonate.

NIC

  • Temperature regulation.
  • Temperature regulation. intraoperative.
  • Newborn care.
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