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.
- Fluctuations in body temperature below and above normal limits.
- Coldness of the skin.
- Cyanosis of the nail beds.
- Reddened skin.
- Increased respiratory rate.
- Paleness (moderate).
- Old age.
- Alteration of consciousness.
- Vasoconstrictor or vasodilator drugs.
- Fluctuations in ambient temperature.
- 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
- Alteration in metabolic rate
- Brain injury
- Condition affecting temperature regulation
- Decrease in sweat response
- Inefficient nonshivering thermogenesis
- Pharmaceutical agent
- Thermoregulation: neonate.
- Temperature regulation.
- Temperature regulation. intraoperative.
- Newborn care.
Other NANDA diagnoses:
00160 Willingness to improve fluid volume balance
00040 Risk for disuse syndrome
00153 Risk for situational low self-esteem
00166 Willingness to improve urinary elimination
00005 Risk for imbalanced body temperature
00197 Risk for dysfunctional gastrointestinal motility
00075 Readiness for enhanced family coping
00031 Ineffective airway clearance