Paramedics bring a child to the emergency department with possible hypothermia. He walked to school without a coat and upon arrival he is noted to be shivering, nauseated, and uncoordinated
After removing the child's clothing, what nursing intervention does the nurse plan to implement?
A.
Administer rapid IV boluses.
B.
Apply a Bair Hugger.
C.
Cover the child with warm blankets.
D.
Start dialysis with warmed solution.
ANS: C
These are manifestations of mild hypothermia in which the child's temperature will be 35-37 °C (95-98.6 °F). After removing the cold and/or wet clothing, the nurse covers the child with warm blankets and administers warmed O2 and warmed IV solutions. Rapid IV boluses are not indicated. The Bair Hugger would be used in more severe hypothermia, as would dialysis.
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