Question

In: Nursing

Mr. L is a construction worker who was working on a job site when, shortly after...

Mr. L is a construction worker who was working on a job site when, shortly after 1 PM on a 100°-F humid day in August, he began complaining of severe headache and dizziness. He has consumed large amounts of water, but has not had any sports drinks or salt tablets. Shortly thereafter, while taking a break at the site, he fainted. Paramedics were called and found him unconscious, with a rapid thready pulse, high body temperature, and dry skin and mucous membranes.

1. What factors and behaviors have caused heat stroke in Mr. L? (See Hyperthermia—Heat Stroke.)

2. Discuss the stages of hyperthermia and causes that typically lead up to the final stage of heat stroke. (See Hyperthermia.)

3. Discuss the preventive measures that could have been taken to prevent the heat stroke and the first aid and treatment measures. (See Hyperthermia.)

Solutions

Expert Solution

What factors and behaviors have caused heat stroke in Mr. L?

Throbbing cerebral pain.

Wooziness and unsteadiness.

Absence of perspiring in spite of the warmth.

Muscle shortcoming.

Quick, shallow relaxing.

Discuss the stages of hyperthermia and causes that typically lead up to the final stage of heat stroke.

There are 3 phases:

-Heat spasms. There will be muscle cramping, perhaps some dazedness.

-Heat weariness. Plentiful perspiring, cool, damp, and fair skin, and a frail, quick heartbeat. Unsteadiness, wooziness, chills, shudders, trouble concentrating.

- Heat stroke. In this stage, there are 3 noteworthy manifestations. A rectal (center) temperature of 104 or more prominent, a countless contract of perplexity or obviousness and stun. There will be NO perspiring with hot, dry, red skin, the beat will be quick and the breaths will be quick and profound as the body attempts to pass over warmth.

Discuss the preventive measures that could have been taken to prevent the heat stroke and the first aid and treatment measures.

Most instances of warmth stroke can be anticipated. At the point when the heat outdoor is particularly high:

-Drink heaps of water for the duration of the day.

-Stay inside in a cooled territory at whatever point you feel too warm.

-Wear lightweight, light-hued dressing, ideally with a free weave material that gives air a chance to get to your skin.

-Avoid strenuous action in the most smoking piece of the day (between 10 a.m. what's more, 4 p.m.). In the event that you should take an interest, take visit breaks, restrict the time that you wear a protective cap by taking it off amongst exercises, and abstain from wearing overwhelming regalia or hardware.

-Drink less caffeine and liquor, which can add to lack of hydration.

On the off chance that you twitch to sense worn out, mixed up or sickened, or on the off chance that you build up a cerebral pain, escape the warmth promptly. Search out an aerated and cooled fabricating. Drink water. On the off chance that conceivable, scrub down or shower or utilize a hose to douse yourself. The initial phase in treating heat stroke is to reduction body heat by cooling the body all things considered. This should be possible by expelling tight or pointless apparel, splashing the individual with water, blowing cool air on the individual, or wrapping the individual freely in wet sheets. Then again, ice packs can be put at the neck, crotch and armpits to quicken cooling.

These strategies don't bring down body temperature enough, a specialist may endeavor to bring down temperature from within by flushing the stomach or rectum with cool water. Serious cases may require cardiopulmonary sidestep, in which the individual's blood is occupied from vital organs into an accumulation machine, cooled, and after that came back to the body. Sometimes, against seizure or muscle-unwinding meds might be given to control writhing’s and shuddering. Headache medicine and acetaminophen don't enable lower to frame hotness when a man has warm stroke, and these meds must to be reserved away from if warm stroke is suspected. Individuals with warm stroke by and large should be hospitalized so they can be tried for confusions that may show up after the main day. One basic difficulty is muscle breakdown caused by the warmth. In this condition, called rhabdomyolysis, results of the muscle collapse show up in the circulation system and can damage the kidneys.


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