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Hemodynamic and oxygenation changes in surgical intensive care unit patients with fever and fever lowering nursing interventions

Çelik, Sevim Çelik | Yıldırım, İsmail | Arslan, İbrahim | Yıldırım, Sinan | Erdal, Fatih | Yandı, Yunus Emre

Article | 2011 | International Journal of Nursing Practice17 ( 6 ) , pp.556 - 561

The purpose of this study was to determine the effects of fever and nursing interventions to lower fever on hemodynamic values and oxygenation in febrile (temperature greater than 38.3°C) surgical intensive care unit patients. This retrospective study was conducted in 53 febrile patients out of 519 patients admitted to the surgical intensive care unit at a university hospital. Data were obtained from the medical records, laboratory files and nursing notes. Statistical analysis of the data was analyzed by repeated measures analysis of variance and a paired sample t-test. The average hourly urine output (F=5.46; P=0.002) and systolic . . .blood pressure (F=2.87; P=0.03) were significantly lower after fever onset. Heart rate, respiratory rate, positive end-expiratory pressure settings and FiO 2 settings were unchanged after the development of fever. Diastolic blood pressure and oxygen saturation had non-statistically significant decreases. Nursing interventions for febrile patients consisted of medication administration (69.8%), ice (62.3%) and sponging with tepid water (62.3%). The present results showed that fever was associated with an increase in heart rate, decreased systolic arterial pressure, mean arterial pressure, oxygen saturation and hourly urine output. © 2011 Blackwell Publishing Asia Pty Ltd Daha fazlası Daha az

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