AskReference
ProcessAdvanced

During which phase of fever does the body attempt to lower the core temperature to the new set-point temperature, and what nursing interventions are appropriate during this phase?

During the flush or crisis phase of a fever, the body attempts to lower the core temperature to the new set-point temperature. Nursing interventions during this phase include measures to increase heat loss and decrease heat production, such as providing a cool environment, encouraging fluid intake, and using cooling techniques like tepid sponging.

During the flush or crisis phase of a fever, the hypothalamus attempts to lower the core temperature to the new set-point temperature. This phase is characterized by excessive sweating and hot, flushed skin due to sudden vasodilation. Nursing interventions during this phase focus on supporting the body's efforts to reduce temperature. These interventions include increasing heat loss and decreasing heat production by providing a cool environment, encouraging the intake of fluids to prevent dehydration, and using cooling techniques such as tepid sponging or applying cool compresses. Monitoring the patient's vital signs is also crucial to ensure safety and effectiveness of the interventions.

Key points

  • Flush or crisis phase is when the body lowers core temperature.
  • Characterized by sweating and flushed skin due to vasodilation.
  • Nursing interventions aim to increase heat loss and decrease heat production.
  • Provide a cool environment and encourage fluid intake.
  • Use cooling techniques like tepid sponging.
  • Monitor vital signs closely.
Source:Kozier & Erb’s Fundamentals of Nursing: Concepts, Process, and Practice· Vital Signs· p. 507–512
Cover of Kozier & Erb’s Fundamentals of Nursing: Concepts, Process, and Practice

Kozier & Erb’s Fundamentals of Nursing: Concepts, Process, and Practice

Berman, Audrey Frandsen, Geralyn Snyder etc.

Tenth edition · Pearson Education Limited

View this ebook