Page 235 - Critical Care Notes
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4223_Tab08_216-229  29/08/14  8:26 AM  Page 229





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          ■ Electrocardiogram
          ■ Chest x-ray
          ■ CT or MRI
                            Management
          ■ Provide airway support. Monitor ABGs.
          ■ Monitor cardiac and respiratory status.
          ■ Monitor vital signs. Assess for arrhythmias.
          ■ Assess for changes in mental status.
          ■ Provide passive rewarming of patient with blankets and warm room.
            External warming is contraindicated.
          ■ Correct fluid and electrolyte imbalances.
          ■ Administer levothyroxine (Synthroid, Levoxyl) IV.
          ■ Consider steroids (Hydrocortisone IV) after a cortisol level is obtained.
          ■ Provide seizure and safety precautions.
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