What risk factors did RB have for heat stroke? How do heat stroke and malignant hyperthermia differ?Explain


Scenario

R.B., age 57, was taking a short break from surveying on the side of the interstate during a hot summer day, when he became unconscious and collapsed on the side of the road. A coworker called 911 and he was brought to the emergency room.

R.B. states that he has been surveying all week in the heat, even though he has not felt very well for the last two days.

Assessment Data

Vital Signs

Temperature: 105 F

Heart Rate: 130 weak and thready

Respiratory Rate: 34 shallow

Blood Pressure 86/42

Skin: hot, dry, and pale

Directions

After reading the case study, answer the following questions using the case study form .

What further assessment results should the nurse expect for RB? What would the assessment findings be if RB had hypothermia?

What risk factors did RB have for heat stroke? How do heat stroke and malignant hyperthermia differ?

What lab tests should be ordered for RB?

What interventions should be carried out to cool RB down? What interventions would be carried out if RB had malignant hyperthermia? Or hypothermia?

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