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

Authors

  • Sevim Çelik PhD,

    Corresponding author
    1. Associate Professor, Zonguldak School of Health, Nursing Department, Campus of Health Sciences, Zonguldak Karaelmas University, Kozlu, Zonguldak, Turkey
      Sevim Çelik, Zonguldak School of Health, Nursing Department, Campus of Health Sciences, Zonguldak Karaelmas University, Kozlu, Zonguldak 67600, Turkey. Email: sevimakcel@yahoo.com
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  • İsmail Yıldırım RN,

    1. Nurse, Zonguldak School of Health, Nursing Department, Campus of Health Sciences, Zonguldak Karaelmas University, Kozlu, Zonguldak, Turkey
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  • İbrahim Arslan RN,

    1. Nurse, Zonguldak School of Health, Nursing Department, Campus of Health Sciences, Zonguldak Karaelmas University, Kozlu, Zonguldak, Turkey
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  • Sinan Yıldırım RN,

    1. Nurse, Zonguldak School of Health, Nursing Department, Campus of Health Sciences, Zonguldak Karaelmas University, Kozlu, Zonguldak, Turkey
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  • Fatih Erdal RN,

    1. Nurse, Zonguldak Karaelmas University, Zonguldak School of Health, Nursing Department, Campus of Health Sciences, Kozlu, Zonguldak, Turkey
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  • Yunus Emre Yandı PhD

    1. Assistant Professor, Zonguldak Karaelmas University, Ahmet Erdoğan Health Services Vocational High School, Campus of Health Sciences, Kozlu, Zonguldak, Turkey
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Sevim Çelik, Zonguldak School of Health, Nursing Department, Campus of Health Sciences, Zonguldak Karaelmas University, Kozlu, Zonguldak 67600, Turkey. Email: sevimakcel@yahoo.com

Abstract

Çelik S, Yıldırım İ, Arslan İ, Yıldırım S, Erdal F, Yandı YE. International Journal of Nursing Practice 2011; 17: 556–561

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

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 FiO2 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.

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