title: Hemodynamic and oxygenation changes in surgical intensive care unit patients with fever and fever lowering nursing interventions.
abstract: 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.
authors: Zonguldak School of Health, Nursing Department, Campus of Health Sciences, Zonguldak Karaelmas University, Kozlu, Zonguldak, Turkey. sevimakcel@yahoo.com
authors: Sevim
authors: S
authors: Çelik
authors: Ismail
authors: I
authors: Yildirim
authors: Ibrahim
authors: I
authors: Arslan
authors: Sinan
authors: S
authors: Yildirim
authors: Fatih
authors: F
authors: Erdal
authors: Yunus Emre
authors: YE
authors: Yandi
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D005334:Fever / Q000188:drug therapy / Q000451:nursing*; D006439:Hemodynamics; D006801:Humans; D007362:Intensive Care Units; D008297:Male; D008875:Middle Aged; D009741:Nursing Staff, Hospital; D010100:Oxygen / Q000378:metabolism*; D013503:Surgery Department, Hospital; D014421:Turkey
chemical_list: D010100:Oxygen