Nursing Management of Temperature in a Patient with Stroke

Kristine M McGlennen; Gemi E Jannotta; Sarah L Livesay

doi:10.1016/j.cnc.2022.10.005

Nursing Management of Temperature in a Patient with Stroke

Crit Care Nurs Clin North Am. 2023 Mar;35(1):39-52. doi: 10.1016/j.cnc.2022.10.005. Epub 2023 Jan 2.

Authors

Kristine M McGlennen¹, Gemi E Jannotta², Sarah L Livesay³

Affiliations

¹ Department of Anesthesia and Pain Medicine, University of Washington. Electronic address: kmcglenn@uw.edu.
² Department of Anesthesia and Pain Medicine, University of Washington.
³ Department of Anesthesia and Pain Medicine, University of Washington, Rush University College of Nursing.

PMID: 36774006
DOI: 10.1016/j.cnc.2022.10.005

Abstract

Fever is common in patients with stroke and is associated with worse outcomes. Studies in brain injury informed interventions commonly termed therapeutic temperature management (TTM) to improve the monitoring and management of fever. While the role and benefit of TTM in stroke patients has not been well studied, the nurse and healthcare team must extrapolate existing data to determine how to best monitor and apply TTM after stroke. Nurses should be knowledgeable about interventions to monitor and manage complications of TTM (eg, shivering), the studies underway to quantify the impact of fever treatment and emerging technology expected to improve TTM.

Keywords: Controlled normothermia; Fever; Fever monitoring; Nursing intervention; Stroke; Targeted temperature management (TTM); Therapeutic hypothermia (TH).

Publication types

Review

MeSH terms

Brain Injuries* / therapy
Humans
Hypothermia, Induced*
Nursing Care*
Stroke* / complications
Stroke* / therapy
Temperature