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Current nursing practices in fever management

D Grossman, M F Keen, M Singer

    Medsurg Nursing : Official Journal of the Academy of Medical-Surgical Nurses
    |June 1, 1995
    PubMed
    Summary
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    Fever management in patients often involved treatment, even with evidence of its protective value. Fever intensity and blood cultures influenced treatment decisions, with acetaminophen and cooling methods proving effective.

    Area of Science:

    • Medicine
    • Clinical Practice

    Background:

    • Fever is a common physiological response.
    • Recent evidence suggests potential protective roles of fever.
    • Optimal fever management strategies require ongoing investigation.

    Purpose of the Study:

    • To analyze current fever management practices.
    • To identify factors influencing fever treatment decisions.
    • To evaluate the effectiveness of fever reduction methods.

    Main Methods:

    • Retrospective and concurrent review of medical records.
    • Analysis of data from 150 patients.
    • Statistical assessment of factors influencing treatment decisions.

    Main Results:

    Related Experiment Videos

  • Nurses notified physicians of fever episodes in 41% of cases.
  • Fever intensity and blood cultures significantly impacted treatment decisions.
  • The majority of fever episodes were treated, irrespective of age or length of stay.
  • Acetaminophen and physical cooling effectively reduced fever.
  • Conclusions:

    • Fever management practices may not fully align with emerging evidence on fever's benefits.
    • Treatment decisions are primarily driven by fever severity and diagnostic procedures.
    • Established methods like acetaminophen and cooling are effective for fever reduction.