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    Tepid Sponge/Cold Sponge

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    Cheryl Porpayas
    Tepid sponging or cold sponging involves applying moist, cool liquid to the skin to lower body temperature through evaporation and heat absorption. Tepid sponges use water between 80-90°F to reduce temperatures of 102-102.8°F, while cold sponges are for temperatures over 103°F. The process stimulates circulation, reduces toxicity, and can soothe nerves and promote sleep. Nurses must follow specific instructions, monitor vital signs closely, and take steps before, during, and after to ensure patient safety and comfort.

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    Tepid Sponge/Cold Sponge

    Uploaded by

    Cheryl Porpayas
    1K views2 pages
    Tepid sponging or cold sponging involves applying moist, cool liquid to the skin to lower body temperature through evaporation and heat absorption. Tepid sponges use water between 80-90°F to reduce temperatures of 102-102.8°F, while cold sponges are for temperatures over 103°F. The process stimulates circulation, reduces toxicity, and can soothe nerves and promote sleep. Nurses must follow specific instructions, monitor vital signs closely, and take steps before, during, and after to ensure patient safety and comfort.

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    TEPID SPONGE

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    Tepid sponging or cold sponging involves applying moist, cool liquid to the skin to lower body temperature through evaporation and heat absorption. Tepid sponges use water between 80-90°F to reduce temperatures of 102-102.8°F, while cold sponges are for temperatures over 103°F. The process stimulates circulation, reduces toxicity, and can soothe nerves and promote sleep. Nurses must follow specific instructions, monitor vital signs closely, and take steps before, during, and after to ensure patient safety and comfort.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    1K views2 pages

    Tepid Sponge/Cold Sponge

    Uploaded by

    Cheryl Porpayas
    Tepid sponging or cold sponging involves applying moist, cool liquid to the skin to lower body temperature through evaporation and heat absorption. Tepid sponges use water between 80-90°F to reduce temperatures of 102-102.8°F, while cold sponges are for temperatures over 103°F. The process stimulates circulation, reduces toxicity, and can soothe nerves and promote sleep. Nurses must follow specific instructions, monitor vital signs closely, and take steps before, during, and after to ensure patient safety and comfort.

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    © All Rights Reserved
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    TEPID SPONGE/COLD SPONGE

    Definition

    - Tepid sponging or cold sponging is a general application of moist cold liquid to cool skin, by
    evaporation and by the absorption of body heat in the cold water.
    - Tepid sponge is a process of sponging with tepid water to reduce body temperature by
    evaporation. The temperature of water used for tepid sponge is 80-90 degree F.

    PURPOSE

    - Tepid sponge helps to reduce the temperature between 102 and 102.8 degree F.
    - Cold sponge helps reduce the temperature of above 103 degree F.
    - To stimulate circulation
    - To decrease toxicity
    - Nervousness and delirium
    - To soothe the nerves and promote sleep

    GENERAL INSTRUCTIONS

    - Cold sponging is used to reduce temperature in a patient with hyperpyrexia


    - Large areas of the body are sponged at one time, permitting the heat of the body to transfer to
    the cooler solution on the body surface.
    - Often wet towels are applied to the neck, axillae, groin and ankles, where the blood circulation
    is close to the skin surface
    - The vital signs are checked very frequently to detect the early signs of complications
    - The physiological effect of the cold applications are vaso-constriction, decreased blood
    circulation, decreased capillary permeability, decreased metabolism, decreased blood viscosity,
    etc.
    - The application moist cold is more effective than the application of dry cold as the moisture
    distributes the cold to large and deep area
    - There must be a written order for tepid sponge or cold sponge
    - Use long strokes for sponging and avoid circular movements or friction while sponging
    - Keep the hot water bag ready at the foot end of the bed

    PRELIMINARY ASSESSMENT

    1. Check
    - The doctors order for any specific instructions
    - General condition and diagnosis
    - Self-care ability of the patient
    - Assess the duration of application
    - For contraindication to cold application
    - Articles available in the unit

    PREPARATION OF THE PATIENT AND ENVIRONMENT

    - Explain the sequence of the procedure


    - Provide privacy
    - Check the initial temperature and should be checked every 15 minutes intervals
    - Position the patient comfortably in the bed
    - Remove the patient gown and place with bath blanket
    - Bring the patient to the edge of the bed
    - Place the long Mackintosh and draw sheet under the patient
    - Arrange the articles to the bedside

    EQUIPMENT

    - A large basin of water (80-90 degree F) for tepid sponging


    - Jug with cold water
    - Basin with ice pieces
    - Bath thermometer
    - Mackintosh and draw sheet
    - Sponge clothes – 6
    - Bath towel – 1
    - Face towel – 1
    - Thermometer tray
    - Ice cap with cover
    - Spirit rub
    - Bucket

    AFTER CARE

    - Remove the sponge clothes from the axilla and groin. Discard it in kidney tray
    - Dry the body with bath towel
    - Remove the Mackintosh and draw sheet
    - Replace the gown and remove the bath blanket
    - Observe for any symptoms of chill or any other abnormality
    - If needed give him hot drinks
    - Position the patient comfortably in the bed
    - Replace the articles after cleaning
    - Wash hands
    - Record the procedure in the nurse’s record sheet and vital signs in TPR sheet

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