Paramedic National Registry Practice

What should be monitored closely in a patient suffering from heat-related illness?

1. Heart rate and rhythm

2. Urine color

3. Temperature and fluid balance

4. Blood glucose levels

The correct answer is: Temperature and fluid balance

In a patient suffering from heat-related illness, closely monitoring temperature and fluid balance is crucial because these factors are directly impacted by heat stress. Elevated body temperature is a hallmark of heat-related illnesses, such as heat exhaustion or heat stroke. Prolonged exposure to high temperatures can lead to severe hyperthermia, which can be life-threatening if not addressed promptly. Fluid balance is equally important, as heat-related illnesses often result in dehydration due to excessive sweating. Ensuring adequate hydration is essential for preventing further complications, such as heat stroke, and for maintaining normal physiological functions. Regular assessment of the patient's core temperature and monitoring for signs of dehydration (such as dry skin, confusion, or low blood pressure) can guide appropriate interventions and improve patient outcomes. This combined focus on temperature regulation and fluid status provides a comprehensive approach to managing heat-related illnesses effectively.