Abstract：
Climate change can cause high temperatures that can affect the older adult in significant ways. Older adults may not be aware of the dangers of high temperature days and may continue with old habits such as staying in the sun to garden without sunscreen or a hat as they may have done in years past. High temperatures can cause impairment of the tone and structure of blood vessels by interfering with nitric oxide synthesis and cytokine production and can cause systemic inflammation, all of which significantly contribute to dehydration in older adults, who are known to have a decreased sense of thirst, resulting in increased blood viscosity and the risk of heat induced shock and thrombotic strokes. This case discussion highlights the effects of high temperatures due to climate change on an older adult, and what nurse practitioners need to be aware of when assessing older adults who may be suffering from heat exhaustion or heat stroke, and how to manage appropriately.
摘要：
气候变化会导致高温，从而对老年人产生重大影响。老年人可能没有意识到高温天的危险，并且可能会继续保持旧的习惯，例如在阳光下呆在花园里，没有防晒霜或帽子，就像他们在过去几年所做的那样。高温可通过干扰一氧化氮合成和细胞因子的产生而导致血管的张力和结构受损，并可引起全身性炎症，所有这些都显著导致老年人脱水，众所周知，他们口渴感减弱，导致血液粘度增加和热诱导休克和血栓性中风的风险。这个案例讨论强调了由于气候变化而导致的高温对老年人的影响，以及执业护士在评估可能患有中暑或中暑的老年人时需要注意的问题，以及如何妥善管理。
