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HCC
HCC 2008 temperature
Question | Answer |
---|---|
the level of hotness or coldness of the body is measured in | degrees |
two types of body temperature | surface and core |
surface temp | skin and outer tissue layers |
core temp | deep structures i.e. heart and liver |
the bodies balance of heat and production and loss is controlled by the... | hypothalamus |
the hypothalamus is located in the | pituitary |
"normal" body temp is | 98.6 degrees |
Basal Metabolic Rate | factor that influences temp. --minimum rate that body cells oxidize nutrients to produce energy |
Muscle Activity | factor that influences temp.--heat production during energy |
Hormone Secretion | factor that influences temp |
Circadian Rhythm | factor that influences temp. --24 hr pattern fluctuation |
Heat Transfer | factor that influences temp.-- way in which heat is lost |
Age | factor that influences temp.-- infants and elderly may have difficulty maintaining temperature |
Environmental Temperature | factor that influences temp.-- extreme temps |
Stress | factor that influences temp |
Types of heat Transfer | Radiation, Convection, Evaporation, Conduction |
Radiation | electromagnetic waves |
Convection | motion between areas of unequal density |
Conduction | transfer from direct contact |
Heat conservation behaviors activated by cold | shivering, increased muscular activity, increased hormone secretion, constriction of surface blood vessels, behavioral adaptation, pilorection |
Heat dissipation behaviors activated by heat | sweating, dilation of surface blood vessels, decreased hormone secretion, behavioral adaptation |
body looses heat via | skin, respiratory system during expiration, and the elimination of body wastes |
fever | temp. rises above normal |
pyrexia | fever |
hyperpyrexia | a high fever, usually above 105.8 |
intermittent | temp alternates regularly btw a period of fever and normal or subnormal temperature |
remittent | temp fluctuates greater than 2 above normal but does not reach normal btw fluctuations |
constant | body temp remains constantly elevated with fluctuation of two degrees |
relapsing | temp returns to normal for at least 1 day then recurs |
Types of thermometers | glass, electronic, tympanic membrane, temperature sensitive strips, disposable paper thermometers |
five sites for assessing temp | oral, rectal, tympanic, axillary, forehead |
examples of patients you who should NOT have an oral temp taken | incoherent, restless, delirious, mouth breather, less than 4 yrs old, unconscious, seizure precautions |
patients that would NOT take a rectal temp from | perianal problems, chance of contamination (diarrhea), MI |
normal ORAL temp | 98.6 |
normal AXILLARY temp | 97.6 |
normal RECTAL temp | 99.6 |
normal TYMPANIC temp | 99.5 |
normal FOREHEAD temp | 94.0 |
interventions for a client with hyperthermia | report findings, rest, tepid bath, increase frequency of VS, cool packs/blankets, control environmental air flow, monitor temp, look for a pattern |
hyperthermia | too high body temp |
hypothermia | too low body temp |
interventions for a client with hypothermia | warm environment, warm clothing/covers, warm drinks, monitor temp, warming blankets |
convert Fahrenheit to Centigrade | C=(F-32) x 5/9 |
convert Centigrade to Fahrenheit | F= (C x 5/9) + 32 |
danger signs of fever | dehydration, higher heart rate, decrease urinary output |
a fever might be a sign that the body is... | fighting infection and defending itself from bacteria |
symptoms of a fever | loss of appetite, headache, hot dry skin, dehydration, flush face, thirst, general malaise(awful feeling BLA!) |