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ERP Week 1
Vital Signs and Measurements Chpt 37 - Temperature
| Question | Answer |
|---|---|
| Vital signs TPRBP refer to: | 1.T Temperature 2.P Pulse 3.R Respirations 4.BP blood pressure |
| Body temperature(T) is usually lower when? | It is lower in the morning because metabolism slows when you sleep |
| Metabolism is? | The rate at which the body utilizes energy |
| The instrument used to measure body heat is called? | Thermometer |
| Types of thermometers include | 1.Glass 2.Disposable 3.Electronic 4.Tympanic 5.Temporal |
| Body temperature can be obtained where? | 1.Orally 2.Aurally 3.Rectally 4.Temporally 5.Axillary |
| Most temperature readings are recorded with what abbreviation: | AX-Axillary R-Rectally A-Aural T-Temporal *No sign is used for oral* |
| Most temperatures are obtained on a thermometer with ? scale | Fahrenheit (F) |
| A second scale is used to measure body called? | Centigrade(C) or Celsius(c) |
| Fahrenheit --> Celsius conversion | Take reading -32, multiply by 5, divide by 9 |
| Celsius --> Fahrenheit conversion | Take reading mulitply by 9, divide by 5, +32 |
| The medical term for a fever is | Pyrexia, Pyrexic, Febrile |
| The medical term for no fever | Afebrile |
| Pyrexia occurs when? | When the body temp exceeds 101.0 F |
| Hyperthermia occurs when? | When the body temp exceeds 104.0 F |
| Temperatures above 106.0 F can cause? | Convulsion and death |
| A fluctuation fever is called? | Intermittent fever |
| A fluctuating fever that remains elevated is called? | Remittent fever |
| A fever that is elevated and does NOT fluctuate is called? | Continues fever |
| FUO ro PUO stands for? | Fever of unknown origin / Pyrexia of unknown origin |
| Before obtaining a temperature (T) with a glass thermometer, remember to: | Shake the liquid down below 96.0 F |
| To read the results of a glass thermometer you hold it: | A eye level |
| You read the thermometer temp at? | The point where the liquid end |
| Each long line on a glass thermometer is read as? | One degree |
| Each short line on a glass thermometer is read as? | 0.2 / two-tenths of a degree |
| Glass thermometers are to place in the sublingual pocket for how long? | 3 minutes |
| After use, glass thermometerms are cleaned by? | Soaking in a disinfectant such as 70% Isopropyl alcohol for a minimum of 30 minutes |
| Oral thermometers are usually colored? | Green or blue |
| Rectal thermometers are colored? | Red |
| Oral thermometers should be covered with? | a sheath |
| When taking oral temperatures the MA should always? | Wear exam gloves |
| Normal oral temperature range for 12+ | 97.6 to 99.6 F |
| Oral temperatures are counter indicated when? | 1.The patient is disorientated 2.Is a mouth breather 3.Receiving O2 4.Has mouth sores 5.Has had recent oral, facial, nasal or neck surgury 6 eaten, drank, smoked in past 30 minutes 7.Epilepsy 8.<6yrs 9.Has a NG tube |
| Rectal temperature is considered the most accurate because? | It is reading Core temp |
| To obtain a rectal temp the patient should be in what position? | Sims:Adult - on left side, left leg slight bent and right leg sharply bent, left arm is behind them |
| To obtain a rectal temp for a child the position is? | Infant should be on their back or abdomen |
| For a rectal exam the sheath of the thermometer should be lubricated with? | A water soluble lubricant (K-Y) |
| For an Adult the rectal thermometer should be inserted how far? | 1 Inch |
| Foe an Infant the rectal thermometer should be inserted how far? | 1/2 inch |
| A recatl temp obtained witha galss thermometer should be left in for? | 3 minutes |
| Normal rectal temperature for +12 | 98.6 to 100.6 |
| Rectal temperature is counter indicated when? | If the patient has 1.hemorrhoids 2.Rectal surgery 3.diarrhea 4.Had cardiac pathology |
| A rectal thermometer can cause a vasovagal response causing? | A decreased cardiac output |
| The part of an electronic thermometer that touches the patient is called? | The probe (covered with a sheath) |
| Tympanic thermometers measure what? | The infrared energy emitted from the tympanic membrane (eardrum) |
| Tympanic thermometers require a sheath called? | A probe cover |
| How is an infant (<1yr) positioned for an tympanic temp? | The infant should be positioned lying flat with their head turned for easy access to the ear |
| How is a small child positioned for a tympanic temp? | The small child can be held on a parents lab with the head held for support against the parents chest |
| How is the tympanic thermometer positioned for an adult? | For an adult - Pull the right ear pinna back and outward |
| How is the tympanic thermometer positioned for a child? | For a child - Pull the right ear down and back *For infants pull the pinna straight back* |
| What ear is used for the tympanic temperature? | The right ear |
| Tympanic temperatures are counter indicated when? | 1.Otalgia (ear pain) 2.Otorrhea (Discharge) |
| Temporal thermometers measure? | The temperature of the blood in the temporal artery |
| A temporal prob is placed where? | On the center of the forehead and slowly passed straight toward the top of the ear keeping contact with the skin |
| A properly preformed temporal temperature is as accurate as? | A rectal temperature |
Created by:
adrouillard
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