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Vital Signs Temp
Temperature , Vital Signs chapter 32 Potter & Perry
| Question | Answer |
|---|---|
| What are 7 factors affecting temperature? | age, exercise, hormone levels, circadian rhythm, stress, environment, multiple disease processes |
| What time is temp the lowest? | 1-4 am |
| What time is temp the highest? | 4-6 pm |
| What are the vital signs? | temp, pulse, BP, respirations, pain, o2 saturation |
| Thermoregulation | body's physiological function of heat regulation to maintain constant internal body temperature |
| What controls the body temperature inside body? (the thermostat) | hypothalmus |
| Pyrexia | fever |
| Febrile | fever |
| Afebrile | without fever, fever breaking |
| What is definition of fever? | core temperature greater than 100.4 or surface temperature greater than 99.5. Know patients baseline! |
| What is FUO? | Fever of unknown origin |
| Goal of treating patient with fever? | help them feel better, treat symptoms as long as they aren't seizing |
| What defense mechanisms do fevers provide? | Increase immune system, increased WBC count, Interferon stimulated, Suppression of bacteria |
| What is a pyrogen? | bacteria or viruses that elevate body temperature. Act as antigens triggering immune response to raise set point. |
| What are core temperature measurements | rectum, tympanic membrane, esophagus, pulmonary artery, urinary bladder, temporal |
| What are surface temperatures? | Skin, Oral , Axillae |
| What is more reliable ? | rectal |
| what is least accurate? | axillae |
| what are 4 continuous temps? | esophageal, pulmonary artery, foley catheter, urinary bladder |
| What common way to take temp of newborns? | axillae |
| What common way to take temp of combative patients? | axillae |
| What is range of core temp? | 96.8-100.4 |
| What is accurate? | valid |
| What is precise? | reliable |
| What is easiest/ most comfortable temp? | oral |
| What has great variability and often used incorrectly , most contradictions? | tympanic |
| What is most reliable? | rectal |
| Least preferred by patients? | rectal |
| How do you treat hypothermia? | Rewarm slowly, extra blankets, warmed blankets, radiant warmers, bair huggers, cover head, head wrap, warm water (NOT HOT), Warm IV fluids, rewarmed O2,extracorporeal rewarming (rewarming blood) |
| What should you have on hand ? | Resuscitation equipment, hypothermia may get worse first |
| What risk with hypothermia? | cardiac arrhythmia |
| what temp is hypothermic? | below 96.4 |
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shoopergirl
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