thermoregulation ppt
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show | Maintenance of stable core temperature
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show | Hot temperature
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Vasoconstriction, shivering, piloerection and curling up are a response to what? | show 🗑
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show | Shivering Thermogenesis
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show | The SNS- it targets the BAT (brown adipose tissue) and skeletal muscle
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show | Skeletal tissues
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show | BAT (brown adipose tissue)
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what are the mechanisms of heat loss? | show 🗑
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show | Radiation
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show | Humidification, covering exposed skin, and using warm preps
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show | Respiratory process
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Which mechanism is heat lost through direct contact with cooler objects? | show 🗑
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show | Since it's direct heat loss, put things under the pt to protect from cold OR table.(MB slide also says increase ambient temperature, forced warm air, warm solutions)
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show | Water: therefore warm fluids would act faster than warm air on a pt
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Afferent tempreture sensors relate to which system Central or Peripheral? | show 🗑
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show | Krauses end bulb : Encapsulated receptor located in connective tissue. Range of stimulation is 15 - 25 degrees Celcius. Anything below these temps are active pain receptors
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show | Ruffinis corpuscle: encapsulated receptor located in the subcutaneous tissue. range of stimulation 25-45 degrees celcius
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show | Cold
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show | Warm
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Where do the earliest warning signs of external temp changes come from? | show 🗑
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show | Once the skin reaches maximum variability.
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show | Neurologic and endocrine
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show | SNS
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Skeletal muscle shivering is stimulated by direct motor response initiated by what? | show 🗑
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show | Cutaneouos vasodialation
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Heat transfer from blood to tissues is what mechanism? | show 🗑
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show | evaporation
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show | hypothermia
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show | Initally it increases and then decreases
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show | the body not being able to counteract heat loss
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show | the body become poikilothermic
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show | increased HR, BP, and CO
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A body temp of <31 degress C would lead to what? | show 🗑
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show | sinus bradicardia and v-fib very likely
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show | risk of v-fib very high
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A body temp of < 20 degrees C would lead to what? | show 🗑
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show | 7%
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MAC decreases what percentage for each degrees C drop? | show 🗑
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During hypothermia what happens to uring output? | show 🗑
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Maximum shivering happens at what temperatures? | show 🗑
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show | increases HCT d/t rise in plasma volume and loss of fluid with diuresis, hyperglycemia, and impaired coagulation d/t thrombocytopenia
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What are contributors to intra-operative hypothermia. | show 🗑
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show | infants, they can lose up to 4 times more heat than adults
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show | they have a thin sub cutaneous layer of insulation and also due to large ventilatory minute volume
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True or False: Aging decreases the ability to compensate for heat loss. | show 🗑
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What is the best temperature that is not a core temperature measurment? | show 🗑
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show | 10 -15 min for the axillary artery to equilibrate
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show | PA catheter, mixed venous blood, but core temp can be effected by CT surgery
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What are active warming methods we utilize? | show 🗑
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show | heated humidifiers, gastric lavage, peritoneal irrigation, fluid warmers (can heat to 42 degrees C with out causing hemolysis)
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show | ambient temperature, insulation foam under bony prominences (insulation) and HME's
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Created by:
chrisysue7
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