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thermoregulation ppt

Quiz yourself by thinking what should be in each of the black spaces below before clicking on it to display the answer.
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Question
Answer
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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