4) Body Temperature: Physiology Flashcards

1
Q

What determines body temperature?

A
  • The difference between heat produced by body processes
  • And the amount of heat lost to the external environment
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2
Q

How do temperature control mechanisms work?

A
  • They keep the body’s core temperature relatively constant
  • Despite environmental extremes and physical activity levels
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3
Q

How does body surface temperature differ from core temperature?

A
  • Surface temperature fluctuates
  • Depending on blood flow to skin and heat lost to environment
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4
Q

What is the acceptable body temperature range?

A
  • 36°C to 38°C
  • A narrow range for optimal tissue/cell function
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5
Q

What is the aim when measuring body temperature?

A
  • To obtain average temperature of core body tissues/organs
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6
Q

Which temperature measurement sites reflect core temperature?

A

Rectum
Tympanic membrane
Temporal artery
Esophagus
Pulmonary artery
Urinary bladder
Nasopharynx

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7
Q

Which sites reflect surface temperature?

A

Skin
Mouth
Axillae

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8
Q

Can temperature values differ between measurement sites?

A
  • Yes, values may differ between sites
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9
Q

What should nurses recognize about temperature readings?

A
  • No single reading is normal for all people
  • Learn the temperature range for individual patients
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10
Q

How is body temperature regulation controlled?

A
  • Thermoregulation is regulated by physiological and behavioral mechanisms
  • The balance between heat production and heat loss must be closely maintained
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11
Q

What controls body temperature regulation?

A
  • The hypothalamus controls body temperature like a thermostat
  • The anterior hypothalamus controls heat loss, the posterior controls heat production
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12
Q

How does the anterior hypothalamus regulate temperature?

A
  • When heated above set point, it sends impulses to reduce body temperature
  • Mechanisms include sweating, vasodilation, inhibiting heat production
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13
Q

How does the posterior hypothalamus regulate temperature?

A
  • When body temperature is below set point, it institutes heat conservation
  • Mechanisms include vasoconstriction, muscle contraction, and shivering
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14
Q

What can disrupt temperature regulation?

A
  • Disease or trauma to the hypothalamus or spinal cord
  • Can cause serious alterations in temperature control
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15
Q

What is the basis for heat production in the body?

A
  • Heat is produced as a by-product of metabolism in all body cells
  • Food is the primary fuel source for metabolism
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16
Q

How does activity level affect heat production?

A
  • Additional chemical reactions from activities increase metabolic rate
  • As metabolism increases, more heat is produced
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17
Q

What processes produce heat in the body?

A
  • Heat production occurs during rest, voluntary movements, shivering, nonshivering thermogenesis
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18
Q

What is basal metabolism?

A
  • Accounts for heat produced by the body at absolute rest
  • Average basal metabolic rate depends on body surface area
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19
Q

How do thyroid hormones affect heat production?

A
  • Promote breakdown of glucose and fat, increasing metabolic rate
  • Large amounts can increase basal metabolic rate by 100%
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20
Q

How does gender affect basal metabolic rate?

A
  • Testosterone increases basal metabolic rate
  • Men have a higher basal metabolic rate than women
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21
Q

How does exercise affect heat production?

A
  • Voluntary movements like exercise require additional energy
  • Metabolic rates can increase up to 2000 times normal during exercise
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22
Q

What is shivering and how does it produce heat?

A
  • Involuntary muscle movement in response to temperature differences
  • Skeletal muscle movement requires significant energy, increasing heat production
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23
Q

Who is at increased risk for hypothermia related to heat production?

A
  • Newborns and older persons are less able to shiver or vasoconstrict
  • Puts them at increased risk for hypothermia
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24
Q

What is nonshivering thermogenesis?

A
  • Occurs primarily in newborns as main heat source due to inability to shiver
  • Stimulates fat metabolism to produce internal heat
25
How does heat loss occur in the body?
- Through radiation, conduction, convection, and evaporation - Due to skin's structure and exposure to environment
26
What is radiation heat loss?
- Transfer of heat from body surface to environment without direct contact - Up to 85% of body surface area radiates heat
27
How does vasodilation/vasoconstriction affect radiation heat loss?
- Vasodilation increases blood flow to skin, increasing radiant heat loss - Vasoconstriction minimizes radiant heat loss
28
What factors increase radiation heat loss?
- Removing clothing/blankets - Standing position exposes more surface area - Temperature difference between body and environment
29
How can radiation heat loss be reduced?
- Fetal position minimizes exposed surface area - Wearing dark, closely woven clothing
30
What is conduction heat loss?
- Transfer of heat through direct contact with solids/liquids/gases - Normally accounts for small amount of heat loss
31
How can conduction heat loss be increased/decreased?
- Applying cool cloths increases conductive loss - Layering clothing reduces conductive loss
32
What is convection heat loss?
- Transfer of heat away from body by air movement - Fans promote convection heat loss
33
What increases convection heat loss?
- Moistened skin coming into contact with moving air
34
What is evaporation in relation to heat loss?
- Transfer of heat energy when liquid changes to gas - Body continuously loses heat through evaporation
35
How much water/heat is lost through evaporation daily?
- About 600-900 mL evaporates from skin and lungs - Resulting in water and heat loss
36
How does the body promote additional evaporative heat loss?
- By regulating perspiration (sweating) - Sweat glands in skin secrete sweat that evaporates
37
What triggers sweat gland secretion?
- When body temperature rises - Anterior hypothalamus signals sweat glands to release sweat
38
When does sweating occur to lose excessive heat?
- During exercise - During emotional or mental stress
39
What is diaphoresis?
- Visible perspiration - Occurs primarily on forehead and upper thorax
40
What can excessive evaporation cause?
- Skin scaling and itching - Drying of nares and pharynx
41
How does lowered body temperature affect sweating?
- Inhibits sweat gland secretion
42
Who cannot tolerate warm temperatures due to impaired sweating?
- Those with congenital absence of sweat glands - Those with skin diseases impairing sweating
43
How does the skin help regulate body temperature?
- Insulates the body - Controls blood flow/heat loss through vasoconstriction/vasodilation - Provides temperature sensation
44
What provides insulation to keep heat inside the body?
- Skin - Subcutaneous tissue - Body fat
45
Who has more natural insulation?
- People with more body fat - Compared to slim/muscular people
46
Where is heat produced in the body?
- Internal organs - Amount increases during exercise/sympathetic stimulation
47
How does blood carry heat to the skin surface?
- Blood flows from internal organs carrying heat - To well-vascularized areas like hands, feet, ears
48
How much blood can flow through vascular skin areas?
- May vary from minimal to 30% of heart's output
49
How is heat lost from the skin surface?
- Heat transfers from blood vessels to skin surface - Then lost to environment through heat loss mechanisms
50
What determines blood flow and heat loss to skin?
- Degree of vasoconstriction
51
How does the body respond to high core temperature?
- Hypothalamus inhibits vasoconstriction - Blood vessels dilate, increasing blood/heat to skin surface
52
How does the body respond to low core temperature?
- Hypothalamus initiates vasoconstriction - Reducing blood flow/heat loss to skin to conserve heat
53
What allows healthy individuals to maintain comfortable body temperature?
- Voluntarily acting when exposed to temperature extremes - Ability depends on degree of temperature extreme
54
What abilities are needed to control body temperature?
- Sensing feeling comfortable/uncomfortable - Intact thought processes and emotions - Mobility to remove/add clothes
55
Who may have difficulty controlling body temperature?
- Those lacking the required abilities - Infants, older adults, spinal cord injuries
56
What can impair temperature control?
- Illness - Altered consciousness - Impaired thought processes
57
How effective are behavioral changes in extreme temperatures?
- Have limited effect on controlling temperature - Like removing/adding clothes
58
What is important for nurses regarding thermoregulation?
- Assessing factors that place patients at high risk - For ineffective thermoregulation
59