Module 31 - Comfort/Thermoregulation Flashcards
Thermoregulation
The core body temperature of a healthy person is maintained by the thermoregulatory set point of the thermoregulatory center in the hypothalamus
Homeostasis
State of having an even internal temperature
Body temperature of infants and children
Change more rapidly in response to both hot and cold air temperatures
Newborns
Dependent on environment for maintenance of body temperature immediately after birth
Older adults
Lose some thermoregulatory control with age
Women
Fluctuate more in body temperature than men due to hormones
Drugs, alcohol, metabolic conditions (diabetes, etc.)
A few factors that can cause changes in body temperature
Metabolism
Primary source of heat
Shivering
Initiated by hypothalamus and results in muscle tremors (goose bumps) and reduces size of skin surface to minimize heat loss
Hormones and exercise
Sympathetic neurotransmitters are released to alter metabolism (to decrease energy production and increase heat production)
Skin
Primary site of heat loss
Evaporation
Liquid converted to vapor
Radiation
Loss of body heat to cooler, solid surfaces that are in proximity but not in contact with individual
Conduction
Transfer of heat from one object to another when in direct contact with each other
Convection
The flow of heat from the body surface to cooler surrounding air
Temperature
Refers to hotness or coldness of a substance
Body Temperature
Difference between the amount of heat produced by the body and the amount of heat lost to the environment measured in degrees
QUESTION:
Is the core body temperature higher or lower than a surface body temperature?
CORRECT ANSWER:
Core body temperature is higher
QUESTION:
What sites are used to measure a core body temperature?
CORRECT ANSWER:
Tympanic and rectal sites
QUESTION:
What sites are used to measure surface body temperature?
CORRECT ANSWER:
Oral (sublingual), axillary, and skin surfaces
QUESTION:
What is the average normal ORAL temperature for a healthy adult?
CORRECT ANSWER:
98.6°F or 37.0°C
QUESTION:
What is the average normal RECTAL temperature for a healthy adult?
CORRECT ANSWER:
99.5°F or 37.5°C
QUESTION:
What is the average normal AXILLARY temperature for a healthy adult?
CORRECT ANSWER:
97.7°F or 36.5°C
QUESTION:
What is the average normal TYMPANIC temperature for a healthy adult?
CORRECT ANSWER:
99.5°F or 37.5°C
QUESTION:
What is a newborn’s average temperature?
CORRECT ANSWER:
97.9° to 99.7°F or 36.5° to 37.5°C
QUESTION:
Electronic thermometers are used at which temperature sites?
CORRECT ANSWER:
Oral, axillary and rectal
QUESTION:
Non-mercury thermometers are used at which temperature sites?
CORRECT ANSWER:
Oral, axillary and rectal
QUESTION:
Tempa dot thermometers are used at which temperature sites?
CORRECT ANSWER:
Oral, axillary and rectal
QUESTION:
Tympanic thermometers are used at which temperature sites?
CORRECT ANSWER:
Ear canal
QUESTION:
What site is typically used to get a newborn’s temperature and what is the average?
CORRECT ANSWER:
Axillary and 97.7° to 99.5°F or 36.5° to 37.5°C
QUESTION:
What are some factors that affect body temperature?
CORRECT ANSWER:
Circadian rhythm, age, gender, stress, environmental temperatures, etc.
Afebrile
A condition in which the body temperature is not elevated
Apnea
Absence of breathing
Bradycardia
Slow heart rate
Bradypnea
Slow rate of breathing
Diastolic pressure
Least amount of pressure exerted on arterial walls, which occurs when the heart is at rest between ventricular contractions
Dyspnea
Difficult or labored breathing
Eupnea
Normal respirations
Febrile
A condition in which the body temperature is elevated
Fever
Elevation above the upper limit of normal body temperature
Hypertension
Blood pressure elevated above the upper limit of normal
Hyperthermia
High body temperature
Hypotension
Blood pressure is below the lower limit of normal
Hypothermia
Low body temperature
Pulse
Wave produced in the wall of an artery with each beat of the heart
Respiration
Gas exchange between the atmospheric air in the alveoli and blood in the capillaries
Systolic pressure
Highest point of pressure on arterial walls when the ventricles contract
Tachycardia
Rapid heart rate
Tachypnea
Rapid rate of breathing
Vital signs
Body temperature, pulse, respiratory rates, blood pressure, and oxygen saturation
Palpation
Examination of different organs of the body using the sense of touch
Expiration/exhalation
Act of breathing out
Inspiration/inhalation
Act of breathing in