vital signs. Flashcards

1
Q

what is he medical term pertaining to or marked by a fever: feverish. a true fever results from an alteration in the hypothalamic set point.

A

febrile (pyrexia)

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2
Q

pertaining to a substance, such as a medication, that reduces fever.

A

antipyretic

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3
Q

Normal body temperature ranges for adults

A

36 C to 38 C (96.8-100.4)

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4
Q

Factors influencing temperature reading:

A

faulty thermometer, Dehydration, environment, infections.

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5
Q

what structure located between the cerebral hemispheres, controls body temperature.

A

hypothalamus

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6
Q

what part of the hypothalamus controls heat loss and the part that controls the heat production

A

anterior hypothalamus, posterior hypothalamus

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7
Q

mechanisms of heat loss include what reactions from the body

A

sweating, vasodilation of blood vessels, and inhibition of heat production. The body redistributes blood to surface vessels to promote heat loss.

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8
Q

what are some heat-conservation mechanisms include reactions from the body

A

vasoconstriction of blood vessels reduces blood flow to the skin and extremities. Compensatory effort heat production is stimulated through voluntary muscle contraction and muscle shivering. when vasoconstriction is ineffective in preventing additional heat loss, shivering beings.

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9
Q

what are some factors that can cause serious alterations in temperature control of the hypothalamus

A

disease or trauma.

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10
Q

The absence of what hormone reduces the Basic metabolic rate by half causing a decrease in heat production

A

thyroid

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11
Q

Nonshivering thermogenesis occurs primarily in what age group and why does that occur.

A

neonates. Because neonates cannot shiver, a limited amount of vascular brown tissue, present at birth, is metabolized for heat production.

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12
Q

what are some way the body loses heat

A

radiation, conduction, convection, evaporation, and diaphoresis.

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13
Q

what is heat loss by radiation and what is an example of it.

A

is the transfer of heat from the surface of one object to the surface of another without direct contact between the two. Peripheral vasodilation and constriction. As much as 85% of the surface area of the human body radiates heat to the environment.

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14
Q

what is heat loss by conduction and what is an example?

A

is the transfer of heat for one object to another with direct contact. applying an ice pack or bathing a patient with a cool cloth increases conductive heat loss.

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15
Q

what is heat loss by convection and what is an example?

A

transfer of heat way by air movement. A fan.

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16
Q

what is heat loss by evaporation and what is an example?

A

the transfer of heat energy when a liquid is changed to a gas.n Sweating. The body continuously loses heat by evaporation. Approximately 600 to 900 mL a day evaporates from the skin, and lungs resulting in water and heat loss.

17
Q

Skin scaling and itching and drying of the nares and pharynx is caused by what excess of heat loss

A

excessive perspiration.

18
Q

what are the factors that affect Body temperature?

A

Age, exercise, hormone level, circadian rhythm, stress, environment, temperature alternations such as: fever, hyperthermia, heatstroke, heat exhaustion, and hypothermia.

19
Q

why do you need to take extra care to protect newborns from environmental temperatures.

A

Temperature control mechanisms are immature. An infant’s temperature responds drastically to changes in the environment.

20
Q

where does the newborn lose up to 30% of their body heat from.

A

Their head so cover it with a cap to prevent heat loss.

21
Q

what is the newborn’s normal body temperature?

A

35.5 to 37.5 (95.9-to 99.5)

22
Q

what is the average body temp for older adults?

A

96.8 F

23
Q

Older adults are particularly sensitive to temperature extremes because of deterioration in what what control mechanims

A

poor vasomotor control ( control of vasoconstriction and vasodilation), reduced amounts of subcutaneous tissue, reduced sweat gland activity, and reduced metabolism.

24
Q

how does the hormone, progesterone, affect women’s body temp.

A

When Progesterone levels are low , the body temperature is a few tenths of a degree below the baseline level. The lower temp persists until ovulation occurs. During ovulation greater amounts of progesterone enter the circulatory system and raise the body temperature to previous baseline levels or higher. These temp variations help to predict a woman’s most fertile time to achieve pregnancy.

25
Q

what happens to the woman’s temp who have stopped menstruating

A

They often experience periods of intense body heat and sweating lasting from 30 seconds to 5 minutes. During these periods often intermittent skin temperature increases up to 4 C (7.2 F), referred to as hot flashes. This is caused by the instability of the vasomotor controls for vasodilation and vasoconstriction.

26
Q

the temperature is usually lowest between from what times and highest at what time?

A

1:00 4:00 AM. 4:00 PM

27
Q

does the circadian temperature rhythm change with age?

A

No

28
Q

A fever is usually not harmful if it stays below what temp

A

39C (102.2F)

29
Q

what are pyrogens

A

bacteria and viruses elevate body temperature. They act as antigens, triggering immune system responses.

30
Q

what are some things that happen in the body during a febrile episode?

A

white blood cell production is stimulated. Increased temp reduces the concentration of iron in the blood plasma, suppression growth of bacteria.

31
Q

what natural virus fighting substance is released into the body during a fever

A

interferon

32
Q

The duration and degree of a fever depends on what

A

On the strength of the pyrogen and the ability of the individual to respond.

33
Q

why would a patient that has a fever be put on oxygen

A

A prolonged fever weakens a patient by exhausting energy stores. Increased metabolism requires additional oxygen. If the body cannot meet the the demand for additional oxygen, cellular hypoxia occurs.