Vital signs - temperature Flashcards
body temperature definition
the balance between heat loss and heat gain
what is normal temperature?
36-37.5
pyrexia temperature ranges
38 and above
hypothermia temperature ranges
35 and below
Why obtain a temperature measurement?
baseline assessment, monitor signs of infection, during labour, post caesarean section, observe signs of a negative reaction to blood transfusion, monitor those who are being treated for infection
what are the common sites of temperature assessment within midwifery?
oral, axilla, tympanic, skin
axilla definition
armpit
tympanic definition
ear
why can you take temperature at the oral site?
a branch of the carotid artery runs beneath the sublingual pocket. the blood within this vessel is travelling to the hypothalamus
what can affect the temperature at the oral site?
cold/hot drinks, tachypnoea
tachypnoea definition
breathing really fast and heavily
why can you take temperature at the tympanic site?
tympanic membrane shares the same blood supply as the hypothalamus
what can affect the temperature at the tympanic site
presence of moisture (e.g. amniotic fluid), excessive ear wax, recent ear surgery, presence of hearing aid recently
describe the procedure of taking temperature at the tympanic site?
use disposal covers, insert probe into auditory canal by pulling the pinna up and back; so the auditory canal is straight exposing the tympanic membrane.
Factors affecting temperature
fever, digestion, hot baths, ovulation(high temperature)
what are the temperature changes due to childbearing?
labour(e.g. infection, dehydration), postnatal period(e.g. UTI (urinary tract infection), mastitis (breast infection))
first step of taking temperature
- gain informed consent
second step
- wash hands
third step
- take the equipment and disposable cover to the person
fourth step
- ensure you have evaluated the chosen sit and equipment
fifth step
- apply a disposable cover
sixth step
- take the temperature
seventh step
- dispose of cover
eighth step
- explain findings
last step
- wash hands document, document