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Transcript of Body Temperature
CONVECTION: dissemination of heat by motion between areas of unequal density
EVAPORATION: conversion of a liquid to a vapor
CONDUCTION: transfer of heat to another object during direct contact
MECHANISM OF HEAT TRANSFER
Low body temperature
Slow body movements
Slowed pulse and respiration rate
<34 degrees Celsius results in death
SIGNS AND SYMPTOMS OF DECLINED BODY TEMPERATURE
SITES AND DIFFERENCES IN BODY TEMPERATURE
Glass, digital or electronic thermometer
IMPLEMENTATION BEFORE TAKING BODY TEMPERATURE
1. Check nursing care plan
3. Identify patient
4. Pull blinds
5.Ensure the thermometer is working properly
6. Put on gloves
7. Select the appropriate base line on previous assessment
8. Determine if patient has consumed hot or cold beverage or
food or has been smoking
ASSESSING BODY TEMPERATURE
REGULATORY MECHANISM OF HEAT LOSS AND HEAT GAINED
Potter, P. A., & Perry, A. G. (2009). Fundamentals of nursing (7th ed.). St. Louis, Mo.: Mosby Elsevier.
Thermometer - procedure, blood, tube, adults, time, infection, operation, types, risk, children, Definition, Purpose, Demographics, Description, Diagnosis/Preparation, Aftercare, Risks. (n.d.). Encyclopedia of Surgery: A Guide for Patients and Caregivers. Retrieved February 24, 2013, from http://www.surgeryencyclopedia.com/St- Wr/Thermometer.html
"ALTERED BODY TEMP HYPOTHERMIA Nursing Dignosis and Intervention | Nursing Care Plan." Nursing Care Plan. N.p., n.d. Web. 24 Feb. 2013. <http://cncplan.blogspot.com/2011/10/altered-body-temp-hypothermia-nursing.html>.
"Variations of Body Temperature." Ambulance Technician Study. N.p., n.d. Web. 24 Feb. 2013. <http://www.ambulancetechnicianstudy.co.uk/temp.html#.USqS-_JDIgA>.
"What is Homeostatic mechanism for regulation of body temperature." The Q&A wiki. N.p., n.d. Web. 24 Feb. 2013. <http://wiki.answers.com/Q/What_is_Homeostatic_mechanism_for_regulation_of_body_temperature>.
Monitor temperature as frequently as appropriate
Monitor blood pressure, pulse, and respiratory as appropriate
Monitor for seizure activities
Administer antipyretic medication as appropriate administer IV fluids as appropriate
Report to Head nurse or doctor if negative changes occur
NURSING INTERVENTIONS/ REPORTING/ RECORDING:
To promote wellness (Teaching and Discharge Considerations):
• Review potential problem and individual risk factors with client
• Instruct in measures to protect from identified risk factors
• Review ways to prevent accidental alterations, such as induced hypothermia as a result of over cooling
NURSING INTERVENTIONS/ REPORTING/ RECORDING CON’T:
prevent occurrence of temperature alteration by:
Monitoring and maintaining comfortable ambient environment by provide heating or cooling measures.
Monitor core body temperature. (Tympanic temperature may be preferred, as it is the most accurate noninvasive method)
Restore and maintain core temperature within client’s normal range.
NURSING INTERVENTIONS/ REPORTING/ RECORDING CON’T:
Identify causative/risk factors present:
Determine if present illness or condition results from exposure to environmental factors, surgery, infection, trauma.
• Monitor laboratory values (tests indication of infection, drug screens).
•Note client’s age (premature neonate, young child, or aging individual), as it can directly impact ability to maintain or regulate body temperature and respond to changes in environment.
NURSING INTERVENTIONS/ REPORTING/ RECORDING
Pyrexia Elevated temperature
Intermittent Rise and fall in temperature
Remittent pyrexia Temperature never returns to normal until client becomes well
Relapsing Temperature returns to normal for at least one day then pyrexia reoccurs
Crisis When pyrexia suddenly returns to normal
Lysis When pyrexia gradually returns to normal
Afebrile A client with a normal body temperature
Febrile Increased body temperature
CLINICAL TERMS AND DEFINITIONS FOR TEMPERATURE
Anorexia ( feeling to vomit)
Flushed warm skin
Elevated pulse and respiration rate
Restlessness or excessive sleepiness
SIGNS AND SYMPTOMS OF ELEVATED BODY TEMPERATURE
Circadian Rhythms: re-occurrence of a physiological change within 24- hour intervals; body temp and blood pressure
Age and Gender: older adult lose some thermoregulatory control.
Women have more fluctuation in body temperatures than men
Environmental Temperatures: wearing inappropriate clothes
FACTORS AFFECTING BODY TEMPERATURE
EQUIVALENT CELSIUS AND FAHRENHEIT TEMPERATURES
WHAT IS A THERMOMETER?
WAYS TO TAKE TEMPERATURE
VARIATIONS AND CLINICAL SIGNIFICANCE IN BODY TEMPERATURE
ALTERATIONS & CLINICAL SIGNIFICANCE IN BODY TEMPERATURE
JAN MARIE SMITH
From Celsius to Fahrenheit =
(C * 9/5) + 32
From Fahrenheit to Celsius =
(F - 32) * 5/9
How is it Regulated
TYPES OF THERMOMETERS
READING THERMOMETER AT EYE LEVEL
An instrument used for determining temperature that usually consists either of a device providing a digital readout or of a glass bulb attached to a fine tube of glass with a numbered scale and containing a liquid (as mercury or colored alcohol) that is sealed in and rises and falls with changes of temperature
IMAGES OF TEMPERATURE SITES