The monitoring of body temperature is an essential part of safe, successful nursing care. One of the four major vital signs, it is fundamental in creating a picture of the overall health of the patient (NICE, 2007). Body temperature measurements should be taken as part of the initial assessment and at regular intervals throughout the care and treatment of acute illnesses in adults. The definition of normal body temperature is 37°C, and was first defined as such in the mid 19th century (Sund-Levander and Grodzinsky, 2013). The ear site is the recommended and most common site for core temperature measurement as it is closest to the hypothalamus, meaning the reading is likely to be accurate due to the proximity. Peripheral sites are not recommended …show more content…
There are many different instruments available to measure temperature and just as many arguments as to which are the most appropriate and accurate. There is also contrasting opinion on which site is best used to gain an accurate reading.
Retrieving a correct temperature reading should always be the aim of whoever is taking the measurements; however, accurate measurements are particularly important in certain cases. The standard way in which temperature is used is as a basis of comparison for future readings to be compared against, this means that healthcare providers can monitor patient’s temperature and how treatment, activity or other factors may affect them. It is essential that before, during and after blood transfusions temperature is monitored as change in temperature is one of the first signs of a reaction. Patients undergoing operative procedures must have their temperature carefully monitored as the body is less able to physically alter its temperature, due to being
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Tympanic thermometers tend to be used because they are designed to be non-invasive, simple to use and hygienic. They are also relatively comfortable for most patients. Tympanic thermometers are used by attaching a plastic hygiene cap to the device and inserting an infrared sensor into the ear. This sensor can, within two seconds, give a reading of the patient’s core temperature. It is important when taking temperature readings that the same method is used in the precise way intended, in order to avoid human error in measurements. Tympanic thermometers can, even when temperature is changing rapidly, reveal the temperature of the pulmonary artery; which is one of the main reasons why it is viewed as a reliable temperature. Some studies, when comparing tympanic temperature readings to oral and rectal, have reported inaccuracies, mainly in children under three years of age. However, most evidence suggests that the reading given is generally accepted as accurate (L-Radhi,
Temperature in most office rooms are kept within 69°F to 73°F which is far too cold for an acceptable sample. A sample with a temperature out of the normal range may be immediately received with suspicion because urine will hold temperature in this range as long as it is received in 4 minutes or less.
The normal core temperature in adults ranges between 36.5°C and 37.5°C and hypothermia can be defined as core body temperature less than 36°C.(ref 1)
Maintaining normal core body temperature (normothermia) in patients within perioperative environments is both a challenging and important aspect to ensure patient safety, comfort and positive surgical outcomes (Tanner, 2011; Wu, 2013; Lynch, Dixon & Leary, 2010). Normorthermia is defined as temperatures from 36C to 38C, and is maintained through thermoregulation which is the balance between heat loss and heat gain (Paulikas, 2008). When normothermia is not maintained within the perioperative environments, and the patient’s core body temperature drops below 36C, they are at risk of developing various adverse consequences due to perioperative hypothermia (Wagner, 2010). Perioperative hypothermia is classified into three
The first was to see how long it would take to lower body temperature, and the next to decide how best to resuscitate a frozen victim. The doctors submerged a naked victim in an icy vat of water. They would insert an insulated thermometer into the victim’s rectum in order to monitor his or her body temperature. The icy vat proved to be the fastest way to drop the body’s temperature. Once the body reached 25 degrees Celsius, the victim would usually die.
Hypothermia is a common problem in surgical patients. Up to 70% of patients experience some degree of hypothermia that is undergoing anesthetic surgery. Complications include but are not limited to wound infections, myocardial ischemia, and greater oxygen demands. The formal definition of hypothermia is when the patient’s core body temperature drops below 36 degrees Celsius or 98.6 degrees Fahrenheit. Thus, the purpose of the paper is to synthesize what studies reveal about the current state of knowledge on the effects of pre-operative warming of patient’s postoperative temperatures. I will discuss consistencies and contradictions in the literature, and offer possible explanations for the inconsistencies. Finally I will provide preliminary conclusions on whether the research provides strong evidence to support a change in practice, or whether further research is needed to adequately address your inquiry.
A thermometer * A clamp * A Bunsen burner * A stop clock Method = =
Methodology: A plastic cup was filled half way with crushed ice and mixed with four spoonfuls of 5 mL of sodium chloride. A thermometer was quickly placed inside the cup to take the temperature and the
Anesthesiologists have many responsibilities. 3They measure the patient’s temperature, pulse, heart rate, and breathing rate while under the sedative. They have...
Ascertaining the adequacy of gaseous exchange is the major purpose of the respiratory assessment. The components of respiratory assessment comprises of rate, rhythm, quality of breathing, degree of effort, cough, skin colour, deformities and mental status (Moore, 2007). RR is a primary indicator among other components that assists health professionals to record the baseline findings of current ventilatory functions and to identify physiological respiratory deterioration. For instance, increased RR (tachypnoea) and tidal volume indicate the body’s attempt to correct hypoxaemia and hypercapnia (Cretikos, Bellomo, Hillman, Chen, Finfer, & Flabouris, 2008). The inclusive use of a respiratory assessment on a patient could lead to numerous potential benefits. Firstly, initial findings of respiratory assessment reveals baseline data of patient’s respiratory functions. Secondly, if the patient is on respiratory medication such as salbutamol and ipratropium bromide, the respiratory assessment enables nurses to measure the effectiveness of medications and patient’s compliance towards those medications (Cretikos, Bellomo, Hillman, Chen, Finfer, & Flabouris, 2008). Thirdly, it facilitates early identification of respiratory complications and it has the potential to reduce the risk of significant clinical
D. standing near her room, breathing sharply. While asked what has just happened, she answered, ‘I feel dizzy and can faint!’ Mrs. D. then explained that she rose up from her chair in the television room and felt lightheaded. I decided to bring her to the room hoping she would feel less dizziness if she could sit. After consultation with my mentor and third year unit nursing student, I decided to perform measurement of her vital signs. Since only electronic sphygmomanometer was available for me that time, I had to use it for my procedure. Gladly, I discovered that I have already used such equipment in my previous nursing practice. Using the standard sized calf, I found that her blood pressure was 135/85, respirations were 16, and her pulse was 96 beats per minute (bpm). However, I decided to recheck the pulse manually, founding that it was irregular (78 bpm). The patient stated that she felt better after rest. Immediately after the incident I made a decision to explore carefully the medical chart of Mrs. D., along with her nursing care plan. That helped me to discover multiple medical diagnoses influencing her
- Temperature was measured after and exact time i.e. 1 minute, 2 minutes, 3 minutes.
Sweating and Heat Loss Investigation Aim To find out whether heat is lost faster over a sweaty body compared to a dry body. Apparatus 2 Boiling tubes 47ml max 2 Measuring jug 50ml max A Beaker 250ml max 2 thermometers Paper towels A kettle to boil water A stopwatch 2 magnifying glasses (8x) 2 corks with a small hole through the centre A test tube rack Preliminary work In my preliminary work, I need to find out how much water to use, whether the tissue should be wet with hot/cold water, how often the readings should be taken, how accurate should the readings be, how many readings should be taken and what my starting temperature should be. My results are as follows. Starting temperature of 40°c Time (secs) Wet towel (°c) Dry towel (°c) 30 36 38.9 60 35 38.5 90 34 37.9 120 33.9 37.5 150 33 37 180 32.6 36.9 210 32.3 36.8 240 31 36.5 270 30.4 36 300 30.3 35.9 Starting temperature of 65°c Time (secs) Wet towel (°c) Dry towel (°c) 30 51.1 53 60 48.2 51.9 90 46.4 51 120 46 50 150 44.3 49 180 42.9 48.4 210 42.6 46.9 240 41.7 48 270 40.2 47.5 300 39.3 47 Starting temperature of 60°c Time (secs) Wet towel (°c) Dry towel (°c)
This reflection of vital signs will go into discussion about the strengths and weaknesses of each vital sign and the importance of each of them. Vital signs should be assessed many different times such as on admission to a health care facility, before and after something substantial has happened to the patient such as surgery and so forth (ref inter). I learned to assess blood pressure (BP), pulse (P), temperature (T) and respiration (R) and I will reflect and discuss which aspects were more difficult and ways to improve on them. While pulse, respiration and temperature were fairly easy to become skilled at, it was blood pressure which was a bit more difficult to understand.
The patient has high temperature, and extreme sweating as well as visible chills on body.