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It’s Getting Hot In Here!! Let’s check the temp ! Essentials of Healthcare at LCCA. Temperature. The difference between heat lost and heat produced by the body Patient’s condition dictates which route we use for taking temp: Primarily rectal vs oral Who is not appropriate for each?
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It’s Getting Hot In Here!!Let’s check the temp!Essentials of Healthcare at LCCA
Temperature • The difference between heat lost and heat produced by the body • Patient’s condition dictates which route we use for taking temp: • Primarily rectal vs oral • Who is not appropriate for each? • A patient’s temp can vary: • Time of day • Body sites • Individual differences
Homeostasis • The body’s homeostatic response works to maintain body temperature at an appropriate degree level • High temps can cause damage to the body’s organs…the brain especially-seizures can occur • Controlled by the hypothalamus (in the brain) • How does this work? • Our bodies can regulate the amount of blood that reaches the skin to help cool our bodies • Perspiration also helps to get rid of excess heat through evaporation
Temperature • Where can you take a temp? • Oral (most common) • Rectal (most accurate) • Axillary (least accurate) • Aural • Temporal
Thermometers • Tympanic Thermometers • Measures temp from blood in the tympanic membrane • AURAL • Reads in seconds • Sweep across forehead • Electronic Thermometers • Used commonly • ORAL, RECTAL, AXILLARY • Must be covered with a sheath prior to use • Reads in seconds • May switch between oC and oF
Thermometers • Temporal Scanning Thermometers • Measures temp from blood in temporal artery • Reads in seconds • Clinical Thermometers (Glass) • Rarely used • ORAL, RECTAL, AXILLARY • Will be specifically Oral or Rectal • No eating, drinking, smoking within 15 min of oral temp! • Must be left in place 3-5 minutes • How can you tell them apart?
Temperature • Temperature ranges • Oral- 97.6-99.6 • Axillary- 96.6-98.6 • Rectal- 98.6-100.6 • Average temperatures • Oral-98.6 • Axillary-97.6 • Rectal-99.6
Using Clinical Thermometers • Each big line represents 1o of temp • Each little line represents .2 of a degee 96.4 98.6 100.2
Documentation • When you document temps, you must: • Include route • Include the exact measurement • Always sign and date the documentation • Ax temp 98.6 • 10/21/2014 1630 • P. Sauls, RN