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Exam (elaborations)

NUR 612- Alterations in Temperature Regulation Questions with correct Answers

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NUR 612- Alterations in Temperature Regulation Questions with correct Answers

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NUR 612- Alterations in Temperature
Regulation Questions with correct Answers
hypothalamus

primary thermoregulator of the body, receives input from core and skin, with rising and

falling temperatures, it initiates heat-dissipating or heat-conserving behaviors

thermoregulation

balance between heat production and heat loss

radiation

transfer through air/vacuum ex: sitting in a cool/warm room

conduction

direct molecule transfer ex: cold/warm IV fluids, warm bath

convection

transfer through moving air ex: blowing wind

evaporation

heat loss through water vapor ex: sweating, requires energy

with increased temperature the body

vasodilation, sweating

with decreased temperature

vasoconstriction, shivering

core temperatures

, more accurate than skin temperatures

core temperatures are measured

from the rectum using a thermometer, from the esophagus using a flexible thermometer,

from. a pulmonary artery catheter that uses thermodilution measurements of cardiac output,

from a bladder catheter with temperature probes at the tip

oral, ear, skin, pacifier temps

best used to monitor trends

metabolism

ex: cellular metabolic activity effect: produces body heat

increased metabolic activity

ex: exercise, increased BMR, increases heat production

failure of thermoregulation contributes to

fever, hyperthermia, hypothermia

fever

or pyrexia, describes an elevation in body temperature caused by an upward displacement of

the thermo-static set point of the hypothalamic thermoregulatory center

exogenous pyrogens

derived from outside the body, bacterial products, bacterial toxins, or whole microorganisms

induce host cells to produce fever-producing mediators

endogenous pyrogens

released by phagocytic cells after the exogenous pyrogens

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