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BNS Chapter 12 vital signs

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BNS Chapter 12 Vital signs
• Body temperature
• Pulse
• Respiratory rate
• Blood pressure
• Pain
-Fifth vital sign
• Shell temperature: the warmth at the skin surface
• Core temperature: the warmth in deeper sites within the body like the brain




m
er as
and heart




co
eH w
Factors Affecting Body Temperature




o.
• Food intake, age, gender
rs e
ou urc
• Climate, exercise and activity
• Circadian rhythm
o
aC s


• Emotions
vi y re



• Illness or injury
ed d




• Medications
ar stu




Normal Body Temperature
is




• In normal, healthy adults, shell temperature generally ranges from 96.6˚F to
99.3˚F or 35.8˚C to 37.4˚C
Th




• Chances of survival diminish if body temperatures exceed 110˚F (43.3˚C) or
fall below 84˚F (28.8˚C)
sh




• Based on temperature, animals are either:
• Poikilothermic: temperature fluctuates depending on environmental
temperature

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, • Homeothermic: structural and physiologic adaptations keep body
temperature within a narrow stable range
Assessment Sites
• Accurate assessment site: Brain, heart, lower third of the esophagus, and
urinary bladder
• Practical and convenient assessment sites:
– Ear, temporal artery (on forehead or behind ear lobe), mouth, rectum,
and axilla
– Ear, temporal artery provide the temperature closest to the core
temperature




m
er as
Clinical Thermometers




co
eH w
• Instruments used to measure body temperature




o.
– Electronic
rs e
ou urc
– Infrared
– Chemical
o
aC s


– Digital
vi y re



Nurse documentation for assessment site
ed d




• Oral: O
ar stu




• Rectal: R
is




• Temporal artery: TA
Th




• Axillary: AX (-1 degrees)
• Tympanic: T
sh




This study source was downloaded by 100000828837662 from CourseHero.com on 09-10-2021 12:56:28 GMT -05:00


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