2 alterations in body temp
4 types of fever
intermittent
remittent
relapsing
sustained
intermittent fever
pattern of fever characterized by alternating periods of elevated body temperature and normal or near-normal temperature.
remittent fever
fever spikes and falls w/o a return to acceptable temp levels
relapsing fever
periods of febrile episodes and periods w/ acceptable temp values
sustained fever
a constant body temp continuously above 100.4 degrees that has little fluctuation
heat episode risk factors
dismissed immune response
age
exertion in hot weather
chronic illness
clinical manifestations of fever
flushing
skin warm or hot to touch
tachycardia, tachypnea
fatigue, malaise, weakness
sites for measuring body temp
mouth
rectum
armpit
tympanic membrane
temporal artery
interventions to support thermoregulation
preventative measures: babies and elderly needs warmer environments
hyperthermia interventions
hypothermia
core body temp 35 degrees or lower
hypothermia interventions
induced hypothermia use
reduce metabolic rates
lower cellular demand for O2 in tissues
reduce neurological damage
radiation
transfer of heat from one object to another without direct contact
convection
Heat is transferred by the movement of heated air or fluid over the body.
-ex: fan, wind
conduction
the transfer of heat through direct physical contact between objects
-ex: touching a cold surface
evaporation
Heat is lost when a liquid turns into a gas,
sever hypothermia
/ <28 C
moderate hupothermia
28-32 C / 82 - 90 F
mild hypothermia
32-35 C