MED Intro

Measure the core temperature using thermometers

  1. Digital
  2. Mercury

Sites

  1. Mouth 36.8 c
  2. Axilla 36. 4 c
  3. Rectum 37.3 c

MED CNS

  • Often omitted if pain sensation normal
  • Two test tubes
    • filled with hot & cold water
    • or tuning fork heated or cooled by water

SKILL Vital Signs

Types of Body Temperature
  1. Core Temperature
  • Temperature of the deep tissues of the body
  • Remains relatively constant unless exposed to severe extremes in environmental temperature
  • Assessed by using a thermometer
  1. Surface Temperature
  • Temperature of the skin
  • May vary a great deal in response to the environment
  • Assessed by touching the skin
Measuring Temperature
  • It is measured using a thermometer with a Fahrenheit or Celsius scale
  • There are some factors may could alter temp
  • Eating, drinking hot or cold liquids and/or smoking can alter oral temp
  • Make sure the patient has had nothing to eat, drink or smoke for at least 15 minutes prior to taking temp
  • If so, wait 15 minutes before taking temp
Types
  1. Glass Thermostat: may not be accurate
  2. Heat-sensitive patches: easy to use
  3. Digital thermometers: accurate, safe, fast
  4. Tympanic thermometer: accurate & fast, safe disposable cover can be used between patients
  5. Forehead thermometer

Best places to take temperature

  1. Oral: most common & convenient
  2. Anus: most accurate
  3. Axilla or groin: mostly in pediatrics
  4. Aural

Causes of temperature fluctuation

  • High: illness infection, exercise, excitement, high temperatures in environment
  • Low: starvation, sleeping, inactivity, mouth breathing, cold temp environments
RouteNormal RangeSites
Oral
Tympanic

Interpretation

  1. Normal body temperature:

  2. Fever (Hyperthermia): temp above the normal range (age dependent)

  3. Hypothermia: Core body temperature less than 35oC (below 95° F).

  4. Hyperpyrexia: Body temp exceeds 40-41 oC (104-106°F) rectally