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Decreased Body Temperature01:29

Decreased Body Temperature

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A decreased body temperature can occur in patients with hypothermia and frostbite. Heat loss with extended cold exposure overpowers the body's ability to create heat, resulting in hypothermia. Core temperature readings help classify hypothermia. Mild hypothermia is temperatures between 32 °C (89.6 °F) and 35°C (95 °F) and is caused by impaired thermoregulation. Moderate hypothermia is temperatures between 28 C (82.4 °F) and 32 °C (89.6 °F) caused by...
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Temperature Measurement Sites01:14

Temperature Measurement Sites

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A thermometer measures body temperature. The common sites for measuring body temperature are the oral cavity, axillary region, temporal artery, and skin surface, such as the forehead, abdomen, and axilla. True core body temperature is assessed in the rectum, tympanic membrane, pulmonary artery, esophagus, and urinary bladder.
Oral: When assessing oral temperature, the thermometer tip should be placed under the tongue in the posterior sublingual pocket. It offers accurate readings and can be...
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Assessing Body Temperature - Temporal Artery01:19

Assessing Body Temperature - Temporal Artery

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Here is a stepwise guide to assessing the body temperature at the temporal artery using a temporal artery thermometer
Step 1: Perform hand hygiene and don a fresh pair of gloves to prevent cross-infection and ensure patient safety.
Step 2: Explain the procedure to the patient to establish trust. Clear communication establishes trust with the patient, ensures they understand what to expect, promotes cooperation, and enhances comfort during the procedure.  
Step 3: Assess the patient's...
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Assessing Body Temperature - Axilla01:14

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Procedural Guide for Assessing Axillary Body Temperature using a Digital Thermometer:
Step 1: Perform hand hygiene and put on clean gloves to maintain infection control and prevent cross-contamination.
Step 2: Prepare the patient by explaining the procedure to ensure understanding and cooperation. Ensure privacy, expose the axilla, and inform the patient that minimal movement is crucial for an accurate reading.
Step 3: Adjust the patient’s clothing to expose only the axilla. It minimizes...
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The signs and symptoms of fever include hot and dry skin, flushed face, thirst, muscle aches, anorexia, headache, tachycardia, tachypnea, and fatigue. Elevated body temperature is reduced using two methods: pharmacological and nonpharmacological. Proper identification and treatment of the root cause of a fever is of utmost importance.
Pharmacological Methods of Reducing Fever:
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Non-invasive Optical Measurement of Cerebral Metabolism and Hemodynamics in Infants
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小婴儿出现低温症的显著病理:一个多中心研究

Julie K Wood1, Annalise Van Meurs2, Kathryn Westphal3,4

  • 1Department of Pediatrics, Wake Forest University School of Medicine, Winston Salem, North Carolina.

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幼儿的低温症往往表明了感染之外的重大潜在病理. 老年,外表不佳,温度不稳定和异常的白细胞计数是进一步评估的关键指标.

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科学领域:

  • 儿科 儿科 儿科
  • 新生儿科学 新生儿科学
  • 紧急医疗 紧急医疗

背景情况:

  • 小婴儿 (≤90天) 的低温通常与不成熟的温度调节有关.
  • 然而,它也可能标志着严重的潜在疾病,需要迅速诊断和管理.

研究的目的:

  • 为了确定患有低温症的幼儿显著病理的流行率和类型.
  • 探索低温和呈现特征或评估结果之间的关联.

主要方法:

  • 一个多中心,回顾性队列研究进行了5年.
  • 包括在急诊室或入院时记录的低温 (≤36.0°C) ≤90天的婴儿.
  • 重要病理被定义为需要住院的诊断;多变量逻辑回归分析了关联.

主要成果:

  • 在998名婴儿中,32%患有重大病理,其中4%患有严重感染 (细菌,HSV) 和28%患有其他重大诊断.
  • 年龄较大 (29-90天),外表不佳,温度反复不稳定,白细胞数异常与病理学有显著的关联.

结论:

  • 小婴儿的低温经常伴有显著的非传染病理.
  • 治疗低温婴儿的临床决策工具应该考虑更广泛的潜在诊断范围,而不仅仅是严重的感染.