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The Principles and Importance of Homeostasis

Measuring core body temperature, hypothermia and hyperthermia

  • 3 things to know
  • Components 01, 02 and 03

Overview

Recall questions on oral, tympanic, axillary and rectal temperature measurement, the thresholds for fever and hypothermia, the causes, symptoms and treatment of hypothermia, heat exhaustion and heat stroke, fuel poverty, and judging claims that climate change affects their incidence.

What you need to know

Answer each one before you reveal it.

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Key term

What is meant by fuel poverty, and why is it a risk factor for hypothermia?

Key term

State the four sites commonly used to measure body temperature in clinical practice.

Key term

Why does a tympanic thermometer give a good estimate of core temperature?

Questions from this subtopic

Each one with the model answer underneath.

  1. 1

    State the four sites commonly used to measure body temperature in clinical practice.

    Model answer

    The mouth, the ear, the armpit and the rectum.

  2. 2

    Give one advantage and one disadvantage of taking an oral temperature.

    Model answer

    It is quick and the site is easily accessible, but the reading is unreliable if the person has recently eaten or drunk anything or has been breathing through the mouth.

  3. 3

    Why does a tympanic thermometer give a good estimate of core temperature?

    Model answer

    The eardrum is supplied by blood from the same circulation that supplies the hypothalamus, so its temperature closely follows that of the core.

  4. 4

    Why is the axillary method often chosen for a newborn baby, and what is its main drawback?

    Model answer

    It is safe and non-invasive, but it measures skin temperature and so typically reads several tenths of a degree below the true core temperature.

  5. 5

    Why is a rectal measurement regarded as the most accurate, and why is it used least often?

    Model answer

    It is taken deep inside the body so it is closest to true core temperature, but it is invasive, uncomfortable and carries a small risk of injury or infection.

  6. 6

    State the core temperatures that define a fever and hypothermia in an adult.

    Model answer

    A fever is a core temperature above 38 °C and hypothermia is a core temperature below 35 °C.

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Core body temperature is normally about 37 °C.
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