Vital Signs Measurements of the body’s most basic functions 4 main vital signs routinely monitored by healthcare providers are:  temperature  pulse rate  respiration rate  blood pressure

Temperature Definition: A measurement of heat produced by the body

Name the routes a temperature can be taken? Oral Axillary Rectal Tympanic Temporal Refer to notes section below for help or tips about this slide. Copyright © 2012 Training Games, Inc.

Types of Thermometers Digital Glass Temporal Tympanic Which is the most accurate?

A JH GYI BNME The most accurate method to take a temperature is… teaclr ANSWER: Rectal Temperature Refer to notes section below for help or tips about this slide. Copyright © 2012 Training Games, Inc.

Normal Temperature Range Oral  98.6F Axillary  97.6F  One degree lower than oral Rectal  99.6F  One degree higher than oral Tympanic/Temporal  Same as rectal 97°F - 100°F

Reasons temperature may vary? Where temperature taken Time temperature taken Individual differences Drinking, eating, smoking, oxygen Vampire Refer to notes section below for help or tips about this slide. Copyright © 2012 Training Games, Inc.

Fever Fever, febrile, hyperthermia all describe someone who has an elevated temperature (over 100F) over103F High fever over 103F Moderatefever F Moderate fever F Hypothermia:< 96F Hypothermia: < 96F

How Long to Obtain an Accurate Reading?  Tympanic/Temporal  Rectal  Oral  Axillary  Digital thermometers seconds 2 minutes 3 minutes 4-5 minutes Wait for “beep”

Reading Glass Thermometers By degree and tenth of a degree Never place fingers on bulb of thermometer Hold the thermometer at eye level, slowly rolling it between the thumb and forefinger until a colored line appears Focus on where the line stops

Reading Glass Thermometers 100.2°F 101.6°F96.8°F

Glass Thermometers Routes  Probes for electronic & mercury-free ends may be color coded  Blue = oral/axillary  Red = rectal

Temperature Do not take oral temperatures on:  Preschool children and younger  Patients with oxygen  Delirious, confused, disoriented patients  Comatose patients  Patients with nasogastric tubes  Patients with recent oral surgery  Patients who are vomiting/nauseated Do not take rectal temperatures on:  Patients who’ve had rectal surgery  Combative patients

Charting Temperature Must note how temperature was taken when charting  99.2°F  99°F Ax  98.2°F R  97.4°F Tym  102.1°F TA Oral Auxiliary Rectal Tympanic Temporal Artery

Converting Between Fahrenheit and Celsius °C = °F – °F = (°C x 1.8) + 32 Know both formulas!

Converting Between Fahrenheit and Celsius °C = °F – The pt. temp is 99.6 °F. You must convert to degrees Celsius in order to chart Step 1 °C = 99.6 °F – Step 2 °C = Step 3 °C = (37.6)

Converting Between Fahrenheit and Celsius °F = (°C x 1.8) + 32 The pt. temp is 38.6 °C. The pt. wants to know the temperature in degrees Fahrenheit Step 1 °F = (38.6 x 1.8) Step 2 °F = Step 3 °F = (101.5)

Fred 99.6°F Digital/Oral Bill 101.1°F Temporal Sally 96.8°F Glass/Oral Wilma 97.7°F Tympanic Betty 37.5°C Electronic/Oral Bert 36.8°C Thermal/Oral Convert each temperature showing all math!

Temperature Lab Rotate through each station following written directions! * * Use probe covers! ** ** Clean thermometer with alcohol prep pad after each use. *** 1. Oral Digital * ** * 2. Electronic Oral * ** 3. Temporal ** 4. Reading a Thermometer WS *** 5. Oral Glass * ** 6. Temperature Conversions 7. Oral Strips * 8. Tympanic *

Temperature Lab Station 1 Oral Digital Follow manufacturer directions Use probe covers! Clean thermometer with alcohol prep pad after each use.

Temperature Lab Station 2 Electronic Oral Follow directions on page 342 Use probe covers! Dispose of probe cover after each use.

Temperature Lab Station 3 Temporal Thermometer Follow directions on back of thermometer Clean head with alcohol prep pad after each use.

Temperature Lab Station 4 Reading a Thermometer Worksheet Due next class

Temperature Lab Station 5 Oral Glass Follow directions page 334 Use probe covers! Dispose of probe covers after each use then clean thermometer with alcohol prep pad

Temperature Lab Station 7 Oral Strips Follow manufacturer instructions on box. Dispose of oral strips use. Oral Strip Another example of a disposable strip thermometer used on the forehead

Temperature Lab Station 8 Tympanic Thermometer Follow instructions on page 336. Dispose of probe cover after each use.