Body temperature
Temperature
is the 'hotness' or 'coldness' of a substance.
Body
temperature is the difference between the amount of heat produced by body processes and
the amount of heat lost to the external environment.
Heat produced - Heat lost
= Body temperature.
Normal
body temperature: For healthy young adults the average body temperature is 37º C
(98.6` F). The body tissues and cells function best in the normal body
temperature.
Core
temperature is temperature of deep tissues. Despite extreme in environmental
condition and physical activity, the temperature - control mechanisms of the
human beings maintains the body' s core temperature constant.
Surface temperature fluctuates depending on blood flow to the
skin and the amount of heat lost to the external environment.
Temperature - control mechanism of
human beings
The body temperature is precisely regulated by physiological
and behavioral mechanisms. For body temperature to stay constant and with
normal range, the relationship between heat production and heat loss must be
maintained.
The relationship is regulated by neurological and
cardiovascular mechanisms. The nurse applies knowledge of temperature control
mechanisms to promote temperature regulation.
Neural and vascular control
The hypothalamus
located between the cerebral hemispheres, controls the body temperature.
The hypothalamus senses main changes in body temperature.
The anterior hypothalamus controls the heat production.
A comfortable temperature is the ' set point' at which a
heating system operates.
When the nerve cells in the anterior hypothalamus became
heated beyond the set point, impulses are sent out to reduce body temperature.
Mechanisms of heat loss include sweating, vasodilatation
(widing) of blood vessels and inhibition of heat production.
If the posterior hypothalamus senses the body temperature is
lower than the set point, heat conservation mechanisms are instituted.
Vasoconstrction (narrowing of blood vessels) reduces blood flow
to the skin and extremities.
Heat production is stimulated through voluntary muscle
contraction and muscle shivering.
Trauma to the hypothalamus or to the spinal cord (which
carries hypothalamic tract) can cause serious alternations in temperature control.
Heat production:
Thermoregulation requires the normal function of heat -
production processes. Heat is produced in the body by metabolism which is the chemical reaction in all body cells. Activities requiring additional
chemical reactions increase the metabolic rate.
As metabolism increases additional heat is produced. When
metabolism decreases, less heat is produced. Heat production occurs during
rest, voluntary movements and involuntary shivering (shivering is an
involuntary body response to temperature
differences in the body). Shivering can increase heat production 4 to 5 times
greater than normal.
Heat
is produced to equalize body temperature.
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