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Body Temperature:
The body regulates the core temperature to prevent overheating. Elevated temperature is regulated by sweating through sweat glands to cool down the body.
Normal body temperature is 37°C
How to record body temperature:
Use thermometer to record temperature
Temperature sites for recording:
Oral
Axillar
Anal
Respiratory rate
Introduction:
The body requires oxygenation from the lungs
Oxygenation takes place in the lungs where oxygen and carbon dioxide gas transfusion takes place across small sacs called alveoli in the lungs
Breathing is the process of inhalation and exhalation of air where the lungs allow gaseous exchange of oxygen and carbon dioxide
The respiratory rate (RR) of breathing in a normal person is about 20 breathes/minute
Measuring RR: count the number of breaths in 1 minute
Lower respiratory tract infection in the lungs will present with symptoms and signs.
Symptoms:
Fever
Coughing
Increased respiratory rate
Fatigue
Signs:
With a a stethoscope there will be crepitations, wheezing and bronchial breathing in areas of consolidation
Blood Testing:
Bacteria Culture
Viral culture
Of note the recent COVID-19 (Corona virus) can be tested
Chest X-rays:
May show signs of bronchial infection/pneumonia
Lung function tests:
These tests may show decreased airflow patterns
COVID-19 (Coronavirus) infection has become a pandemic and one of the complications include lower respiratory tract infection, respiratory failure and death.
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Septicaemia and shock:
Septicaemia is the process where infection spreads through the blood stream and this can cause multiple organ failure and may cause septic shock and death
Signs of sepsis include elevated body temperature and a fast heart rate called a tachycardia
Septic shock present with increasing HR with a low BP causing decreased organ blood flow and the signs associated with organ hypoperfusion
How to assess for sepsis:
Increased body temperature
Increased HR
Blood investigations: increased or severely decreased WCC, increased ESR/CRP/Procalcitonin, bacteria or virus detected in the blood stream