BODY TEMPERATURE
Physiology department
Normal body temperature
The temp. of the internal structures of the
body = 37°C (+/- 0.5).
Differs from the temp. of the skin which is
affected directly by the temp. of the external
environment.
The subcutaneous fat layer act as insulator
between the skin & internal structures.
Measurement of body temp.
The device used is the clinical
thermometer.
The site used for measurement are:
The rectum.
The mouth.
The axilla.
The ear.
Con
Regulation of body temp. within narrow limits
is essential for the function of enzymes & the
activity of the nervous system.
There is specialized center for control of body
temp. located in the hypothalamus.
This center controls the heat loss & heat gain.
Ways of heat loss :-
Conduction.
Convection.
Radiation.
Evaporation.
ways of heat
gain :-
Metabolism.
Muscular activity
(exercise &
shivering).
Food intake.
From the environment
by (conduction,
convection or
Body responses to hot
environment
Heat loss is ↑ by :- Heat gain is ↓ by :-
Sweating ↓ metabolism
Skin vasodilatation ↓ food intake
↑ respiratory rate ↓muscular activity
Stretching at sleep
Light clothes
Heat exposure
Body responses to cold
environment
Heat loss is ↓ by :-
Heat gain is ↑ by :-
↓ sweating
↑ metabolism
Vasoconstriction
↑ food intake
↓ respiratory rate
↑ muscular activity
Curling up at sleep
Heavy clothes & hot
drinks
Cold exposure
Abnormalities of temp. regulation
Fever :-
an important sign sign of disease (typhoid fever
& malaria).
Caused by pyrogens synthesized & released by
white blood cells in response to infection by
microorganisms.
Heat stroke
Result from damage to the temperature
regulatory center in the hypothalamus.
Caused by high environmental temp.
This causes failure of sweating & failure to
reduce body temp. by evaporation.
Patients develop headache, blurring of vision,
convulsions & coma.
It is a fatal condition, treatment should start
immediately to reduce body temp. e.g by ice
water immersion.
Heat exhaustion
Occurs in the hot humid environment due to
excessive sweating but with no evaporation.
The body temp. become elevated.
The activity of the nervous system is affected.
The patient develops dehydration (due to
excessive sweating).
If not treated, the temp. regulatory
mechanisms fail and heat exhaustion becomes
complicated by heat stroke.
Heat exhaustion should be treated by taking
the patient to a well ventilated, cold room and
giving him intravenous fluid like normal saline
solution.
Thank
you