T/F: α1-antagonists have an effect on shivering or metabolic heat production in response to cold.
False
What are the four mechanisms of heat loss?
convection, conduction, evaporation, and radiation
Describe convection:
occurs by moving air
15% of heat loss
proportional to the square root of the air velocity
This type of heat loss occurs by direct contact with a cooler material (cold mattress, IV solutions)
conductive
T/F: A large percent of heat is lost through conduction.
False. 3%
T/F: Evaporation is facilitated by humid atmospheres.
False! it is hindered with increasing humidity
How many mL of H2O are lost from the skin/lungs to evaporation each hour at room temperature?
30mL
2/3 of evaporation is from the...
skin
1/3 of evaporation is from the...
lungs
What is the major mechanism of heat loss?
Radiation
What is radiation?
infrared electromagnetic waves travel from a warmer object to a cooler one
T/F: Radiant heat loss increases with the amount of exposed surface.
True. Also increases with the temperature differential.
What makes up the thermal "core compartment?"
chest, abdomen, pelvis, head
What is the least accurate site of core-temp monitoring?
skin
Where are the most accurate sites for core-temp monitoring?
Pulmonary artery
Tympanic membrane
Esophagus
Nasopharynx
Oropharynx
T/F: Temperatures in the rectum and bladder are quick in reflecting temperature changes.
No. They are slow.
T/F: Body temperature is constant throughout the day.
False. 1°C Δ depending on time of day, also monthly variation in menstruating women
Normal core temperature range?
36.5-37.5
Which component(s) of the thermoregulatory system are altered by general anesthetics?
a)afferent pathway
b)central control mechanism
c)efferent responses
all of them
Which component(s) of the thermoregulatory system are altered by regional anesthetics?a)afferent pathway
b)central control mechanism
c)efferent responses
a&c (afferent and efferent)
What is the most effective drug to treat shivering?
Meperidine (pethidine)
In the first 30-60 minutes following general anesthesia, the body temperature decreases by this amount:
1°C
heat flows from core to peripheral compartment because of vasodilation
Core temperature continues to decrease for ____ hours of general anesthesia. (Then it plateaus–due to vasoconstriction)
2-3
Regional anesthesia is associated with less severe hypothermia than general anesthesia since the central thermoregulatory activity is not impaired in regional anesthesia.
False. The same magnitude of hypothermia occurs.
In regional anesthesia, the efferent response are blocked, and vasoconstriction and shivering cannot occur below the level of the block (so heat loss continues, so NO PLATEAU PHASE).
Name two protective effects of hypothermia:
brain protection
spinal cord protection
T/F: There are more protective benefits of hypothermia than consequences.