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describe the different stages of a fever
Fever or pyrexia is an elevation in body temperatures, when cytokines causes the set point of the Hypothalamus Thermoregulatory Centre to be altered. [ . There four phases to a fever are: Prodomal, Chill, Flush and Diaphoresis. Prodomal: - The child feels unwell but the temperature is normal. This is the stage where exogenous and endogenous pyrogens are acting to reset the hypothalamic set
point. Chill: - The child is cold and shivering and the body temperature is increasing. The body thermostat is set at 39 degrees Celsius but the blood is still at 37 degrees C. The hypothalamus detects a difference and initiates heat generating mechanism until the blood temperature reaches the new set point.mechanism. Flush: In this stage, cutaneous vasodilation occurs, the skin becomes warm and flushed and dry and the temperature is elevated. The temperature reaches the new set point. It will remain elevated until a new set point is determined by removal of pyrogens (e.g destruction of bacteria by antibiotics, in Bob’s case amoxillin (40-45 mg /kg). Diaphoresis: The hypothalamus set point drops. The child is flushed and feels hot, the temperature is falling. The hypothalamus detects the blood as being too hot and initiates heat loss. This is the stage of febrile response marked by sweating. Diaphoresis assists in evaporative heat loss. When the fever breaks, the client becomes ‘Afebrile”. Patterns of fever Sustained: A constant body temperature continuously above 38 degrees C. and does not fluctuate. Intermittent: Fever spikes accompanied by usual temperature levels in between. Temperature returns to acceptable value at least once in 24 hours. Remittent: Fever spikes and falls but not returning to normal temperature levels. Relapsing: Periods of febrile episodes accompanied by acceptable temperature values. Febrile episodes and periods of normal temperature (Normothermia) may be longer than 24 hours. ]
Expert answered|Shey091808|Points 808|
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Asked 12/9/2012 7:19:53 PM
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You are a medical assistant working in a pediatrician s office. One of your patients is due for a series of booster shots, but her mother has expressed doubts about their necessity. In two paragraphs, describe how would you handle this situation. What could you say to her that would communicate the importance of immunization?
Weegy: I would tell the mother that if you want to do the best for your children, you should know that one of the best ways to protect your children is to make sure they have all of their vaccinations. Children are now looking healthy, [ not only are the children having long life span but also they are looking hale and hearty. They do not have disturbed growth. Gone are the days when you find some children` using crutches to walk because of not being immunized against poliomyelitis. Like-wise the days are gone when you find some children who survived measles infection but have spotted faces because of not being immunized against these diseases. on the part of parents especially mothers, they now heave the sign of relief due to surviving rate of their children. They do not pass through agonizing experiences of taking their wards to herbalists and spiritualists who will ask them to pay huge sums of money before treating the child. Even most of the time they prescribe unrelated and untested drugs for them to use for the hospitals, clinics, and sometimes, wait at home for medical workers to immunize their children. In other words, it saves them time, money, energy and pains. Article Source: ] User: how to comfort a mother about giving there child booster shots Weegy: i think she should not be in the room where shot is given. (More)
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Asked 12/13/2012 2:02:23 PM
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