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You all right so let's get into it the first vital sign that we usually always take is the temperature now temperature is not new to any of us that have ever had mother's right your mom will always take your temperature especially if you have a fever, or you say you're sick it's usually the first thing that we check, so it goes under the tongue you can do it under the armpit, and you can do it in the know the rear end though you know the back ends okay and that is really how we check in the hospital the temperature now if you can always you know there's's new technology coming out that check in the ear they've had those around for a little while there's a new one though if you kind of scan across the forehead, and you go into the ear I worked at a hospital in Orange County that had one of those so that was kind of cool but really the most accurate one the most accurate is in the bottom okay but so adults usually always get in the metal adolescence usually always under the armpit and any pediatric less than a year old always gets a red thermometer right in the bottom okay so if you're ever in nursing school, and you're going to put a red thermometer in someone's mouth don't do it I've seen it done before and all those written monitors have been in someone's, so it's kind of gross but okay your normal temperature your normal temperature should be 98.7 now that's normal that's what the book says that's normal okay now that's just really the average now that doesn't mean that it's normal for your patient okay, so the more recent books have been coming say normal 97.5 to about 99.1 and this is really just a range of normal really just depends on how fast your patients metabolic rate is going for their body type so are they really on a person that you know verge of a lot of calories or are they a person that doesn't know with your temperature guys things that influence your temperature one always infection increases your temperature so whether you have an infection in your toe infection in your lungs infection in your skin your cellulitis anywhere you have an infection usually if you just touch the site of the infection it will be born and once that infection really gets the blood stream your body will try to burn it up and that's when we get a fever okay one of the other things is septic guys information becomes septic in terms of blood-borne infection so your patient comes in with a urinary tract infection your patient comes in with a pneumonia okay your patient comes in with citing the lightest just a bad skin infection that's to say tearing up their own eye your vision comes up with gangrene and their fingers upon okay it's not really um not uncommon to see in a lot of diabetic patients so watch out but your patient comes in with an infection and say they're an elderly patient so their immune system is already down okay that infection has now hit the bloodstream and guys where does blood go goes all over the body right go to the heart blood goes...
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