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Taking a Temperature: Teaching Thermometer Options

Body temperature is an important vital sign, and helps healthcare professionals quickly determine a patient’s medical situation. In pediatric care, a normal or subnormal temperature reveals a normal condition, a simple fever, or a severe infection.

Measuring body temperature is a crucial diagnostic skill for healthcare professionals, such as nurses and medical assistants. Thermometer options to measure a patient’s temperature include oral, temporal, tympanic, and rectal thermometers.

Taking a temperature seems like a simple, straightforward task for most healthcare professionals; however, deciding which type of thermometer device to use for children can become a complicated decision between the parent and health professional.

Types of Thermometers

Oral Thermometry

Oral thermometers measure the temperature associated with the lingual arteries, or the arteries in the tongue. For an accurate reading of body temperature by oral thermometer, the mouth must remain sealed, with the tongue depressed for three to four minutes. This task may be difficult for young children, but the skill increases with age.

Oral thermometers can be either analog or digital. An analog glass-standard thermometer uses mercury or a non-mercury liquid to measure temperature. Digital thermometers use electronic heat sensors to record body temperature. They are usually considered safer than mercury-based thermometers, and can report a temperature quicker.

Pros:

  • Easily accessible
  • Less likely to be affected by environmental temperature

Con:

  • Cannot be used with young children, or unconscious or uncooperative patients

Temporal Thermometry

Temporal thermometers use an infrared scanner placed in front of the forehead to measure the temperature of the temporal artery.

Pros:

  • Records temperature quickly
  • Relatively safe
  • Easily tolerated

Con:

  • More expensive

Tympanic Thermometry

Tympanic thermometers measure the thermal radiation emitted from the tympanic membrane (eardrum) and the ear canal. They are also referred to as infrared radiation emission detectors (IREDs). The blood supply of the tympanic membrane is similar to the temperature and location of the regulatory center (hypothalamus) of the body.

Pros:

  • Records temperature quickly
  • Generally comfortable for children
  • Easily accessible

Cons:

  • Earwax or a small, curved ear canal could interfere with accuracy
  • Difficult to use in children less than 2 years of age because of narrow ear canal

Rectal Thermometry

Although rectal thermometry gets recognition as being the gold standard for temperature measurement in clinical practice, studies are finding limitations with this method.

Pros:

  • Not affected by environmental temperature
  • Supposed to be the closest to core temperature

Cons:

  • Most parents are uncomfortable with this method
  • Majority of children resent this method
  • Measurements are affected by the presence of stool in the rectum
  • Temperatures are slow to change in relation to changing core temperature
  • Temperatures stay elevated well after the patient’s core temperature has begun to fall

Comparison of Temperatures (F°) by Thermometer Method

Temporal Oral Rectal and Tympanic
 98.4 – 99.3   99.5 – 99.9  100.4 – 101
 99.4 – 101.1  100 – 101.5  101.1 – 102.4
 101.2 – 102  101.6 – 102.4  102.5 – 103.5
 102.1 – 103.1  102.5 – 103.5  103.6 – 104.6
 103.2 – 104  103.6 – 104.6  104.7 – 105.6

 

At Pocket Nurse, we take pride in providing our customers with the highest quality products, including thermometers, from the top manufacturers to ensure the most accurate and realistic experience is being practiced by the student.

Bailey Salvati is the Sales Intern at Pocket Nurse. She is a student at University of Pittsburgh, majoring in Communications, and she will be a senior in the fall of 2018.

Sources:

US National Library of Medicine National Institutes of Health, Temperature Measurement in Paediatrics

Kaiser Permanente, Fever Temperatures: Accuracy and Comparison

Mayo Clinic, Thermometers: Understand the Options

US National Library of Medicine National Institutes of Health, Thermometry in Children

 

 

 

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