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74 Cards in this Set

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*What is a normal temperature for a cow?
100.4-102.5
*What is the normal temperature for a horse?
99.5-100.8
*What is the normal temperature of sheep?
102.2-104
What is the normal temperature of a pig?
100.4-104
What is the normal temperature of a dog? Cat?
100-102.5= dog and cat
Core temperature varies with what 5 factors?
1) Age
2) Ambient temperature
-old, young, sick or drugged animals
3) Exertion
-increases in temperature are related to intensity
4) Feeding
5) Reproductive cycle
Feeding is an important source of heat in what animal?
Ruminants
-can feed more roughage to increase heat production
What are 3 things that can give false readings on a rectal thermometer?
1) Decreased anal tone
2) Air in rectum
3) Insertion of thermometer into feces
Control of core temperature is a balance of _____ and ______.
Heat produced and lost by body
What are 6 things that cause body heat production?
1) Basal metabolic activity
2) Muscle activity
-increased movement or shivering
3) Thyroxine
4) Sympathetic stimulation
5) fat metabolism
6) digestion
What are 2 ways animals conserve body heat?
1) Autonomic stimulation
-reduces peripheral circulation & heat loss through skin
-piloerection for insulation
2) Behavioral changes
-huddling, grouping and seeking shelter from the elements
**What are the 4 modes of heat loss?
1) Conduction
2) Convection
3) Radiation
4) Evaporation
What is conduction? Convection?
Conduction: transfer of heat to another object
Convection: transfer of heat to water or air
What is radiation?
Heat lost from surface by infrared radiation
What is the dominant source of heat loss when the ambient temperature rises?
Evaporation
What are 2 routes of evaporation? What animals perform each?
1) Respiratory tract (panting)
-dogs, ruminants
2) Skin (sweating): horses and humans
What are 2 minor modes of heat loss?
1) Cutaneous vasodilation
2) Behavioral changes
-seeking shade or water sources
-decreased activity
Explain how body temperature is controlled by the negative feedback system in the anterior hypothalamus.
-peripheral temperature sensitive neurons relay info to pre-optic area
-acts as a thermostat: 'set point' at which it will maintain core temperature
~transition of core temperature below or above set point will alter behavioral and homeostatic response to lose or acquire heat
What 4 things happen when there's activation of warmth sensitive neurons in the skin and mucous membranes?
1) Increased RR
2) Vasodilation
3) Sweating
4) Attempts to find a cooler environment
What are the 4 responses to activation of cold sensitive neurons?
1) Vasoconstriction
2) Piloerection
3) Increased muscular activity
4) Postural and behavioral changes to conserve heat
What is the central thermosensitivity of the body?
Hypothalamus also responds to changes in blood temperature
What animals are very susceptible to hypothermia?
Neonates, cachexic or geriatric animals in cold environments very susceptible
What causes hypothermia?
-inability to generate or maintain body heat
-metabolic causes
What can be a complicating factor to treating hypothermia in neonates?
Sepsis
-immune defenses compromised by hypothermia
What are 5 clinical signs of hypothermia?
1) Low rectal temperature
2) Depressed ventilation
3) Absence of shivering
-bad sign, means really cold
4) Decreased reflexes
5) Decreased cardiac function & increased intravascular volume
Core temperatures < ____ F impair temperature regulation.
< 94 degrees F
-rate of cellular heat production halves for each 10 degrees F decrease in body temp
How do animals that hibernate decrease their body temperature without any ill effects?
Slowed metabolic and physiologic processes
-decreased RR/HR, loss of consciousness
What are 4 causes of hyperthermia?
1) Increased heat production
2) Absorption of environmental heat
3) Impaired heat loss
4) Drugs & toxins
Explain the increase in body temperature with exercise.
-Elevates core temp when production exceeds heat loss
-proportional to exercise intensity
-increases core temp for several hours
-temp increases>4F occur in severe ambient temperatures or w/ failure of heat loss mechanisms
What is the best way to improve thermoregulation capabilities?
Training is the major stimulus
What are 4 ways that training allows for improved thermoregulation?
1) Decreased heat production and storage
2) More rapid sweating
3) Improved cardiovascular stability in the heat
4) Lower sweat [Na+]
How does age affect thermoregulation?
Older mares reach high core temperature in half the time of younger mares
What is malignant hyperthermia?
hereditary defect of the ryanodine receptors
-horses, humans, pigs, dogs
What triggers malignant hyperthermia?
Exposure to halogenated anesthetics or muscle relaxants
What is the physiology behind malignant hyperthermia?
-excessive Ca2+ release within the muscle cell
-uncontrolled contraction and metabolism
-Marked increase in heat production and temp
What animals are at risk of heat stroke?
Dogs and ruminants
-horses undergoing prolonged exercise in hot and humid conditions
What is the physiology behind heat stroke?
High ambient temperatures and/or humidity--> heat accumulation > heat loss
How does tissue death result from heat stroke?
Cellular O2 consumption increases 10% for every degree celsius increase in body temperature
->105.8F oxygen use exceeds supply and tissue death occurs
What happens when temperatures reach > 107 degrees fahrenheit? What are the 3 sequelae?
Control measures fail
-peripheral vasoconstriction
-decreased blood pressure
-decreased cardiac output
What are 5 conditions that can result secondary to heat stroke?
1) lethargy & shock
2) DIC
3) Liver and kidney damage
4) Myocardial damage
5) Rhabdomyolysis *
What is anhidrosis?
Loss of the ability to sweat
-can be an immune mediated condition that attacks sweat glands
What animals are affected by anhidrosis?
Horses moved from temperate to hot and humid environments
What are 3 signs of anhidrosis in horses?
Decreased performance
Thin, patchy hair coat
Increased respiratory rate
How do you diagnose anhidrosis?
Injection of epinephrine or terbutaline and observe the size of the sweat patch
Damage to the temperature regulating regions of the _______ can alter body temperature.
Hypothalamus
-usually results in increase
What are 4 causes of nervous system disease that results in damage to the temperature regulation region of the hypothalamus?
1) Brain hemorrhage or space occupying masses
2) Infectious or inflammatory disease
3) Degenerative disease
4) Brain surgery in the region of the hypothalamus
A central loss of temperature control is characterized by what 4 things?
1) Lack of diurnal variation
2) Absence of sweating
3) Resistance to anti-pyretic drugs
4) Excessive response to external cooling
What is a fever?
Hypothalamic set point for core body temperature is raised and defended by the same mechanisms that maintain core temperature in healthy animal
-shivering, vasoconstriction
Fever is caused by exogenous pyrogens that attach to membrane receptors and cause blood and tissue monocytes to release _______ (+ other cytokines)
IL-1**
What does IL-1 do in terms of fever?
Elevates the hypothalamic set point --> stimulates heat conservation and production
How do NSAIDs decrease fever?
IL-1 likely acts in part by producing prostaglandins so it inhibits fever, but doesn't affect a normal animal
What 3 molecules are pyrogens?
1) Proteins
2) Breakdown products of proteis
3) LPS from bacterial cell membranes
How is a fever triggered on the microscopic level?
Pyrogens (protein, LPS, etc) are phagocytosed by WBCs which release IL-1
-IL-1 increases body temp w/ in 8-10 minutes
What are 7 benefits of fever?
1) Increased survival
2) Enhanced host defenses
-greater Ab production
3) Lymphocyte proliferation, phagocytes, interferon
4) Hypoferremia
-inhibits bacterial access to host iron stores
5) Inhibits growth of certain tumours
6) Inhibits growth of some microbes
7) Useful in monitoring disease, treatment response
What are 4 disadvantages of fever?
1) Increase in temp above 5 degrees F may reverse any beneficial effects
2) Protein loss
3) Reduced ability to oxidize fat w/ preferential use of m. proteins
-anorexia & increased metabolic rate--> weakness & wasting
4) Extreme fevers can cause CV and neurologic damage
What is the critical body temperature for a cat, dog, horse and cow?
Cat & dog: 106 F
Horse> 105 F
Cow > 107 F
What are 5 causes of fever?
1) Infectious disease
2) Neoplasia
3) Noninfectious inflammation
-tissue trauma
4) Immune mediated disease
5) Administration of blood components
6) Drug fever
7) Toxins
8) metabolic causes
9) Liver disease
What are 2 ways that neoplasia can cause fever?
-related to secondary infection
-paraneoplastic syndrome: unexplained fever that coincides w/ tumor growth or elimination
Fever of unknown origin caused by cancer in up to 40% of people
What are 2 immune mediated diseases that cause fever?
Purpura
Systemic lupus erythmatosus
What is the most common complication of administration of blood components?
Fever
-infectious, immunologic and hemolytic causes
-may be first sign of severe reaction
What are 3 causes of "drug fever"?
1) Immune mediated
-lymphocytes produce substances that reset hypothalamic thermostat
2) Bacterial pyrogens (poorly prepared injections)
3) Excessive dosing of certain drugs
What is a drug fever?
it will be a sustained high temperature e.g. horse may look fine with temp of 103
-not in line w/ clinical appearance
How does excessive dosing of certain drugs cause a drug fever?
Uncouple oxidative phosphorylation and energy is dissipated as heat rather than tripped in PO4 bonds
Does liver disease cause a sustained fever?
NO, intermittent pyrexia
What are 2 ways that liver disease causes fever?
1) Infectious disease w/ release of toxins or host response to infection
2) Severe hepatic disease or PSS decreases Kuppfer cell function (foreign substances enter blood and cause endogenous pyrogen production)
What are 3 components of treating fever?
1) NSAIDs
-block endogenous pyrogens
-inhibit prostaglandin production
2) Other antipyretics
3) Artificial cooling
-
When is artificial cooling a very important component of fever treatment? What are 3 components of performing artificial cooling?
Important w/ heat stroke or very high fevers
-wet animal, apply ice to head
-alcohol baths and fans
-cold water per rectum
What is a fever of unknown origin?
Febrile episodes of > 3 weeks w/ no diagnosis after a week of routine diagnostics
How do you diagnose a fever of unknown origin?
-chart fever
-examine history
-thorough physical exam
-appropriate diagnostic tests
What are some patterns of intermittent fever?
Diurnal
peaking late afternoon
-pyrogenic infections, occassionally neoplasia
What is a remittent fever?
Cyclical periods of days of fever
-specific infectious diseases
-brucellosis, EIA
What are 2 causes of sustained fever?
Drugs and toxins
-animals otherwise bright and alert and eating
When you have a fever of unknown origin what should you look for on the blood work?
1) Infection /inflammation or blood borne parasites
2) WBC, fibrinogen, globulin
3) Body cavity examination
-centesis, ultrasound, rads
Explain how to collect blood for a blood culture?
Discontinue antibiotics 48-72 hours prior
-3-5 samples at least 45 minutes apart
-Place directly into culture media
-samples just before and during fever