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Evaluation of Temporal Artery Thermometry in Children 3–36 Months Old
Authors:Janet K. Holzhauer  PCNS-BC    Vicky Reith  MS  CNS-BC  CEN    Kathleen J. Sawin  DNS  CPNP-PC  FAAN     Kenneth Yen  MD  MS
Affiliation:Children's Hospital of Wisconsin;
University of Wisconsin-Milwaukee;
Medical College of Wisconsin, Milwaukee
Abstract:PURPOSE.  This study aims to determine whether temporal artery (TA) thermometer readings are accurate and better tolerated than rectal readings in young children.
DESIGN AND METHODS.  Paired rectal and TA temperature readings and Face Legs Activity Cry and Consolability (FLACC) scores were obtained.
RESULTS.  TA thermometry failed to detect rectal fever (38°C or greater) in approximately 20% of paired temperature readings. FLACC scores were significantly lower after TA readings than after rectal readings.
PRACTICE IMPLICATIONS.  This study questions TA readings as an accurate substitute for rectal thermometry.
Keywords:FLACC Scale    nursing assessment    nursing care    pediatric    rectal temperature    temporal artery temperature
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