Post on 13-Dec-2015
Vital Signs
Reflect function of body process needed for life:
TemperaturePulseRespirationsBlood Pressure.
TPR and B/P
Amount of heat in the bodyLower in am Higher in pmEffected by:AgeWeatherExerciseEmotionsStress illness
Temperature
Sites:
OralNormal 97.6 – 99.6 º FLeave in place 2-3 minutesNo smoking, eating, drinking for 15 minutes
Temperature
Sites:Aural (tympanic)
Adult - Pull the ear up and back
Child – pull the ear down and back
Temperature
Normal 97.6 – 99.6 º F
Leave in place according to manufacturers instructions
Sites:RectalNormal 98.6 – 100.6 º F
Sims positionLubricate with KY JellyInsert 1 inchHold in place 2 minutes
Temperature
RED TIP
Sites:TemporalArtery in foreheadNormal 97.6 – 99.6 º F
Leave in place according to manufacturers instructions
Temperature
Using a Glass Thermometer
Rinse in cool waterCheck for breaks,
cracks, chipsShake downUse plastic coversStandard precautions
Pulse Sites1. Temporal
2 & 3. Carotid
4. Brachial
5. Radial
6. Femoral
7. Popliteal
8. Posterior tibial
9. Dorsalis pedis
Terms
Taqchycardia
Bradycardia
RateRhythmForce
Rate over 100 per minute
Rate below 60 per minute
Number ex 68Regular or irregularStrong, weak, thready
Using a Stethoscope
Instrument used to listen to sounds
Clean earpieces with antiseptic
Bend of tips point forward when placed in ears
Tap diaphragm gently
If no sound turn chest piece at tubing
Respirations
InhalationExhalation
Normal - 12 -20 per minute
Breath in Breath out
Count for 30 seconds X 2
Count when pt is at rest
and unaware that you are
counting
Blood Pressure
Amount of force against walls of artery when beats and when
relaxesSystolic - heart contraction
Diastolic – heart relaxation
120/60
B/P
Diaphragm – flat surface at end of stethoscope
Brachial – arm
Hypertension - ↑ B/P
Hypotension – ↓ B/P
Normal Adult Blood Pressure
100 - 140
60 - 90
Measuring B/P
Pt is sitting or lying downBare armCuff is snugAppropriate size cuffListen for: 1st sound - systolic last sound - diastolic
Factors effecting B/P
Age Stress
Gender female Pain
Exercise Weight
Race Drugs
Position Smoking
Alcohol
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Review
Amount of force exerted on walls of artery by blood is ?
A.pulse
B.respiration
C.temperature
D.Blood pressure