U13 Vital Signs
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Transcript U13 Vital Signs
U10 Pt Procedures & Vital
Signs
Patient Procedures
ALWAYS
BEGIN
TESTS/PROCDURES
WITH THE
6 Rules of PATIENT
PROCEDURES
Patient Procedures
6 rules
Introduce
yourself
Patient Procedures
Introduce yourself
Identify
the pt.-Make sure you are
with the correct pt
Patient Procedures
Introduce yourself
Identify the pt.--Make sure you are with
the correct pt
Explain
the
procedure to the pt
Patient Procedures
Introduce yourself
Identify the pt.--Make sure you are with the correct pt
Explain the procedure to the pt
Explain
to the pt that if they
feel uncomfortable/pain at any
time, they are to tell you and
that you will stop the
procedure.
Patient Procedures
Introduce yourself
Make sure you are with the correct pt
Explain the procedure to the pt
Explain to the pt that if they feel
uncomfortable/pain at any time, they are to tell
you and that you will stop the procedure.
Ask
the pt if they
understand or if they
have any questions
Patient Procedures
Introduce yourself
Make sure you are with the correct pt
Explain the procedure to the pt
Explain to the pt that if they feel
uncomfortable/pain at any time, they are to tell
you and that you will stop the procedure
Ask the pt if they understand or if they have any
questions
Record
Results
Vital Signs
Tests/procedures that are
indicators of internal
homeostasis (homeostasis is
the maintaining of a
constant internal
environment—breathing,
heart rate, body
temperature, internal
functions).
Vital Signs
Represents the
general health of
the pt at that point
in time
Important factors of Vital Signs
Understand
how to do the
procedure/test
Important factors of Vital Signs
Understand
how to do the
procedure/test
Know how to perform the
procedure or test with
confidence
Important factors of Vital Signs
Understand
how to do the
procedure/test
Know how to perform the
procedure or test with
confidence
Must be accurate
Important factors of Vital Signs
Understand
how to do the
procedure/test
Know how to perform the
procedure or test with
confidence
Must be accurate
Must be able to keep the pt
comfortable.
Factors that may influence VS
Physical
Walking,
running, illness,
stairs etc….
Factors that may influence VS
Physical
Emotional-afraid,
stress etc…..
bad day,
Factors that may influence VS
Physical
Emotional-afraid, bad day, stress etc…..
Equipment
Failures
To
big or small
Low batteries
Vital Signs
Temperature
Pulse/Heart
rate
Respiratory Rate
Blood pressure
Ht
Wt
Temperature
Physiology:
The body
maintains a constant
temperature, this helps to
maintain homeostasis (the
internal environment of the
body), this is controlled by the
brain.
Temperature
Physiology:
The body moves
blood to the core of the body
to increase the temperature of
the blood, which in turns
increases the body
temperature----fever.
Factors that influence
Temperature
Liquids
Factors that influence
Temperature
Liquids
Weather
Factors that influence
Temperature
Liquids
Weather
Exercise
Factors that influence
Temperature
Liquids
Weather
Exercise
Infections
Factors that influence
Temperature
Liquids
Weather
Exercise
Infections
Stress
Is a Fever a good thing?
Yes—the
increase in
temperature helps the
body destroy any
pathogens. Pathogens
are temperature
sensitive.
Is a Fever a good thing?
Yes—the increase in temperature helps
the body destroy any pathogens.
Pathogens are temperature sensitive.
Sometimes
not--- a prolonged
fever (having a fever for a long
period of time), can cause
brain injuries.
Temperature Sites
Oral--mouth
Temperature Sites
Oral—mouth
Rectal-
ummmmm
Temperature Sites
Oral—mouth
Rectal- ummmmm
Tympanic--ear
Temperature Sites
Oral—mouth
Rectal- ummmmm
Tympanic—ear
Axillary-
arm pit
Temperature Sites
Oral—mouth
Rectal- ummmmm
Tympanic—ear
Axillary-
arm pit
Temporal Scanforehead/behind the ear
Temperature Value/Readings
Normal-
98.6 degrees F
Temperature Value/Readings
Normal-
Rectal
98.6 degrees F
temperature: subtract 1
degree
Temperature Value/Readings
Normal-
98.6 degrees F
Rectal
temperature: subtract 1
degree
Axillary
degree
temperature- add 1
Types of thermometers
Glass
Types of thermometers
Glass
digital
Types of thermometers
Glass
Digital
Digital
Probe
Types of thermometers
Glass
Digital
Digital Probe
Tympanic
Types of thermometers
Glass
Digital
Digital Probe
Tympanic
Temporal Scan
Pulse/Heart Rate
The
number of times the
heart beats per minute.
Pulse/Heart Rate
The
number of times the
heart beats per minute.
Documented as ___B/M (
beats per minute)
Pulse/Heart Rate
Factors
the affect the HR.
Exercise
Pulse/Heart Rate
Factors
the affect the HR.
Exercise
Food
Pulse/Heart Rate
Factors
the affect the HR.
Exercise
Food
Illness
Pulse/Heart Rate
Factors
the affect the HR.
Exercise
Food
Illness
Stress
Pulse/Heart Rate
Factors
the affect the HR.
Exercise
Food
Illness
Stress
Medications—OTC, Rx,
illegal
3.
Carotid
4. Brachial
5. Radial
*****
7. Popliteal
Taking a pulse
Never use your thumb.
Your thumb has a small
pulse that can be felt.
Pulse is taken on the
thumb (radial) side
of the pts wrist.
Pulse Characteristics
Rate:
how fast the heart is
beating
Pulse Characteristics
Rate:
how fast the heart is
beating
Average
Range
70 bpm
for Adults 60-90 bpm
Range for children/infants 115-125
bpm
Range for Athletes 40-60 bpm
Pulse Characteristics
Rhythm
– time between
the beats.
Pulse Characteristics
Volume-
pulse.
the force of the
Pulse Characteristics
Elasticity-
the feel of the
vessel through the skin.
Respiration ( breaths)/RR
Documented
as the # of
breaths per minute
Respiration / RR
Documented
as the # of
breaths per minute
It is automatically assumed
that the recorded # is the
number of breaths per minute.
Respiration / RR
Documented
as the # of
breaths per minute
It is automatically assumed
that the recorded # is the
number of breaths per minute.
INHALE + EXHALE = 1 breath
Respiration
Rate:
12-20 breaths per
minute
Respiration ( breaths)
Rate:
12-20 breaths per
minute
Children
and infants have a
higher rate
Athletes have a slower rate.
Respiration
Rhythm-
the time
between each breath.
Respiration
Depth-
how deep the breath
is—deep, shallow, or normal
Respiration
Counting-
watch the shoulders
rise and fall
Respiration
Counting-
watch the shoulders
rise and fall
DO NOT tell the pt your are
counting their breathing
Respiration
Counting-
watch the shoulders
rise and fall
DO NOT tell the pt you are
counting their breathing
Pt modesty—do not stare at
the pts chest.
Blood Pressure
The
amount of pressure
in the arteries when the
heart contracts and
relaxes.
Blood Pressure
The
amount of pressure
in the arteries when the
heart contracts and
relaxes.
The pressure is
measured in mm hg=
millimeters of mercury
Blood Pressure
Blood
pressure
measurement.
Blood Pressure
Blood
pressure measurement.
110/70
mm hg
Blood Pressure
Blood
pressure measurement.
110/70 mm hg
110
(the first/top
number) Systolic-the
pressure in the artery
when the heart
contracts.
Blood Pressure
Blood pressure measurement.
110/70 mm hg
110 (the first/top number) Systolic-the
pressure in the artery when the heart contracts.
70
(the second/bottom
number) Diastolic- the
pressure in the artery when
the heart is relaxed
Factors that affect Blood Pressure
Food,
fat, salt
Factors that affect Blood Pressure
Food, fat, salt
Family
Factors that affect Blood Pressure
Food, fat, salt
Family
White
coat syndrome-fear of
doctors
Factors that affect Blood Pressure
Food, fat, salt
Family
White coat syndrome-fear of doctors
Exercise
Factors that affect Blood Pressure
Food, fat, salt
Family
White coat syndrome-fear of doctors
Exercise
Stress
Factors that affect Blood Pressure
Food, fat, salt
Family
White coat syndrome-fear of doctors
Exercise
Stress
Smoking
Blood Pressure Measurements
Normal
Values 110/70---
128/90
High blood pressure=130/90
or higher
High blood pressure
increases the risk of stroke,
kidney damage, and heart
attacks.
Blood Pressure Equipment
Stethoscope
Ear
Piece
Blood Pressure Equipment
Blood pressure cuff
Height and Weight
Measuring the ht and wt of pt
can help determine the
condition of the pts body.
Height and Weight
Measuring the ht and wt of pt
can help determine the
condition of the pts body.
Help measure long term
fluctuations with in the body.
Height and Weight
Examples:
Height and Weight
Examples:
Sudden
wt loss may indicate
cancer, diabetes, or other
metabolic conditions
Height and Weight
Examples:
Sudden
wt loss may indicate
cancer, diabetes, or other
metabolic conditions
Quick weight gain can also indicate
the onset of medical conditions
such as cancer.
Height and Weight
Examples:
Sudden
wt loss may indicate
cancer, diabetes, or other
metabolic conditions
Quick weight gain can also indicate
the onset of medical conditions
A decrease in ht can be a sign of
conditions such as osteoporosis
Height and Weight
Ht
and wt are measured
using a certified scale, you
should not guess, but at
times the pt may refuse to
get on the scale, just
document the pts refusal.