TPJ3M VITAL SIGNS. Vital Signs These signs may be observed, measured, and monitored to assess an...
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Transcript of TPJ3M VITAL SIGNS. Vital Signs These signs may be observed, measured, and monitored to assess an...
TPJ3M
VITAL SIGNS
Vital SignsThese signs may be observed, measured, and monitored to assess an individual's level of physical functioning.
Taking Vitals:Procedure
1. Welcome patient and introduce yourself
2. Ask patient to assume a sitting position
3. Prior to measuring vitals, the patient should
have had the opportunity to sit and relax for
approximately 5 minutes
Taking Vitals:Procedure
4. Take a minute or so to look at the patient in their entirety
5. Observe
**REMEMBER! The exam begins the minute
you lay eyes on the patient
- Does the patient seem anxious?- In pain?- Upset?
VITAL #1
HEART RATE (HR)Wavelike sensations felt by
fingertips as blood passes through a peripheral artery (away from the heart) each time the heart contracts
11 sites to palpate (touch with fingers to feel for pulse) or osculate (using stethoscope to listen)
These sites are also called “pressure points” because you can provide pressure in these areas to stop bleeding
VITAL #1
HEART RATE (HR)Units:
HR is measured in beatsper minute (BPM)
Normal HR Ranges:Infant = 110 - 180
BPM Child = 70 - 110 BPMAdult = 60 - 100 BPM
VITAL #1
HEART RATE (HR)Documenting HR:
(A) Site: Radial(B) Rate: 72 BPM
(C) Rhythm: Regular or Irregular(D) Depth: Normal,
Strong, weak, bounding, thready
Text
1. Temporal Artery
2. Carotid Artery
3. Apical Artery
4. Brachial Artery
5. Radial Artery
6. Femoral Artery
7. Popliteal Artery
8. Dorsalis Pedis Artery
VITAL #2
RESPIRATIONS-BREATHING RATE!
-The number of breaths a person takes in one minute
-1 Respiration = 1 inhalation, 1 exhalation
VITAL #2
RESPIRATIONSUnits:Respirations are measured
inrespirations per minute
(RPM)Normal RPM Ranges:
Infant: Up to 40 RPMChild: 20 - 25 RPM
Adult: 12 - 20 RPM
VITAL #2
RESPIRATIONSDocumenting RR :
(A) Rate: RPM
(B) Rhythm: Regular or Irregular
(C) Depth: Quiet or Laboured
VITAL #3
BLOOD PRESSURE
Pressure of blood inside your blood vessels
SystoleWhen the heart contracts
DiastoleWhen the heart relaxes
Driving force is the contraction
Relaxation force created by your heart “pump
VITAL #3
BLOOD PRESSUREToolsSphygmomanometer (BP
Cuff - Different sizes and
stethoscope
VITAL #3
BLOOD PRESSURE120
80
Systolic Pressure:Pressure in the arteries when
the heart contracts
Diastolic Pressure:Pressure in the arteries when the
heart relaxes
mmHg
VITAL #3
BLOOD PRESSURE
Units:mmHg
Normal BP Ranges: Baby/infant= 90/55
mmHg Child = 110/58 mmHgTeenager/Adult = 120/80 mmHg
Important to note!• Hypertension – high blood pressure
140/90 mmHg +. High risk for blood clots, stroke or heart attack, arteries lined with fat
• Hypotension – low blood pressure 90/60 mmHg and below. May stop blood flow through kidneys, may cause shock or hemorrhaging. ONLY a concern if it cause signs or symptoms such as dizziness, virtigo and syncope (fainting)
VITAL #4BODY TEMPERATURE4 Sites
1. Oral “O” (mouth)
2. Tympanic “T” (ear)3. Axillary “A”
(armpit)4. Rectal “R” (rectum)
VITAL #4BODY TEMPERATURE
Normal Range
36.5 - 37.5°CDocumentatio
nSite: O, T, R, ATemperature in degrees
Celcius
Important to Note!
Hypothermia – low body temperature below 35 degrees Celsius
Hyperthermia – high body temperature above 40 degrees Celsius (can lead to stroke, heart attach, death)
TIME TO PUT IT ALL
TOGETHER!!