Chapter 12 notes .docx - Chapter 12 Vital signs include temperature pulse respirations and blood pressure Physical assessment = Vital signs Critical

Chapter 12 notes .docx - Chapter 12 Vital signs include...

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Chapter 12: Vital signs include temperature, pulse, respirations, and blood pressure. - Physical assessment = Vital signs ( Critical Data ) Physiologic measurements = problem solving 5 th vital sign = Pain level or comfort level Cultural assessments should be indicated in the overall assessment for all patients. - Many cultures believe that certain natural or herbal products protect ones health or treat certain health conditions. - Provide privacy when measuring vital signs - Procedures that may be considered routine in some cultures can produce anxiety because of cultural variables regarding touch, privacy and gender of the health care worker. - If the patient speaks a different language than the nurse, take extra steps to ensure that the patient understands the vital sign measurement procedure and findings. - Use an interpreter if needed and demonstrate the procedure to promote pt understanding. Vital sign readings are interrelated. 1 degree F has potential to cause an increase in pulse rate of 4 beats per minuet. - Respiratory rate and blood pressure readings like wire increase with a rise in temperature; however when blood pressure falls because of hemorrhage, the pulse and respiration rates increase and the temperature usually decreases - Age related vital signs - Graphic flow sheets for charting vital signs - Rectal temp = circled R - Axillary temperature = small circled AX - Systolic first / over / Diastolic benieth - All abnormal findings must be reported immediately Body temp 97-99.6 = normal range Variances for vital signs: environment, time of day, state of health and activity levels, menstrual cycle Normal body temperatures according to measurement sites: - Oral 98.6 - Rectal 99.6 - Axillary 97.6 - Tympanic/temporal 98.6
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  • Spring '16
  • lemons
  • pulse,  Dysrhythmia

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