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    Nursing Education and Research Center

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    Ness Gammad
    This document provides information on assessing and measuring body temperature, pulse, respiratory rate, and blood pressure in patients. It includes the normal ranges for various age groups. For temperature, it lists the maximum limits, appropriate measurement sites and methods, and any adjustments needed when using different sites. For pulse, it identifies common sites for assessment and the appropriate technique for different sites. For respiratory rate, it provides the normal ranges by age. For blood pressure, it outlines the general procedure and factors to consider when obtaining a reading.

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    Nursing Education and Research Center

    Uploaded by

    Ness Gammad
    12 views16 pages
    This document provides information on assessing and measuring body temperature, pulse, respiratory rate, and blood pressure in patients. It includes the normal ranges for various age groups. For temperature, it lists the maximum limits, appropriate measurement sites and methods, and any adjustments needed when using different sites. For pulse, it identifies common sites for assessment and the appropriate technique for different sites. For respiratory rate, it provides the normal ranges by age. For blood pressure, it outlines the general procedure and factors to consider when obtaining a reading.

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    Vital Signs

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    This document provides information on assessing and measuring body temperature, pulse, respiratory rate, and blood pressure in patients. It includes the normal ranges for various age groups. For temperature, it lists the maximum limits, appropriate measurement sites and methods, and any adjustments needed when using different sites. For pulse, it identifies common sites for assessment and the appropriate technique for different sites. For respiratory rate, it provides the normal ranges by age. For blood pressure, it outlines the general procedure and factors to consider when obtaining a reading.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PPTX, PDF, TXT or read online from Scribd
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    12 views16 pages

    Nursing Education and Research Center

    Uploaded by

    Ness Gammad
    This document provides information on assessing and measuring body temperature, pulse, respiratory rate, and blood pressure in patients. It includes the normal ranges for various age groups. For temperature, it lists the maximum limits, appropriate measurement sites and methods, and any adjustments needed when using different sites. For pulse, it identifies common sites for assessment and the appropriate technique for different sites. For respiratory rate, it provides the normal ranges by age. For blood pressure, it outlines the general procedure and factors to consider when obtaining a reading.

    Copyright:

    Attribution Non-Commercial (BY-NC)
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    of 16

    Nursing Education and Research Center

    FACTORS TO CONSIDER:
    Clinical signs of fever Clinical signs of hypothermia Factors that may alter core body temperature Site most appropriate for measurement
    METHOD Oral Rectal Axilla Tympanic MAXIMUM LIMIT 37 celcius = 98.6 fahrenheit 37.5 celcius = 99.5 fahrenheit 36.5 celcius = 97.7 fahrenheit 37.5 celcius = 99.5 fahrenheit DURATION 3 minutes 1 minute 5 minutes According to calibration

    ORAL probe

    RECTAL probe

    BASE

    Oral probe for AXILLA ADD 0.5celcius to the reading


    Rectal probe for AXILLA SUBSTRACT 0.5celcius to the reading

    Only one probe for all routes No need to adjust readings Can be Celcius or
    Fahrenheit
    Unit selection button

    Route selection button

    Adult : Pull ear pinna upward Child: Pull ear pinna downward and back

    Assess : Site most appropriate for pulse rate Factors that may alter pulse rate

    CAROTID PULSE

    RADIAL/BRACHIAL PULSE

    APICAL PULSE

    It is usually ausculated by locating the angle of Louis. Technique: One nurse & Two nurse

    Technique is through palpation and observation to obtain the respiratory rate , depth, rhythm and character.

    AGE

    NORMAL heart rate (bpm) 100-160 90-150 80-140

    NORMAL breath rate (cpm) 30-50 25-40 20-30

    NEWBORN 0-5 months 6-12 months

    1-3 years
    3-5 years 6-10 years 11-14 years 14+ years

    80-130
    80-120 70-110 60-105 60-100

    20-30
    20-30 15-30 12-20 12-20

    Assess the following: Signs and symptoms of hypertension Signs and symptoms of hypotension Factors affecting blood pressure

    GENERAL PROCEDURE: 1. Determine the preliminary systolic pressure by palpating the brachial artery then inflating the cuff until you no longer feel the impulse. 2. If patient performed any activity or drank caffeinated beverages, wait for 30min then take the reading. 3. The size of the cuff must be appropriate for the body mass of the patient. Secure the cuff, not too tight and not too loose. 4. If repetition of reading is needed, use the other arm for the next reading and let the other arm regain its circulation. 5. Use the popliteal artery if obtaining blood pressure on the thigh by positioning the patient on prone. 6. For pediatrics, brachial and posterior tibial artery is ideal and more. accessible
    .1

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