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Module 6_NUR 101 Vital Signs

Vital Signs
When to Assess Vital Signs
Upon admission to any health care facility
Based on agency policy
Any time there is a change the patients condition
Anytime there is a loss of consciousness
Before or after any surgical or invasive diagnostic procedure
Before or after activity that may increase risk
Before administering medications that affect cardiovascular and respiratory function
Vital Signs include
Temperature (T)
Pulse (P)
Respiration (R)
Blood Pressure (B/P)
Oxygenation level (O2 Sat)
Body Temperature
The thermoregulatory center in the hypothalamus controls body temperature
Circadian Rhythms
Age & Gender
Environmental (ambient) Temperature
-hypothermia
-hyperthermia
Mechanisms of Heat Transfer
Radiation
Convection
Evaporation
Conduction
A person with normal body temperature is referred to as being afebrile
Fever (pyrexia)
Onset sudden or gradual
Fever of Unknown Origin ( FUO)
Febrile
Signs & Symptoms of Fever (febrile)
Dry skin
Loss of appetite
Flushed face

Thirst
General malaise
Headache
Types of Fever
Intermittent
Remittent
Constant
Relapsing
Crisis
Lysis
How do we treat FEVER?
Assessing Temperature
Equipment
Sites
Pulse
A throbbing sensation that can be palpated or auscultated.
Regulated by the autonomic nervous system through the cardiac sinoatrial (SA) node
(pacemaker).
Pulse Rate
The number of pulsations felt over a peripheral artery or heard over the apex of the heart in 1
minute.
Normal pulse rate = 60-100 beats per minute

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