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Ns1211 2009 Week 4 Part 2
 

Ns1211 2009 Week 4 Part 2

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Ns1211 2009 Week 4 Part 2 Ns1211 2009 Week 4 Part 2 Presentation Transcript

  • Today’s Lecture  Vital Signs Overview/Context  Temperature  Pulse  Blood Pressure  Respiratory Rate  Oxygen Saturation  Pain  Assignment
  • T °
    • Body Temp
      • hypothalamus -> thermoregulation
    • Core Temp
      • temp of the deep tissues of the body
    • Surface Temp
      • temp of the surface of the body
  • T ° Sites
    • Core
    • Rectum
    • Tympanic Membrane
    • Oesophagus
    • Pulmonary artery
    • Urinary bladder
    • Surface
    • Skin
    • Axillae
    • Oral
  • Equipment
    • Glass/plastic/tympanic thermometer
    • Alcohol swab if required
    • Time required varies
    • Pen, vital sign record sheet
  • T ° Process Tollefson 2007 pp226-228
  • T ° Process
    •  Explanation
    •  Equipment & Environment
    •  Standard Precautions
    •  Previous Activity?
    •  Site
    •  Equipment
    •  Document
    •  Compare
  • T ° Process http://latnet.biz/wp-content/uploads/2008/11/mercury_thermometer.jpg http://www.michigan.gov/images/mdch/Thermometer_broken_Final_217161_7.jpg
  •  
  • Effects on T °
      • Developmental state
      • Circadian rhythms
      • Hormones
      • Stress
      • Environment
      • Nervous System Impairment
      • Medications/Illicit Substances
      • Genetic
      • Circulatory impairment
      • Integumentary impairment
      • Infection
      • Exercise
      • Altered cognitive states
      • Altered nutrition
      • Smoking
      • Drinking hot or cold food/fluid
    Effects on T°
  • Normal Ranges Adapted from Wotton (2009) 35.5 – 36.5°C Older adult : Oral 36 – 37.2°C 36 - 37.5°C 36 - 37.5°C 35.5 - 36.5°C Adult: Oral Tympanic Rectal Axilla 35.5°-37.5°C Newborn:
  • Figure 31-1 Crisp & Taylor 2009
  • Abnormal T °
    • Febrile
    • Pyrexia
    • Hyperpyrexia
    • Hypothermia
  • To ↓ T °
    • ↓ Environmental T °
    • Electric Fan
    • Ice Chips/Cool Drinks
    • Tepid Shower/Sponge
    • Cotton Clothing/Linen
    • Antipyretic Medication
  • Today’s Lecture  Vital Signs Overview/Context  Temperature  Pulse  Blood Pressure  Respiratory Rate  Oxygen Saturation  Pain  Assignment