Today’s Lecture    Vital Signs Overview/Context    Temperature    Pulse    Blood Pressure     Respiratory Rate    Ox...
T ° <ul><li>Body Temp </li></ul><ul><ul><li>hypothalamus -> thermoregulation </li></ul></ul><ul><li>Core Temp </li></ul><u...
T °  Sites <ul><li>Core </li></ul><ul><li>Rectum </li></ul><ul><li>Tympanic Membrane </li></ul><ul><li>Oesophagus </li></u...
Equipment <ul><li>Glass/plastic/tympanic thermometer </li></ul><ul><li>Alcohol swab if required </li></ul><ul><li>Time req...
T °  Process Tollefson 2007 pp226-228
T °  Process <ul><li>   Explanation  </li></ul><ul><li>   Equipment & Environment </li></ul><ul><li>   Standard Precaut...
T °  Process http://latnet.biz/wp-content/uploads/2008/11/mercury_thermometer.jpg http://www.michigan.gov/images/mdch/Ther...
 
Effects on   T °   <ul><ul><li>Developmental state </li></ul></ul><ul><ul><li>Circadian rhythms </li></ul></ul><ul><ul><li...
<ul><ul><li>Circulatory impairment </li></ul></ul><ul><ul><li>Integumentary impairment </li></ul></ul><ul><ul><li>Infectio...
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....
Figure 31-1 Crisp & Taylor 2009
Abnormal   T °   <ul><li>Febrile </li></ul><ul><li>Pyrexia  </li></ul><ul><li>Hyperpyrexia </li></ul><ul><li>Hypothermia <...
To  ↓  T °   <ul><li>↓   Environmental T °   </li></ul><ul><li>Electric Fan </li></ul><ul><li>Ice Chips/Cool Drinks </li><...
Today’s Lecture    Vital Signs Overview/Context    Temperature    Pulse    Blood Pressure     Respiratory Rate    Ox...
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Ns1211 2009 Week 4 Part 2

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  • Ns1211 2009 Week 4 Part 2

    1. 1. Today’s Lecture  Vital Signs Overview/Context  Temperature  Pulse  Blood Pressure  Respiratory Rate  Oxygen Saturation  Pain  Assignment
    2. 2. T ° <ul><li>Body Temp </li></ul><ul><ul><li>hypothalamus -> thermoregulation </li></ul></ul><ul><li>Core Temp </li></ul><ul><ul><li>temp of the deep tissues of the body </li></ul></ul><ul><li>Surface Temp </li></ul><ul><ul><li>temp of the surface of the body </li></ul></ul>
    3. 3. T ° Sites <ul><li>Core </li></ul><ul><li>Rectum </li></ul><ul><li>Tympanic Membrane </li></ul><ul><li>Oesophagus </li></ul><ul><li>Pulmonary artery </li></ul><ul><li>Urinary bladder </li></ul><ul><li>Surface </li></ul><ul><li>Skin </li></ul><ul><li>Axillae </li></ul><ul><li>Oral </li></ul>
    4. 4. Equipment <ul><li>Glass/plastic/tympanic thermometer </li></ul><ul><li>Alcohol swab if required </li></ul><ul><li>Time required varies </li></ul><ul><li>Pen, vital sign record sheet </li></ul>
    5. 5. T ° Process Tollefson 2007 pp226-228
    6. 6. T ° Process <ul><li> Explanation </li></ul><ul><li> Equipment & Environment </li></ul><ul><li> Standard Precautions </li></ul><ul><li> Previous Activity? </li></ul><ul><li> Site </li></ul><ul><li> Equipment </li></ul><ul><li> Document </li></ul><ul><li> Compare </li></ul>
    7. 7. 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
    8. 9. Effects on T ° <ul><ul><li>Developmental state </li></ul></ul><ul><ul><li>Circadian rhythms </li></ul></ul><ul><ul><li>Hormones </li></ul></ul><ul><ul><li>Stress </li></ul></ul><ul><ul><li>Environment </li></ul></ul><ul><ul><li>Nervous System Impairment </li></ul></ul><ul><ul><li>Medications/Illicit Substances </li></ul></ul><ul><ul><li>Genetic </li></ul></ul>
    9. 10. <ul><ul><li>Circulatory impairment </li></ul></ul><ul><ul><li>Integumentary impairment </li></ul></ul><ul><ul><li>Infection </li></ul></ul><ul><ul><li>Exercise </li></ul></ul><ul><ul><li>Altered cognitive states </li></ul></ul><ul><ul><li>Altered nutrition </li></ul></ul><ul><ul><li>Smoking </li></ul></ul><ul><ul><li>Drinking hot or cold food/fluid </li></ul></ul>Effects on T°
    10. 11. 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:
    11. 12. Figure 31-1 Crisp & Taylor 2009
    12. 13. Abnormal T ° <ul><li>Febrile </li></ul><ul><li>Pyrexia </li></ul><ul><li>Hyperpyrexia </li></ul><ul><li>Hypothermia </li></ul>
    13. 14. To ↓ T ° <ul><li>↓ Environmental T ° </li></ul><ul><li>Electric Fan </li></ul><ul><li>Ice Chips/Cool Drinks </li></ul><ul><li>Tepid Shower/Sponge </li></ul><ul><li>Cotton Clothing/Linen </li></ul><ul><li>Antipyretic Medication </li></ul>
    14. 15. Today’s Lecture  Vital Signs Overview/Context  Temperature  Pulse  Blood Pressure  Respiratory Rate  Oxygen Saturation  Pain  Assignment
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