Ns1211 2009 Week 4 Part 3
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  • 1. Today’s Lecture  Vital Signs Overview/Context  Temperature  Pulse  Blood Pressure  Respiratory Rate  Oxygen Saturation  Pain  Assignment
  • 2. Pulse (P):
    • Perceptible throbbing sensation: wave of blood in artery created by left ventricle of the heart.
    • Palpated over peripheral arteries or carotid artery.
    • Can also be auscultated over the apex of the heart with a stethoscope.
    • Indicates circulatory status
  • 3. Normal Range
      • Newborn < 1 month
        • 120-160 beats/min
      • Toddler
        • 90-140 beats/min
      • Preschool
        • 80-110 beats/min
      • Primary school child
        • 75-140 beats/min
      • Adolescent
        • 60-90 beats/min
      • Adult
        • 60-100 beats/min
  • 4. Effects on P
    • Age
    • Exercise
    • Temperature
    • Emotions
    • Medications
    • Haemorrhage
    • Postural changes
    • Pulmonary conditions
  • 5. Figure 31-8 Crisp & Taylor 2009
  • 6.  
  • 7. P Characteristics
    • Rate
    • Equality
    • Never assess carotid simultaneously
  • 8. P Strength
    • Absent
    • Thready or Weak
    • Normal
    • Bounding or Full
  • 9. P Process Tollefson 2007 pp226-229
  • 10. P Process
    •  Explanation
    •  Equipment & Environment
    •  Standard Precautions
    •  Previous Activity?
    •  Site
    •  30 seconds or 60 seconds?
    •  Document
    •  Compare
  • 11. Abnormal P
    • Tachycardia
    • Bradycardia
    • Absent. Thready. Weak. Bounding.
    • Irregular (arrythmias)
  • 12. Today’s Lecture  Vital Signs Overview/Context  Temperature  Pulse  Blood Pressure  Respiratory Rate  Oxygen Saturation  Pain  Assignment