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Today’s Lecture    Vital Signs Overview/Context    Temperature    Pulse    Blood Pressure     Respiratory Rate    Ox...
Respiration <ul><li>Ventilation </li></ul><ul><li>↓ </li></ul><ul><li>Diffusion </li></ul><ul><li>↓ </li></ul><ul><li>Perf...
Normal Range <ul><li>Newborn 30-60 breaths/min </li></ul><ul><li>Infant (6 months) 30-50 breaths/min </li></ul><ul><li>Tod...
Influencing R esps Neurological injury Acid/base status Altitude Medications Fever Exercise Stress Smoking Anxiety Acute p...
Resp Characteristics <ul><li>Rate </li></ul><ul><li>Depth/Volume </li></ul><ul><li>Rhythm  </li></ul>
Resp Process Tollefson 2007 pp226-229
Resp Process <ul><li>   Covert </li></ul><ul><li>   Standard Precautions  </li></ul><ul><li>   Arm across abdo/lower ch...
R esp  Assessment <ul><li>Physical Appearance </li></ul><ul><li>Accessory Muscles </li></ul><ul><li>Position/Posture </li>...
Abnormal Resp <ul><li>Hypoventilation </li></ul><ul><li>Hyperventilation </li></ul><ul><li>Tachypnoea  </li></ul><ul><li>B...
Abnormal Resp <ul><li>Respiratory Effort  </li></ul><ul><li>Dyspnoea  </li></ul><ul><li>Orthopneoa  </li></ul><ul><li>Stri...
Abnormal Resp <ul><li>Biot’s respirations </li></ul><ul><li>Cheyne-Stokes </li></ul><ul><li>Kussmaul </li></ul><ul><li>Apn...
Today’s Lecture    Vital Signs Overview/Context    Temperature    Pulse    Blood Pressure     Respiratory Rate    Ox...
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Ns1211 2009 Week 4 Part 5

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  • Transcript of "Ns1211 2009 Week 4 Part 5"

    1. 1. Today’s Lecture  Vital Signs Overview/Context  Temperature  Pulse  Blood Pressure  Respiratory Rate  Oxygen Saturation  Pain  Assignment
    2. 2. Respiration <ul><li>Ventilation </li></ul><ul><li>↓ </li></ul><ul><li>Diffusion </li></ul><ul><li>↓ </li></ul><ul><li>Perfusion </li></ul>
    3. 3. Normal Range <ul><li>Newborn 30-60 breaths/min </li></ul><ul><li>Infant (6 months) 30-50 breaths/min </li></ul><ul><li>Toddler (2 yrs) 25-32 breaths/min </li></ul><ul><li>Child 20-30 breaths/min </li></ul><ul><li>Adolescent 16-19 breaths/min </li></ul><ul><li>Adult 12-20 breaths/min </li></ul><ul><ul><li>Wotton 2009 p568 </li></ul></ul>
    4. 4. Influencing R esps Neurological injury Acid/base status Altitude Medications Fever Exercise Stress Smoking Anxiety Acute pain Body position <ul><li>Age </li></ul><ul><li>30-60 newborn </li></ul><ul><li>- 12-20 adult </li></ul>
    5. 5. Resp Characteristics <ul><li>Rate </li></ul><ul><li>Depth/Volume </li></ul><ul><li>Rhythm </li></ul>
    6. 6. Resp Process Tollefson 2007 pp226-229
    7. 7. Resp Process <ul><li> Covert </li></ul><ul><li> Standard Precautions </li></ul><ul><li> Arm across abdo/lower chest </li></ul><ul><li> Observe & Count </li></ul><ul><li>Regular = 30 sec (and x2) </li></ul><ul><li>Irregular = 60 sec </li></ul><ul><li> Document </li></ul><ul><li> Compare </li></ul>
    8. 8. R esp Assessment <ul><li>Physical Appearance </li></ul><ul><li>Accessory Muscles </li></ul><ul><li>Position/Posture </li></ul><ul><li>Skin Colour </li></ul><ul><li>Neurological Status </li></ul>
    9. 9. Abnormal Resp <ul><li>Hypoventilation </li></ul><ul><li>Hyperventilation </li></ul><ul><li>Tachypnoea </li></ul><ul><li>Bradypnoea </li></ul><ul><li>Apneoa </li></ul>
    10. 10. Abnormal Resp <ul><li>Respiratory Effort </li></ul><ul><li>Dyspnoea </li></ul><ul><li>Orthopneoa </li></ul><ul><li>Stridor </li></ul><ul><li>Wheezing </li></ul>
    11. 11. Abnormal Resp <ul><li>Biot’s respirations </li></ul><ul><li>Cheyne-Stokes </li></ul><ul><li>Kussmaul </li></ul><ul><li>Apneustic </li></ul>
    12. 12. Today’s Lecture  Vital Signs Overview/Context  Temperature  Pulse  Blood Pressure  Respiratory Rate  Oxygen Saturation  Pain  Assignment
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