English - The Story of Ahikar, Grand Vizier of Assyria.pdf
Â
r.pdf
1. > CHANGE, EVERYDAY
MEASURING RESPIRATORY
RATE
EQUIPEMENTS:
1. Watch with a second hand
2. Pen
3. Pencil
4. Vital signs flow sheet
2. > CHANGE, EVERYDAY
MEASURING RESPIRATORY
RATE
PROCEDURES
Action:
Before replacing the client’s gown from auscultating heart sounds,
assess respirations.
Rational:
Facilitates observations of chest wall and abdominal movements.
3. > CHANGE, EVERYDAY
MEASURING RESPIRATORY
RATE
PROCEDURES
Action:
Place your hand over the client’s wrist and observe one complete
respiratory cycle.
Rational:
Hand rises and falls with inspiration and expiration.
4. > CHANGE, EVERYDAY
MEASURING RESPIRATORY
RATE
PROCEDURES
Action:
Start to count with first inspiration while looking at second hand
sweep of watch.
• Infants and children: count a full minute.
• Adults: count for 30 seconds and multiply by 2. if an irregular rate or rhythm
is present, count for a full minute.
5. > CHANGE, EVERYDAY
MEASURING RESPIRATORY
RATE
PROCEDURES
Rational:
Respiratory rate in one complete cycle (inspiration and expiration).
• Infants and children usually have an irregular rate.
• Respiratory rate reflects number of breaths per minutes.
6. > CHANGE, EVERYDAY
MEASURING RESPIRATORY
RATE
PROCEDURES
Action:
Observe depth of respirations by the degree of chest wall movement
and rhythm of cycle (regular or interrupted).
Rational:
Reveals volume of air movement into and out of the lungs. Describe
as shallow, normal or deep.
8. > CHANGE, EVERYDAY
MEASURING RESPIRATORY
RATE
PROCEDURES
Action:
Record rate and character of respirations.
Rational:
Record rate and characteristics at bedside to ensure accurate
documentation.
