Today’s Lecture    Vital Signs Overview/Context    Temperature    Pulse    Blood Pressure     Respiratory Rate    Ox...
BP <ul><li>Lateral force on the wall of an artery </li></ul><ul><li>Systemic or arterial blood pressure is a good indicato...
Normal Adult BP <ul><li>Systolic Range </li></ul><ul><li>90 – 130 mmHg </li></ul><ul><li>Diastolic Range </li></ul><ul><li...
BP Classification Adapted from Wotton (2009, p. 577) >120 >210 Crisis Hypertension 110-119 180-209 Severe Hypertension 100...
Effects on BP <ul><li>Environmental </li></ul><ul><li>Functional equipment </li></ul><ul><li>Correct size of cuff </li></u...
Effects on BP <ul><li>Patient/Client </li></ul><ul><li>Age and physical state </li></ul><ul><li>Medication </li></ul><ul><...
BP Measurement <ul><ul><li>Directly (invasive)  </li></ul></ul><ul><ul><ul><li>ie: arterial line </li></ul></ul></ul><ul><...
Sphygmomanometer  Aneroid  Mercurial
National Heart, Blood & Lung Institute (USA) www.nhlbi.nih.gov/hbp/detect/images/sp_st.jpg
Figure 31-16 Crisp & Taylor 2009 Korotkoff’s sounds
BP Process Tollefson 2007 pp13-16
BP Process <ul><li>   Explanation & Consent  </li></ul><ul><li>   Equipment & Environment </li></ul><ul><li>   Standard...
BP Process <ul><li>   Position the Stethoscope  </li></ul><ul><li>Bell vs Diaphram </li></ul><ul><li>(Joanna Briggs & Tol...
BP Process <ul><li>Practice </li></ul><ul><li>Practice </li></ul><ul><li>Practice </li></ul>
BP Abnormalities <ul><ul><li>Hypertension </li></ul></ul><ul><ul><li>Hypotension </li></ul></ul><ul><ul><li>Orthostatic Hy...
Helpful Hints <ul><li>5 - 10 Rest </li></ul><ul><li>Heart = Arm </li></ul><ul><li>Equipment OK? </li></ul><ul><li>Clothing...
Today’s Lecture    Vital Signs Overview/Context    Temperature    Pulse    Blood Pressure     Respiratory Rate    Ox...
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Ns1211 2009 Week 4 Part 4

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  • Ns1211 2009 Week 4 Part 4

    1. 1. Today’s Lecture  Vital Signs Overview/Context  Temperature  Pulse  Blood Pressure  Respiratory Rate  Oxygen Saturation  Pain  Assignment
    2. 2. BP <ul><li>Lateral force on the wall of an artery </li></ul><ul><li>Systemic or arterial blood pressure is a good indicator of cardiovascular health </li></ul><ul><li>Measured in millimetres of mercury (mmHg). </li></ul>
    3. 3. Normal Adult BP <ul><li>Systolic Range </li></ul><ul><li>90 – 130 mmHg </li></ul><ul><li>Diastolic Range </li></ul><ul><li>60 – 85 mmHg </li></ul><ul><li>ie: from 90/60 mmHg to 130/85 mmHg </li></ul>
    4. 4. BP Classification Adapted from Wotton (2009, p. 577) >120 >210 Crisis Hypertension 110-119 180-209 Severe Hypertension 100-109 160-179 Moderate Hypertension 90-99 140-159 Mild Hypertension 85-89 130-139 High Normal < 85 < 130 Normal Diastolic Systolic Category
    5. 5. Effects on BP <ul><li>Environmental </li></ul><ul><li>Functional equipment </li></ul><ul><li>Correct size of cuff </li></ul><ul><li>Ambient temperature </li></ul><ul><li>Nurse/Health Professional </li></ul><ul><li>Skill/Technique </li></ul><ul><li>Manner </li></ul>
    6. 6. Effects on BP <ul><li>Patient/Client </li></ul><ul><li>Age and physical state </li></ul><ul><li>Medication </li></ul><ul><li>Activity/Exercise </li></ul><ul><li>Sleep </li></ul><ul><li>Emotional State </li></ul><ul><li>New admission </li></ul><ul><li>Smoking </li></ul>
    7. 7. BP Measurement <ul><ul><li>Directly (invasive) </li></ul></ul><ul><ul><ul><li>ie: arterial line </li></ul></ul></ul><ul><ul><li>Indirectly (non-invasive) </li></ul></ul><ul><ul><ul><li>Auscultation </li></ul></ul></ul><ul><ul><ul><li>Palpation </li></ul></ul></ul><ul><ul><ul><li>Devices </li></ul></ul></ul>
    8. 8. Sphygmomanometer Aneroid Mercurial
    9. 9. National Heart, Blood & Lung Institute (USA) www.nhlbi.nih.gov/hbp/detect/images/sp_st.jpg
    10. 10. Figure 31-16 Crisp & Taylor 2009 Korotkoff’s sounds
    11. 11. BP Process Tollefson 2007 pp13-16
    12. 12. BP Process <ul><li> Explanation & Consent </li></ul><ul><li> Equipment & Environment </li></ul><ul><li> Standard Precautions </li></ul><ul><li> Position the Patient </li></ul><ul><li> Apply the Cuff </li></ul><ul><li> Palpitation </li></ul>
    13. 13. BP Process <ul><li> Position the Stethoscope </li></ul><ul><li>Bell vs Diaphram </li></ul><ul><li>(Joanna Briggs & Tollefson vs Crisp & Taylor) </li></ul><ul><li> Auscultation </li></ul><ul><li> ? Other Arm </li></ul><ul><li> Equipment </li></ul><ul><li> Document </li></ul><ul><li> Compare </li></ul>
    14. 14. BP Process <ul><li>Practice </li></ul><ul><li>Practice </li></ul><ul><li>Practice </li></ul>
    15. 15. BP Abnormalities <ul><ul><li>Hypertension </li></ul></ul><ul><ul><li>Hypotension </li></ul></ul><ul><ul><li>Orthostatic Hypotension </li></ul></ul><ul><ul><li>(aka Postural Hypotension) </li></ul></ul>
    16. 16. Helpful Hints <ul><li>5 - 10 Rest </li></ul><ul><li>Heart = Arm </li></ul><ul><li>Equipment OK? </li></ul><ul><li>Clothing in the way? </li></ul><ul><li>Stethoscope/Diaphragm Position </li></ul><ul><li>Patient Position: Lying & Standing </li></ul>
    17. 17. Today’s Lecture  Vital Signs Overview/Context  Temperature  Pulse  Blood Pressure  Respiratory Rate  Oxygen Saturation  Pain  Assignment

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