Clinical Examination.pptx
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The document summarizes procedures for conducting a clinical examination of a patient, including taking temperature, pulse, respiration, and capillary refill time. Temperature is taken rectally or vaginally with a lubricated thermometer and monitored for at least 3-5 minutes. Pulse is measured by feeling the arteries and counting heartbeats over 30 seconds. Respiration is evaluated through inspection, palpation, and auscultation of thoracic movement. Capillary refill time is measured by compressing mucous membranes and timing the return of pink color.
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The document discusses assessing and recording vital signs, focusing on body temperature. It outlines the objectives and importance of vital sign assessment. Methods of measuring oral, rectal, and axillary temperature are described, including factors that affect temperature and appropriate equipment. Normal temperature ranges are provided for different measurement sites in both Celsius and Fahrenheit scales.
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2. It describes the normal ranges for each vital sign and how radiographers can measure them in emergency situations when a nurse is not present.
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- 1. Clinical Examination Prepared By: Dr Ramesh Pd Joshi
- 2. Clinical Examination of the Patient 1. Temperature: Materials: • Live animals • Thermometer • Lubricant (soap or petroleum jelly), Antiseptics Procedure: • The places, which can be used to take temperature are rectum or vagina (0.5 degree centigrade higher in vagina). • The thermometer should be sterilized by disinfectant (antiseptics) before use. • It should be well shaken before recording of temperature to bring the mercury column below the lowest point • The bulb end of the thermometer should be lubricated with liquid paraffin or glycerin or soap. • Insert the thermometer in a rotational way and gentle manner, so that the bulb of the thermometer remains in contact with the rectal mucous membrane. • The thermometer should be kept in site for at least 3-5 minutes. • Pull out the thermometer, clean it and read the number. • Evaluation: Read the value to define and explain a state of fever, hypothermia, and febrile or non-febrile animals.
- 3. 2. Pulse taking: Pulse can be adapted from the number of heart beats per minute by using stethoscope in less manageable animals The rhythm of pulse should also be noticed while taking pulse. Procedure: • Place the digits on the artery to be examined • Applying gentle pressure until the pulse wave can be detected • Note the pressure or pulsation of the arteries felt on the finger digits • Count the number of beats per minute (counting should be done at least for 30 seconds and multiplied by 2); notice the quality and rhythm of pulse
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