Vital signs including temperature, pulse, respirations, and blood pressure must be measured accurately. Factors like illness, emotions, exercise, medications, and time of day can influence vital signs. Changes in one vital sign will affect the others. Vital signs should be recorded promptly and any abnormalities reported.
cold application in fundamental of nursing including of definition,purpose effect in physiology and secondary effect,therapeutic effect and procdure of applying cold application of patient
cold application in fundamental of nursing including of definition,purpose effect in physiology and secondary effect,therapeutic effect and procdure of applying cold application of patient
A health assessment is a plan of care that identifies the specific needs of a person and how those needs will be addressed by the healthcare system or skilled nursing facility. Health assessment is the evaluation of the health status by performing a physical exam after taking a health history.
Temperature, pulse, respiration, blood pressure (BP), and oxygen saturation, are measurements that indicate a person’s hemodynamic status. These are the five vital signs most frequently obtained by health care practitioners (Perry, Potter, & Ostendorf, 2014). Vital signs will potentially reveal sudden changes in a patient’s condition and will also measure changes that occur progressively over time. A difference between patients’ normal baseline vital signs and their present vital signs may indicate the need for intervention (Perry et al., 2014). Checklist 15 outlines the steps to take when checking vital signs.
MATERIALS AND ITS TYPES
machinary , equipments and linen using in hospitals and their care
EQUIPMENTS AND ITS TYPES
CARE OF LINEN
CARE OF RUBBER GOODS
CARE OF STAINLESS STEEL GOODS
CARE OF GLASS EQUIPMENTS
CARE OF PLASTIC ITEMS
CARE OF FURNITURE
CARE OF MACHINERY EQUIPMENTS
MAINTANENCE OF WARD INVENTORY
A health assessment is a plan of care that identifies the specific needs of a person and how those needs will be addressed by the healthcare system or skilled nursing facility. Health assessment is the evaluation of the health status by performing a physical exam after taking a health history.
Temperature, pulse, respiration, blood pressure (BP), and oxygen saturation, are measurements that indicate a person’s hemodynamic status. These are the five vital signs most frequently obtained by health care practitioners (Perry, Potter, & Ostendorf, 2014). Vital signs will potentially reveal sudden changes in a patient’s condition and will also measure changes that occur progressively over time. A difference between patients’ normal baseline vital signs and their present vital signs may indicate the need for intervention (Perry et al., 2014). Checklist 15 outlines the steps to take when checking vital signs.
MATERIALS AND ITS TYPES
machinary , equipments and linen using in hospitals and their care
EQUIPMENTS AND ITS TYPES
CARE OF LINEN
CARE OF RUBBER GOODS
CARE OF STAINLESS STEEL GOODS
CARE OF GLASS EQUIPMENTS
CARE OF PLASTIC ITEMS
CARE OF FURNITURE
CARE OF MACHINERY EQUIPMENTS
MAINTANENCE OF WARD INVENTORY
VITAL SIGNS INCLUDE:
TEMPERATURE
PULSE
RESPIRATIONS
BLOOD PRESSURE
VITAL SIGNS MUST BE MEASURED, REPORTED, AND RECORDED ACCURATELY
IF YOU ARE NOT SURE OF A MEASUREMENT, RECHECK IT
DR. NIRAJ KUMAR , PT BPT, MPT (ORTHO), MHA, Ph.D. physiotherapy* ASSOCIATE PROFESSOR PHYSIOTHERAPY DEPT. shri guru rai institute of paramedical sciences , dehradun
Embracing GenAI - A Strategic ImperativePeter Windle
Artificial Intelligence (AI) technologies such as Generative AI, Image Generators and Large Language Models have had a dramatic impact on teaching, learning and assessment over the past 18 months. The most immediate threat AI posed was to Academic Integrity with Higher Education Institutes (HEIs) focusing their efforts on combating the use of GenAI in assessment. Guidelines were developed for staff and students, policies put in place too. Innovative educators have forged paths in the use of Generative AI for teaching, learning and assessments leading to pockets of transformation springing up across HEIs, often with little or no top-down guidance, support or direction.
This Gasta posits a strategic approach to integrating AI into HEIs to prepare staff, students and the curriculum for an evolving world and workplace. We will highlight the advantages of working with these technologies beyond the realm of teaching, learning and assessment by considering prompt engineering skills, industry impact, curriculum changes, and the need for staff upskilling. In contrast, not engaging strategically with Generative AI poses risks, including falling behind peers, missed opportunities and failing to ensure our graduates remain employable. The rapid evolution of AI technologies necessitates a proactive and strategic approach if we are to remain relevant.
Biological screening of herbal drugs: Introduction and Need for
Phyto-Pharmacological Screening, New Strategies for evaluating
Natural Products, In vitro evaluation techniques for Antioxidants, Antimicrobial and Anticancer drugs. In vivo evaluation techniques
for Anti-inflammatory, Antiulcer, Anticancer, Wound healing, Antidiabetic, Hepatoprotective, Cardio protective, Diuretics and
Antifertility, Toxicity studies as per OECD guidelines
Macroeconomics- Movie Location
This will be used as part of your Personal Professional Portfolio once graded.
Objective:
Prepare a presentation or a paper using research, basic comparative analysis, data organization and application of economic information. You will make an informed assessment of an economic climate outside of the United States to accomplish an entertainment industry objective.
Honest Reviews of Tim Han LMA Course Program.pptxtimhan337
Personal development courses are widely available today, with each one promising life-changing outcomes. Tim Han’s Life Mastery Achievers (LMA) Course has drawn a lot of interest. In addition to offering my frank assessment of Success Insider’s LMA Course, this piece examines the course’s effects via a variety of Tim Han LMA course reviews and Success Insider comments.
June 3, 2024 Anti-Semitism Letter Sent to MIT President Kornbluth and MIT Cor...Levi Shapiro
Letter from the Congress of the United States regarding Anti-Semitism sent June 3rd to MIT President Sally Kornbluth, MIT Corp Chair, Mark Gorenberg
Dear Dr. Kornbluth and Mr. Gorenberg,
The US House of Representatives is deeply concerned by ongoing and pervasive acts of antisemitic
harassment and intimidation at the Massachusetts Institute of Technology (MIT). Failing to act decisively to ensure a safe learning environment for all students would be a grave dereliction of your responsibilities as President of MIT and Chair of the MIT Corporation.
This Congress will not stand idly by and allow an environment hostile to Jewish students to persist. The House believes that your institution is in violation of Title VI of the Civil Rights Act, and the inability or
unwillingness to rectify this violation through action requires accountability.
Postsecondary education is a unique opportunity for students to learn and have their ideas and beliefs challenged. However, universities receiving hundreds of millions of federal funds annually have denied
students that opportunity and have been hijacked to become venues for the promotion of terrorism, antisemitic harassment and intimidation, unlawful encampments, and in some cases, assaults and riots.
The House of Representatives will not countenance the use of federal funds to indoctrinate students into hateful, antisemitic, anti-American supporters of terrorism. Investigations into campus antisemitism by the Committee on Education and the Workforce and the Committee on Ways and Means have been expanded into a Congress-wide probe across all relevant jurisdictions to address this national crisis. The undersigned Committees will conduct oversight into the use of federal funds at MIT and its learning environment under authorities granted to each Committee.
• The Committee on Education and the Workforce has been investigating your institution since December 7, 2023. The Committee has broad jurisdiction over postsecondary education, including its compliance with Title VI of the Civil Rights Act, campus safety concerns over disruptions to the learning environment, and the awarding of federal student aid under the Higher Education Act.
• The Committee on Oversight and Accountability is investigating the sources of funding and other support flowing to groups espousing pro-Hamas propaganda and engaged in antisemitic harassment and intimidation of students. The Committee on Oversight and Accountability is the principal oversight committee of the US House of Representatives and has broad authority to investigate “any matter” at “any time” under House Rule X.
• The Committee on Ways and Means has been investigating several universities since November 15, 2023, when the Committee held a hearing entitled From Ivory Towers to Dark Corners: Investigating the Nexus Between Antisemitism, Tax-Exempt Universities, and Terror Financing. The Committee followed the hearing with letters to those institutions on January 10, 202
The Roman Empire A Historical Colossus.pdfkaushalkr1407
The Roman Empire, a vast and enduring power, stands as one of history's most remarkable civilizations, leaving an indelible imprint on the world. It emerged from the Roman Republic, transitioning into an imperial powerhouse under the leadership of Augustus Caesar in 27 BCE. This transformation marked the beginning of an era defined by unprecedented territorial expansion, architectural marvels, and profound cultural influence.
The empire's roots lie in the city of Rome, founded, according to legend, by Romulus in 753 BCE. Over centuries, Rome evolved from a small settlement to a formidable republic, characterized by a complex political system with elected officials and checks on power. However, internal strife, class conflicts, and military ambitions paved the way for the end of the Republic. Julius Caesar’s dictatorship and subsequent assassination in 44 BCE created a power vacuum, leading to a civil war. Octavian, later Augustus, emerged victorious, heralding the Roman Empire’s birth.
Under Augustus, the empire experienced the Pax Romana, a 200-year period of relative peace and stability. Augustus reformed the military, established efficient administrative systems, and initiated grand construction projects. The empire's borders expanded, encompassing territories from Britain to Egypt and from Spain to the Euphrates. Roman legions, renowned for their discipline and engineering prowess, secured and maintained these vast territories, building roads, fortifications, and cities that facilitated control and integration.
The Roman Empire’s society was hierarchical, with a rigid class system. At the top were the patricians, wealthy elites who held significant political power. Below them were the plebeians, free citizens with limited political influence, and the vast numbers of slaves who formed the backbone of the economy. The family unit was central, governed by the paterfamilias, the male head who held absolute authority.
Culturally, the Romans were eclectic, absorbing and adapting elements from the civilizations they encountered, particularly the Greeks. Roman art, literature, and philosophy reflected this synthesis, creating a rich cultural tapestry. Latin, the Roman language, became the lingua franca of the Western world, influencing numerous modern languages.
Roman architecture and engineering achievements were monumental. They perfected the arch, vault, and dome, constructing enduring structures like the Colosseum, Pantheon, and aqueducts. These engineering marvels not only showcased Roman ingenuity but also served practical purposes, from public entertainment to water supply.
Palestine last event orientationfvgnh .pptxRaedMohamed3
An EFL lesson about the current events in Palestine. It is intended to be for intermediate students who wish to increase their listening skills through a short lesson in power point.
Read| The latest issue of The Challenger is here! We are thrilled to announce that our school paper has qualified for the NATIONAL SCHOOLS PRESS CONFERENCE (NSPC) 2024. Thank you for your unwavering support and trust. Dive into the stories that made us stand out!
3. o WHEN A PERSON IS ADMITTED TO A HEALTH CARE
FACILITY
o BEFORE AND AFTER SURGERY
o AFTER SOME NURSING PROCEDURES
o BEFORE MEDICATIONS ARE GIVEN THAT AFFECT THE
RESPIRATORY OR CIRCULATORY SYSTEM
o WHENEVER THE PERSON COMPLAINS OF PAIN,
SHORTNESS OF BREATH, RAPID HEART RATE, OR NOT
FEELING WELL.
4. o ILLNESS
o EMOTIONS – ANGER, FEAR, ANXIETY, PAIN
o EXERCISE AND ACTIVITY
o AGE
o SEX
o ENVIRONMENT - WEATHER
o FOOD AND FLUID INTAKE
o MEDICATIONS
o TIME OF DAY – ↓ IN THE MORNING, ↑ IN THE AFTERNOON/EVENING
o NOISE
A CHANGE IN ONE VITAL SIGN WILL CAUSE A CHANGE IN
THE OTHERS
5. o ANY VITAL SIGN IS CHANGED FROM A PREVIOUS
MEASUREMENT
o VITAL SIGNS ARE ABOVE THE NORMAL RANGE
o VITAL SIGNS ARE BELOW THE NORMAL RANGE
6. MANY AGENCIES HAVE TEMP BOARDS OR TPR BOOKS
RECORD VITAL SIGN MEASUREMENTS AS SOON AS
POSSIBLE
CARRY A SMALL NOTEBOOK IN YOUR POCKET SO YOU
CAN RECORD THEM AS YOU TAKE THEM
ABBREVIATIONS
TEMPERATURE – T
PULSE – P
RESPIRATIONS – R
BLOOD PRESSURE - BP
7. BODY TEMPERATURE IS THE AMOUNT OF HEAT IN THE
BODY
IT IS A BALANCE BETWEEN THE AMOUNT OF HEAT
PRODUCED AND THE AMOUNT OF HEAT LOST
HEAT IS PRODUCED BY :
THE CONTRACTION OF MUSCLES DURING EXERCISE
THE BREAKDOWN OF FOOD DURING DIGESTION
THE ENVIRONMENTAL TEMPERATURE
HEAT IS LOST THROUGH :
URINE FECES
RESPIRATIONS PERSPIRATION
8. BODY TEMPERATURE IS MEASURED IN ONE OF FOUR
AREAS OF THE BODY
THE MOUTH – ORAL
THE RECTUM – RECTAL
THE AXILLA (UNDERARM) – AXILLARY
THE EAR – TYMPANIC
WE NOW ALSO HAVE THE TEMPORAL SITE - FOREHEAD
MOST TEMPERATURES ARE TAKEN ORALLY
RECTAL TEMPERATURES ARE THE MOST ACCURATE
AXILLARY TEMPERATURES ARE THE LEAST ACCURATE
9. SITE NORMAL RANGE
ORAL 98.6 ° 97.6 ° TO
99.6 °
RECTAL 99.6 ° 98.6 ° TO
100.6 °
AXILLARY 97.6 ° 96.6 ° TO
98.6 °
TYMPANIC 98.6 ° 98.6 °
TEMPORAL 98.6° 98.6°
10. A SMALL HOLLOW GLASS TUBE THAT CONTAINS
MERCURY OR A MERCURY-FREE SUBSTANCE IN A BULB
AT ONE END.WHEN HEATED THE MERCURY RISES IN
THE TUBE.
Pear – shaped tip
11. o THE SCALE IS MARKED FROM 94° TO 108°
o THE LONG LINES REPRESENT ONE DEGREE
o THE SHORT LINES REPRESENT TWO TENTHS OF A DEGREE
o ONLY EVERY OTHER DEGREE IS MARKED WITH A NUMBER
12. o BATTERY OPERATED
o HAVE AN ORAL PROBE AND A RECTAL PROBE
o DISPOSABLE PROBE COVER IS PLACED ON THE PROBE
o THE TEMPERATURE REGISTERS IN ABOUT 30 SECONDS
14. o MEASURES THE TEMPERATURE IN THE TYMPANIC MEMBRANE (EARDRUM)
o FAST AND ACCURATE - 1 TO 3 SECONDS
INFANTS – PULL
THE EAR
STRAIGHT BACK
ADULTS AND
CHILDREN OVER
ONE YEAR –
PULL THE EAR UP
AND BACK
15. GLASS
THERMOMETER
o RINSE WITH COLD WATER
o CHECK THE THERMOMETER
FOR BREAKS AND CHIPS
o SHAKE DOWN THE
THERMOMETER SO THE
MERCURY IS BELOW THE LINES
AND NUMBERS
o PLACE A DISPOSABLE COVER
ON THE THERMOMETER
o PLACE THE THERMOMETER
UNDER THE PERSON’S TONGUE
o LEAVE THE THERMOMETER IN
PLACE FOR 2 – 3 MINUTES
o IF THE PERSON HAS BEEN
EATING, DRINKING, OR
SMOKING, WAIT 15 MINUTES
BEFORE TAKING TEMPERATURE
16. DO NOT TAKE AN ORAL TEMPERATURE ON:
o AN INFANT OR YOUNG CHILD ( UNDER AGE 6)
o AN UNCONSCIOUS PATIENT
o A PATIENT THAT HAS HAD ORAL SURGERY OR AN INJURY TO THE FACE,
NECK, NOSE, OR MOUTH
o A PERSON RECEIVING OXYGEN
o A PATIENT WITH A NASOGASTRIC TUBE IN PLACE
o A PATIENT WHO IS CONFUSED OR RESTLESS
o A PATIENT WHO IS PARALYZED ON ONE SIDE OF THE BODY
o HAS A HISTORY OF SEIZURES
o A PATIENT WHO BREATHES THROUGH THE MOUTH
17. o LUBRICATE THE THERMOMETER BEFORE INSERTING INTO THE RECTUM
o PLACE THE PERSON IN A SIDE-LYING POSITION
o INSERT THE THERMOMETER 1 INCH INTO THE RECTUM
o HOLD THE THERMOMETER IN PLACE FOR 2 MINUTES
o REMOVE THE DISPOSABLE COVER AND READ THE THERMOMETER
18. DO NOT TAKE A RECTAL TEMPERATURE ON:
o A PERSON WHO HAS HAD RECTAL SURGERY OR RECTAL INJURY
o IF THE PERSON HAS DIARRHEA
o IF THE PERSON IS CONFUSED OR AGITATED
o IF THE PERSON HAS HEART DISEASE ( STIMULATES THE VAGUS NERVE
WHICH SLOWS THE HEART RATE )
19. o TAKEN ONLY WHEN NO OTHER SITE CAN
BE USED
o MAKE SURE THE UNDERARM IS CLEAN
AND DRY
o THE ARM IS HELD CLOSE TO THE BODY
o YOU NEED TO HOLD THE THERMOMETER
IN PLACE WHILE THE TEMPERATURE IS
BEING TAKEN
o THE THERMOMETER IS LEFT IN PLACE
FOR 10 MINUTES
20. THE PULSE IS:
o THE BEAT OF THE HEART FELT AT AN ARTERY AS A WAVE OF BLOOD PASSES
THROUGH THE ARTERY
o A PULSE IS FELT EVERY TIME THE HEART BEATS
o MORE EASILY FELT IN ARTERIES THAT COME CLOSE TO THE SKIN AND CAN
BE GENTLY PRESSED AGAINST A BONE
o THE PULSE SHOULD BE THE SAME IN ALL PULSE SITES ON THE BODY
o THE PULSE IS AN INDICATION OF HOW THE CARDIOVASCULAR SYSTEM IS
MEETING THE BODY’S NEEDS
o THE PULSE RATE IS AFFECTED BY MANY FACTORS – AGE, FEVER,
EXERCISE, FEAR. ANGER, ANXIETY, EXCITEMENT, HEAT, POSITION, AND PAIN.
o MEDICATIONS CAN BE TAKEN THAT EITHER INCREASE OR DECREASE A
PERSON’S PULSE RATE.
21.
22. WE USUALLY COUNT A PULSE FOR 30 SECONDS AND
MULTIPLY THE NUMBER TIMES 2 TO GET THE PULSE
RATE FOR 1 MINUTE
WE NOTE THE RHYTHM (PATTERN)
OF THE HEART BEAT – IF THE HEART
BEAT IS IRREGULAR WE COUNT THE
PULSE FOR A FULL MINUTE
WE ALSO OBSERVE THE FORCE
(STRENGTH) OF THE HEARTBEAT.
DOES THE PULSE FEEL :
STRONG FULL BOUNDING
WEAK THREADY FEEBLE
23. o MOST COMMON SITE USED FOR
TAKING A PULSE
o CAN BE TAKEN WITHOUT
DISTURBING OR EXPOSING THE
PERSON
o PLACE THE FIRST TWO OR THREE
FINGERS OF ONE HAND AGAINST THE
RADIAL ARTERY
o THE RADIAL ARTERY IS ON THE
THUMB SIDE OF THE WRIST
o DO NOT USE YOUR THUMB TO TAKE
A PERSON’S PULSE
o USE GENTLE PRESSURE
o COUNT THE PULSE FOR 30 SECONDS
AND MULTIPLY BY TWO
24. ALWAYS CLEAN THE
EARPIECES OF THE
STETHOSCOPE WITH
ALCOHOL BEFORE AND AFTER
USE
WARM THE DIAPHRAGM IN
YOUR HAND BEFORE
PLACING IT ON THE PERSON
HOLD THE DIAPHRAGM IN
PLACE OVER THE ARTERY
DO NOT LET THE TUBING
STRIKE AGAINST ANYTHING
WHILE THE STETHOSCOPE IS
BEING USED
25. o TAKEN WITH A STETHOSCOPE
o COUNTED BY PLACING THE STETHOSCOPE
OVER THE HEART
o COUNTED FOR ONE FULL MINUTE
o THE HEART BEAT NORMALLY SOUNDS LIKE A
LUB-DUB. EACH LUB-DUB IS COUNTED AS ONE
HEARTBEAT.
o DO NOT COUNT THE LUB AS ONE HEARTBEAT
AND THE DUB AS ANOTHER.
o THE APICAL PULSE IS TAKEN ON PATIENTS
WHO HAVE HEART DISEASE , AN IRREGULAR
PULSE RATE, OR TAKE MEDICATIONS THAT CAN
AFFECT THE HEART.
26. THE APICAL AND RADIAL PULSE RATES SHOULD BE EQUAL
SOMETIMES THE HEART BEAT IS NOT STRONG ENOUGH TO CREATE A PULSE IN
THE RADIAL ARTERY
THIS WOULD CAUSE THE RADIAL PULSE TO BE LESS THAN THE APICAL PULSE
ONE PERSON COUNTS THE APICAL WHILE THE OTHER PERSON COUNTS THE
RADIAL
THE DIFFERENCE IN PULSES IS CALLED THE PULSE DEFICIT
27. NORMAL ADULT PULSE RATE IS – 60 TO 100 BEATS PER MIN.
TACHYCARDIA – HEART RATE OVER 100
BRADYCARDIA – HEART RATE BELOW 60
REPORT ABNORMAL HEART RATES TO THE NURSE
IMMEDIATELY
28. ONE RESPIRATION CONSISTS OF ONE INSPIRATION AND
ONE EXPIRATION
o THE CHEST RISES DURING INSPIRATION (BREATHING
IN) AND FALLS DURING EXPIRATION (BREATHING OUT)
o COUNT EACH TIME THE CHEST RISES
o COUNT FOR 30 SECONDS AND MULTIPLY X 2
o DO NOT LET THE PERSON KNOW YOU ARE COUNTING
THEIR RESPIRATIONS
o COUNT AFTER TAKING THE PULSE – KEEP YOUR
FINGERS ON THE PULSE SITE
o NORMAL RESPIRATORY RATE FOR ADULT IS 12 – 20
BREATHS PER MIN.
29. TACHYPNEA – RESPIRATORY RATE OVER 20
BRADYPNEA – RESPIRATORY RATE BELOW 12
DYSPNEA – SHORTNESS OF BREATH – DIFFICULTY IN
BREATHING
APNEA – NO BREATHING
HYPERVENTILATION – FAST AND DEEP RESPIRATIONS
HYPOVENTILATION – SLOW AND SHALLOW
RESPIRATIONS
30. THE MEASUREMENT OF THE AMOUNT OF FORCE THE
BLOOD EXERTS AGAINST THE ARTERY WALLS
o SYSTOLIC PRESSURE – PRESSURE EXERTED WHEN THE
HEART MUSCLE IS CONTRACTING
o DIASTOLIC PRESSURE – PRESSURE EXERTED WHEN THE
HEART MUSCLE IS RELAXING BETWEEN BEATS
BLOOD PRESSURE IS RECORDED AS A FRACTION WITH THE
SYSTOLIC PRESSURE ON TOP AND THE DIASTOLIC PRESSURE
ON THE BOTTOM
SYSTOLIC SYSTOLIC /DIASTOLIC
DIASTOLIC 120/80
BP IS MEASURED IN MM (MILLIMETERS) OF HG (MERCURY)
31. AVERAGE ADULT SYSTOLIC RANGE – 100 TO 140
AVERAGE ADULT DIASTOLIC RANGE – 60 TO 90
HYPERTENSION – MEASUREMENTS ABOVE THE NORMAL
SYSTOLIC OR DIASTOLIC PRESSURES
HYPOTENSION – MEASUREMENTS BELOW THE NORMAL
SYSTOLIC OR DIASTOLIC PRESSURES
32. o AGE – BLOOD PRESSURE INCREASES AS A PERSON GROWS OLDER.
o GENDER – WOMEN USUALLY HAVE LOWER BLOOD PRESSURE THAN MEN
o BLOOD VOLUME – SEVERE BLEEDING LOWERS THE BLOOD PRESSURE
o STRESS – HEART RATE AND BLOOD PRESSURE INCREASE AS PART OF THE
BODY’S RESPONSE TO STRESS
o PAIN – INCREASES BLOOD PRESSURE
o EXERCISE – INCREASES HEART RATE AND BLOOD PRESSURE
o WEIGHT – BLOOD PRESSURE IS HIGHER IN OVERWEIGHT PERSONS
o RACE – BLACK PERSONS GENERALLY HAVE HIGHER BLOOD PRESSURE
THAN WHITE PERSONS DO
o DIET – A HIGH-SODIUM DIET INCREASES THE FLUID VOLUME IN THE BODY
WHICH INCREASES BLOOD PRESSURE
o MEDICATIONS – CAN BE TAKEN TO RAISE OR LOWER BLOOD PRESSURE
o POSITION – BLOOD PRESSURE IS LOWER WHEN LYING DOWN
33. THE PROPER NAME FOR A BLOOD PRESSURE CUFF IS
SPHYGMOMANOMETER
MERCURY ANEROID
34.
35. o DO NOT TAKE A BLOOD PRESSURE ON AN ARM WITH AN IV, A CAST, OR A
DIALYSIS SHUNT.
o DO NOT TAKE A BLOOD PRESSURE ON THE SIDE THAT A PERSON HAS HAD
BREAST SURGERY ON.
o MEASURE BLOOD PRESSURE WITH THE PERSON SITTING OR LYING.
o APPLY THE CUFF TO THE BARE UPPER ARM. DO NOT APPLY THE CUFF
OVER CLOTHING.
o MAKE SURE THE CUFF IS SNUG.
o USE A LARGE CUFF IF NECESSARY.
o MAKE SURE THE ROOM IS QUIET.
o IF YOU DO NOT HEAR THE BLOOD PRESSURE, WAIT 30 TO 60 SECONDS
AND TRY AGAIN. IF YOU STILL CAN NOT HEAR IT OR ARE UNSURE OF
YOUR READINGS, HAVE THE NURSE CHECK YOUR MEASUREMENTS.
36. 1. CLEAN THE STETHOSCOPE EARPIECES AND DIAPHRAGM WITH ALCOHOL.
2. LOCATE THE BRACHIAL PULSE. THIS IS WHERE THE STETOSCOPE WILL BE PLACED.
3. WRAP THE CUFF ABOVE THE ELBOW WITH THE ARROW POINTING TO THE BRACHIAL
ARTERY. FASTEN THE CUFF SO IT FITS SNUGLY.
4. PLACE THE DIAPHRAGM OF THE STETHOSCOPE FLAT ON THE PULSE SITE, HOLDING IT
IN PLACE WITH THE INDEX AND MIDDLE FINGERS OF ONE HAND.
5. LOCATE THE RADIAL PULSE.
6. CLOSE THE VALVE ON THE BP CUFF BY TURNING IT TO THE RIGHT (CLOCKWISE).
7. INFLATE THE CUFF UNTIL YOU CAN NO LONGER FEEL THE RADIAL PULSE. ,THEN
INFLATE THE CUFF 30 MM HG BEYOND THIS POINT.
8. DEFLATE THE CUFF SLOWLY BY OPENING THE VALVE SLIGHTLY AND TURNING IT
COUNTERCLOCKWISE (TO THE LEFT) WITH YOUR THUMB AND INDEX FINGER. ALLOW
THE AIR TO ESCAPE SLOWLY WHILE LISTENING FOR A PULSE SOUND.
9. NOTE THE READING AT WHICH YOU HEAR THE FIRST CLEAR, REGULAR PULSE SOUND.
THIS NUMBER IS THE SYSTOLIC PRESSURE.
10. CONTINUE LISTENING UNTIL THE SOUND DISAPPEARS. THIS IS THE DIASTOLIC
PRESSURE. NOTE THIS READING.
11. OPEN THE VALVE COMPLETELY TO DEFLATE THE CUFF. REMOVE THE CUFF FROM THE
PATIENT.
37.
38.
39.
40. MEASURING WEIGHT AND HEIGHT
• Standing, chair, and lift scales are used.
• Measuring weight and height
– The person only wears a gown or pajamas.
– The person voids before being weighed.
– Weigh the person at the same time of day.
– Use the same scale.
– Balance the scale at zero before weighing the
person.
41. PAIN
• Pain means to ache, hurt, or be sore.
• Pain is a warning from the body.
• Pain is personal.
• Types of pain
– Acute pain – felt suddenly from an injury,
disease, trauma, or surgery
– Chronic pain – lasts longer than 6 months. Pain
can be constant or occur on and off.
– Radiating pain – felt at the site of tissue damage
and in nearby areas.
– Phantom pain – felt in a body part that is no
longer there.
42. • Signs and symptoms
– Location – Where is the pain?
– Onset and duration – When did the pain start?
– Intensity – Rate the pain on a scale of 1 to 10, with 10 as
the most severe
– Description – Can you use words to describe the pain?
– Factors causing pain – What were you doing when the pain
started?
– Vital signs – Take the person’s vital signs when they
complain of pain.
– Other signs and symptom
• Body responses - ↑ vital signs, nausea, pale skin,
sweating, vomiting
• Behaviors – crying, groaning, holding affected body
part, irritability, restlessness