Chapter 28—Vital Signs Flashcards
when to assess VS
On every admission, every office visit
Before & after procedures/interventions
Anytime there is a change in status
Before d/c
normal temp oral
98.6 to 99.5 F
36 to 37.5 C
VS
temp HR RR BP O2 pain
2 types of body temp
surface
core
________ regulates temp
hypothalamus
URGENT temp assessment
<95 F or 35 C
>103.1 F or 39.5 C
5 temp routes
oral axillary tympanic temporal (TAT) rectal
safest but least accurate temp reading
axillary
preferred temp route for newborns
axillary
rectal temp is taken if pt…
is comatose, confused, having seizures, or unable to close the mouth
insert rectal thermometer ____ into anus
1.5”
leave axillary thermometer in for ___ mins
10
rectal temp is ____ higher than oral temp
- 7 to 1 F
0. 5 C
axillary temp is _____ lower than oral temp
1 F
0.5 C
tympanic temp is _____ higher than oral temp
- 4 F
0. 8 C