Hand Washing And Vitals. Flashcards
Asepsis
Includes all activities to prevent infection or break the chain of infection. Hand hygiene is the most effective way to help prevent the spread of infectious agents.
Vital signs
Temperature, pulse, respiration, blood pressure. (Sometimes pain and oxygen saturation)
Body temperature
the heat of the body measured in degrees.
Sources of heat production
Metabolism, hormones, muscle movements, exercise increase the metabolism.
Epinephrine and norepinephrine are released and alter metabolism.
Energy production decreases and heat production increase.
Sources of heat loss
Skin, warming and humidify in inspired air, evaporation of sweat, eliminating urine and feces.
Core body temperature
Deep tissues of the body abdominal cavity, pelvic cavity remains constant.
Surface temperature
Skin subcutaneous tissue, fat rises and falls in response to the environment.
Factors effecting body temperature
Circadian rhythms, age and gender, environmental temperatures
Circadian rhythm
Body temperature normally fluctuates throughout the day.
Lowest between: 0400-0600 am
Highest between 1600-1800 pm
Sites for measuring body temperature
Oral, rectal, axillary, tympanic membrane, skin/temporal artery.
Oral temperature contrindications
Impaired cognitive functioning, inability to close lips around thermometer, diseases of the oral cavity, and oral or nasal surgery.
Rectal temperature contraindications
Newborns, small children, patients who have had rectal surgery, or have diarrhea or disease of the rectum, and contain heart conditions.
Tympanic temperature contraindications
Earache, ear drainage, and scarred tympanic membrane.
Peripheral pulse
Pulse located away from the heart
Arm, foot, wrist, leg, neck
Palpation (feeling)
Apical pulse
Central pulse
At the apex of the heart
Auscultation (hearing)
Parasympathetic stimulation
Decreases heart rate
Sympathetic stimulation
Increases heart rate
Pulse rate
Number of contractions over a peripheral artery in 1 minute