Vital Signs Flashcards
The most frequent and routine measurements obtained by health care providers
Vital Signs
The application of critical thinking in clinical judgement
Guidelines For Measuring Vital Signs
Before, During, and After /
Admission /
Status Changes /
Symptoms /
Hospital Routine /
BASSH
Wash hands /
Identify and inform /
Provide privacy /
Explain and evaluate /
WIPE
The difference between the amount of heat produced by body processes and the amount lost to the external environment
Body Temperature
Core Temperature
Heat Produced – Heat Loss = Body Temperature
Body Temperature Regulation
Thermoregulation
Controlling body temperature like thermostat
Neural and Vascular Control
Depends on normal heat production processes
Heat Production
Involuntary body response
Shivering
Occurs in neonates
Nonshivering Thermogenesis
Does occur simultaneously
Heat Loss
Transfer of heat from one object to another object without direct contact
Radiation
Transfer of heat from one object to another with direct contact
Conduction
Transfer of heat energy from liquid to gas
Evaporation
Visible perspiration
Diaphoresis
Factors of Body Temperature
Age
Exercise
Hormone Level
Circadian Rhythm
Stress
Environment
Abnormal rise in body temperature
Fever
Elevates body temperature
Pyrogens
Fever breakage
Afebrile
Fever overshot
Febrile
Heat production
Hyperthermia
Heat depresses hypothalamic function
Heatstroke
Heat exposure
Heat Exhaustion
Heat loss
Hypothermia
Exposure to subnormal temperatures
Frostbite
Fever Management
Through the Patient’s Eyes
Oral / Tympanic Membrane / Rectal / Skin / Temporal Artery / Axillary
Temperature Management Sites
Electronic / Disposable / Chemical Dot
Thermometers
The palpable bounding of blood flow in a peripheral artery
Pulse
60 to 100 bpm
Pulse
Cardiac Contractions
Electric Impulses
Use of Stethoscope / Character of the Pulse
Assessment of Pulse
Baseline rate
Rate
Regular intervals
Rhythm
Reflection of blood volume
Strength
Peripheral assessment
Equality
The exchange of respiratory gases, oxygen, and carbon dioxide
Respiration
12 to 20 cpm
Respiration
Passive Process
Breathing
Muscular work in lungs and chest wall
Mechanics of Breathing
Respiratory Rate / Ventilatory Depth / Ventilatory Rhythm
Assessment of Ventilation
Oxygen saturation of the blood
Assessment of Diffusion and Perfusion
Oxygen saturation from pulse oximeter
Measurement of Arterial Oxygen Saturation
Measurement of exhaled carbon dioxide throughout exhalation
Capnography
The force exerted on the walls of the artery
Blood Pressure
Systolic <120 mmHg and Diastolic <80 mmHg
Blood Pressure
Enclosed space
Cardiac Output
Dependent space
Peripheral Resistance
Circulating blood
Blood Volume
Blood flow in small vessels
Viscosity
Blood flow in artery walls
Elasticity
Elevated blood pressure
Hypertension
Dropped blood pressure
Hypotension
Factors of Blood Pressure
Age
Stress
Ethnicity and Genetics
Gender
Daily Variation
Medications
Activity and Weight
Smoking
Invasive / Noninvasive
Assessment of Blood Pressure