Week 4: Vital Sign Flashcards
1
Q
When to assess vital signs?
A
On admission
Change in health status ( Client reports symptoms, e.g. chest pain, feeling hot, dizzy and Following an incident, accident, injury)
Before & after any activity/procedure that may alter vital signs
1. Surgery, invasive procedure (liver biopsy, blood transfusion)
2. Medication (antihypertensive, Ventolin)
3. Nursing intervention (exercise/ambulation)
2
Q
Respirations
A
12-20 respirations per minute
3
Q
Oxygen saturation
A
95-100%
4
Q
Heart Rate
A
60-100 beats per minute
5
Q
Temperature
A
36-37.5 degrees Celsius
6
Q
What is AVPU
A
A- awake
V- responds to verbal stimulus
P- responds to painful stimulus
U- completely unresponsive