normal axillary temp
36.5c (97.7f)
normal tympanic temp
37c (98.6f)
Normal adult respirations
12-20
Normal Adult heart rate
60-100
normal rectal temp
37.5c (99.5f)
Normal Adult O2 stat
95-100%, 90-95 is acceptable but must be monitored..
Normal Adult blood pressure
120/80
normal oral temp is
36-38 c (96.8-100.4F)
assessing peripheral pulse aka rate strength
0 = no pulsation felt
1= diminished difficult
2= normal easy
3= full easy
4= strong
copd patients pulse ox
85-89% but must be monitored.
what 6 questions should you ask when pain is concerned?
1.)location, 2.)intensity, 3.)quality (blunt, sharp), 4.)pattern ( duration, constant), 5.)precipitating factors (triggers), and 6.)alleviating factors
hypotensive reading is
systolic 85-110
hypertensive
140/90 and above
Babies normal pulse
80-180
Babies normal respirations
30-80
Babies normal blood pressure
73/55
children's normal pulse
80-140
children's normal respirations
15-40
children's normal blood pressure
95/75
Teen's normal pluse
60-110
Teen's normal respiration
15-25
Teen's normal blood pressure
102/80
circadian rhythms
Circadian rhythms are physical, mental and behavioral changes that follow a roughly 24-hour cycle, responding primarily to light and darkness in an organism's environment.
your temperature is lowest when
in the am
your temperature is highest when
late afternoon
Orthostatic hypotension
a form of low blood pressure that happens when you stand up from sitting or lying down. Orthostatic hypotension can make you feel dizzy or lightheaded, and maybe even faint.
Orthostatic hypotension what are the numbers
drop of systolic blood pressure equal to or greater than 20mm and diastolic blood pressure equal to or greater than 10mm
How long do you wait to take a patients temperature after they drink?
waiting 15 to 25 minutes
Vital signs (v/s) consist of:
body temperature
pulse
respiration & pulse ox
blood pressure
Also, pain
When do you take vital signs?
On admission
Change in health status or patient complaint
Before and after surgeries or invasive procedures
Before & after administering medicines. What type of meds?
Any nursing intervention that can affect vitals
Factors Affecting Body Temperature
Age
circadian rhythms
Exercise
Hormones
Stress
Environmental temps
Factors Affecting Pulse
Age
Gender
Exercise
Fever
Medications
Hypovolemia
Stress/pain
Position changes
Disease processes
Pulse deficit:
The difference between apical & radial pulse rates.
when to use the Pulse deficit:
When the pulse is irregular. Count the pulse at the apex of the heart & the radial artery simultaneously (using two nurses) to assess rate.
Factors Affecting Blood Pressure
Age
Exercise
Stress/Pain
Race
Gender
Medications
Obesity
Circadian rhythm (B/p lower in morning)
Disease process