1. Nursing Arts 1 –Unit 5 Asessessing Vital Signs

2. TPR and Bp Factors affecting TPR & BpFactors affecting TPR & Bp Sites Temp may be obtainedSites Temp may be obtained Locating apical pulseLocating apical pulse Normal ranges (adult)Normal ranges (adult) VocabularyVocabulary

3. Principles of TRP They are exactly that … vitalThey are exactly that … vital Must be ACURATEMust be ACURATE Reflect CV, resp, neural & endoReflect CV, resp, neural & endo Baseline which..Baseline which.. IntradisciplinaryIntradisciplinary

4. Total picture Palpation,inspection, auscultationPalpation,inspection, auscultation InterpretInterpret Appropriate equipmentAppropriate equipment OrganizedOrganized Verify findingsVerify findings Pattern recognitionPattern recognition

5. Factors Affecting Environmental tempEnvironmental temp Physical exertionPhysical exertion IllnessIllness MedicationMedication AgeAge Hormone levels Circadian rhythm anxiety

6. When ?? Admission Routine Pre – post op Diagnostic Tx Med admin Change intuition

7. Temperature Normal 36 –38CNormal 36 –38C SitesSites Core siteCore site HypothalmusHypothalmus FeverFever AntipyreticsAntipyretics HypothermiaHypothermia Rectal >.5Rectal >.5 Axilla <.5Axilla <.5 Types Treatment ND

8. Pulse Palpable bounding of flood flowPalpable bounding of flood flow 60 –100 bpm60 –100 bpm Circulatory statusCirculatory status Assess arterial blood flowAssess arterial blood flow WhereWhere Rate, rhythm, strength & equalityRate, rhythm, strength & equality Elevated…Elevated… Reduced …Reduced …

9. Apical

10. Radial

11. Corotid

12. Brachial

13. Ulnar

14. Popliteal

15. Femoral, pedal, temporal

16. Respirations Gas exchangeGas exchange 12 – 20 resp/min12 – 20 resp/min Factors affecting rateFactors affecting rate Secretly!!Secretly!! Full inspiration and expirationFull inspiration and expiration Depth and rhythmDepth and rhythm

17. Blood Pressure 120/80120/80 Force on the walls of an artery by the pulsing blood under pressure from the heartForce on the walls of an artery by the pulsing blood under pressure from the heart Systolic max press ejectionSystolic max press ejection Diastolic relaxDiastolic relax Pulse PressurePulse Pressure

18. Bp Reflects Cardiac outputCardiac output PVRPVR Blood volumeBlood volume Blood viscosityBlood viscosity Artery elasticityArtery elasticity