Midterm 1 vital signs

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Infant and child temperature

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1

Infant and child temperature

  • Wider normal variations occur in infants and young children because of less effective heat control mechanisms

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2

Infant, child, and adult SP02

95-100% (room air)

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3

Neonate respiratory rate (breaths per min)

30-40

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4

1 year respiratory rate (breaths per min)

20-40

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5

2 years respiratory rate (breaths per min)

25-32

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6

Infant pulse (beats per min)(0-12 months)

70-190 BPM

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7

4 years Respiratory rate (Breaths/min)

  • 23-30

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8

8-10 years respiratory rate (breaths/min)

  • 20-26

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9

12-14 years respiratory rate (breaths/min)

  • 18-22

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10

16 years respiratory rate (breaths/min)

  • 12-20

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11

child pulse (1-11 years)

  • 52-156 BPM

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12

Child blood pressure (age 12 and under)

  • What is normal and what is high depends on your childā€™s sex, age, and height

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13

Child blood pressure (13 and over)

  • 120/80mmHg or lower

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14

Adult temperature (oral)

  • 35.8 to 37.3 (Celcius)

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15

Adult temperature (rectal)

  • 0.4-0.5 higher (celsius)

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16

Adult respiratory rate

  • 10-20

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17

Adult pulse

  • 50-100 BPM

  • Normal resting HR range of 95% of healthy persons at 50 to 95% BPM

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18

Traditional resting HR in the 1950s

  • 60-100 BPM

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19

Adult Blood pressure normotensive

  • greater than 95/60

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20

What expected vital sign findings would a patient with COPD (chronic obstructive pulmonary disease) have

  • SP02 88-92% on room air (retains C02)

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21

What would a nurse expect to find when taking vital signs for a conditioned athlete?

  • In the adult a resting heart rate less than 50BPM is bradycardia

  • Heart rates in the 50s occur in normal healthy well-trained athletes whose heart muscle develops along with skeletal muscle

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22

The method used for temperature; how may this vary depending on the route the nurse uses to obtain the temperature?

  • Rectal = 0.4 to 0.5 degrees higher

  • This is because it is a true ā€œcore temperatureā€

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23

Considerations for abnormal values

  • Hypothermia

  • Hyperthermia

  • Hypoxia

  • Bradypnea

  • tachypnea

  • Bradycardia

  • Tachycardia

  • Hypotension

  • Hypertension

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24

Hypothermia signs

  • Temperature less than 35.7 degrees (Celsius)

  • Shivering

  • Confusion

  • Slurred speech

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25

Symptoms of hypothermia

  • Exhaustion

  • Fumbling hands

  • Memory loss

  • Drowsiness

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26

signs of hyperthermia

  • temperature greater than 38 degrees (celsius)

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27

Symptoms of hyperthermia

  • Headache

  • Dizziness

  • Nausea

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28

signs of hypoxia

  • SP02 less than 93%

  • Confusion

  • Restlessness

  • Rapid HR (tachycardia)

  • Rapid breathing (tachypnea)

  • Difficulty breathing or shortness of breath (dyspnea)

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29

Symptoms of hypoxia

  • Headache

  • Anxiety

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30

Signs of bradypnea

  • 9 or less breaths per minute (adult)

  • Confusion

  • Tiredness

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31

Symptoms of bradypnea

  • Dizziness

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32

signs of tachypnea

  • 21 or high breaths per minute (adult

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33

Symptoms of tachypnea

  • Chest pain

  • Difficulty breathing

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34

Signs of bradycardia

  • 49 BPM or less (adult)

  • Confusion

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35

Symptoms of bradycardia

  • Fatigue or feeling weak

  • Dizziness or lightheadedness

  • Fainting (or near fainting)

  • Shortness of breath

  • Tires easily during exercise

  • Chest pain

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36

signs of tachycardia

  • 101 BPM or higher

  • Shortness of breath

  • Cardiac arrest

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37

Symptoms of tachycardia

  • Dizziness

  • Palpitations

  • Nausea

  • Light-headedness

  • Fainting (syncope)

  • Chest pain

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38

Signs of hypotension

  • Systolic less than 90

  • Confusion

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39

Symptoms of hypotension

  • Blurry vision

  • Dizziness

  • Fainting (syncope)'

  • Light-headedness

  • Nausea or vomiting

  • Sleepiness

  • Weakness

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40

Signs of hypertension

  • Systolic greater than 140mmHg

  • Shortness of breath

  • Irregular heartbeat

  • Palpitations

  • Diaphoresis (sweating)

  • Vomiting

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41

Symptoms of hypertension

  • Dizziness

  • Chest pain

  • Blurred vision

  • Headache

  • Nosebleed

  • Fatigue

  • Anxiety

  • Blurred visioon

  • Confusion

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