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Module 2
Vital Signs
| Question | Answer |
|---|---|
| Vital signs | monitor functions of the body, should be a thoughtful, scientific assessment |
| when to obtain vitals | on admission, change in pt status, client reports symptoms than can be checked by vital signs, pre/post surg, pre/post invasive procedure, pre/post meds that affect vital signs |
| factors that affect temp | age (young/old), circadian rhythms, exercise, hormones, stress, environment |
| normal temp ranges | oral: 96.5+ - 99.5 rectal: about the same as oral; high range is a little higher, up to 100 |
| newborn pulse and resp | pulse: 130 (80-180) resp: 35 (30-80) |
| 1 year old pulse and resp | pulse: 120 (80-140) resp: 30 (20-40) |
| 5-8 year old pulse and resp | pulse: 100 (75-120) resp: 20 (15-25) |
| 10 year old pulse and resp | pulse: 70 (50-90) resp: 19 (15-25) |
| Teen pulse and resp | pulse: 75 (50-90) resp: 18 (15-20) |
| Adult pulse and resp | pulse: 80 (60-100) resp: 16 (12-20) |
| Older Adult pulse and resp | pulse: 70 (60-100) resp: 16 (15-20) |
| Normal BP | <120/<80 systolic/diastolic |
| prehypertension | 120-139/80-89 |
| hypertension (stage 1) | 140-159/90-99 |
| hypertension (stage 2) | >160/>100 |
| apical pulse | left mid clavicle left of the sternal border 5th intercostal space on ADULTS |
| dysrhythmia | dysfunctional rhythm |
| arrhythmia | no rhythm |
| systolic | contraction of the ventricles; first sound heard |
| diastolic | ventricles at rest; low pressure |
| delegation of measurement of vital signs | RN's allowed to delegate measurement of vitals signs; the interpretation of the vital signs ALWAYS resides with the nurse. |
Created by:
nymph487
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