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    Vital Signs 2

    Uploaded by

    Barangay Rizal

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    © All Rights Reserved
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    Vital Signs 2

    Uploaded by

    Barangay Rizal
    7 views2 pages

    Original Title

    vital signs 2

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    © © All Rights Reserved

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    Copyright:

    © All Rights Reserved
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    Download as docx, pdf, or txt
    7 views2 pages

    Vital Signs 2

    Uploaded by

    Barangay Rizal

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 2

    Pulse Rate

    Normal range
    Adults- 60-100 bpm
    Children- 70-100 bpm
    Infants- 100-140 bpm
    Neonate- 120-160
    Assessing Radial Pulse
    Purposes
    1. To establish data for subsequent evaluation
    2. To identify whether the pulse rate is within the normal range.
    3. To determine regularity of the pulse’s rhythm.
    4. To compare the equality of corresponding peripheral pulses on each side of the body
    5. To monitor and assess changes in the client’s health status
    6. To monitor clients at risk for pulse alterations
    Procedures and rationales
    1. Wash your hands to prevent spread of infections
    2. Explain procedure to the client to alleviate anxiety.
    3. Assist client to a comfortable resting position with the client’s forearm resting at the
    thigh, with palm facing downward or inward.
    4. Places client’s arm on top of the client’s upper abdomen.
    5. Using a watch with second hand, count the numbers of pulsations for 1 full minute.
    Using index and middle and third finger.
    6. Record the pulse rate, rhythm and depth of the pulse rate.
    Assessing Apical Pulse
    Purposes
    1. To obtain heart rate of clients with irregular peripheral pulse
    2. To establish data for subsequent evaluation
    3. To identify whether the heart rate is within the normal range and rhythm.
    4. To monitor clients with cardiac diseases and those receiving medications
    Procedures and Rationales
    1. Wash your hands to prevent the spread of infection
    2. Explain the procedure to the client to alleviate anxiety
    3. Use antiseptic wipes to clean the earpiece and diaphragm
    4. Warm the diaphragm of the stethoscope by holding it in the palm for a moment
    5. Assist client to a comfortable supine position with head on the bed or in sitting position
    on the chair
    6. Locate the apical pulse and place the diaphragm of the stethoscope over the apical
    impulse
    7. Count heartbeat for 1 minute using a watch with second hand
    8. Record the pulse rate and rhythm of the pulse rate
    9. Report to CI if any unusualities.
    Respiratory Rate
    Respiration is an act of breathing. It includes the intake of oxygen and the output of carbon
    dioxide.
    Factors Affecting Respiration

     Exercise
     Stress
     Environmental temperature
     Lowered oxygen concentration
     Medication
     Increased intracranial Pressure
    Normal Range
    Newborn- 30-60
    1 year- 20-40
    2 years- 20-30
    8 years- 1-25
    16 years- 15-20
    Adult- 15-20

    Blood Pressure
    Arterial blood Pressure is the measure of the force exerted by the blood as it flows through the
    arteries.
    Parts of Sphygmomanometer

     Cuff
     Hand bulb
     Tube
     Valve
     Aneroid gauge
    Procedures and Rationales
    1. Explain procedure to the client to alleviate anxiety
    2. Position client in a sitting position flex arm slightly with palm facing up and forearm
    supported at heart level.
    3. Place the cuff wherein the inflatable bag is centered over the brachial artery and the
    edge of the cuff is 1-2 inches above the antecubital fossa and clip the gauge on the
    upper portion of the cuff
    4. Position self-wherein the manometer gauge can be read at eye level
    5. Palpate for brachial artery with the fingertips.
    6. Close the valve on the pump and pump up until you no longer feel the brachial pulse
    7. Release the pressure completely and wait for 15 seconds before making any further
    measurements
    8. Place the diaphragm over the brachial pulse. Hold it with index and middle finger
    9. Pump up the cuff until it registers about 30 mmhg above the point where the brachial
    pulse disappeared.
    10. Release the air and note the point where first distinct sound was heard that is the
    systolic and note the point where the last distinct sound was heard that is the diastolic.
    11. Deflate the cuff rapidly and completely
    12. May repeat once or twice to confirm accurate reading
    13. Remove cuff and document blood pressure and report any significant change in the
    client’s blood pressure.

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