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Vital signs consist of four measurements: temperature, pulse, respirations, and Blood Pressure. Febrile febrile: Having or showing an elevation of body temperature above the normal temperature of 98. Degrees F or 37 degrees C. Fever is common and often caused by infection resulting in internal reactions including increased core body temperature.
Vital signs consist of four measurements: temperature, pulse, respirations, and Blood Pressure. Febrile febrile: Having or showing an elevation of body temperature above the normal temperature of 98. Degrees F or 37 degrees C. Fever is common and often caused by infection resulting in internal reactions including increased core body temperature.
Vital signs consist of four measurements: temperature, pulse, respirations, and Blood Pressure. Febrile febrile: Having or showing an elevation of body temperature above the normal temperature of 98. Degrees F or 37 degrees C. Fever is common and often caused by infection resulting in internal reactions including increased core body temperature.
Consists of four measurements: Temperature, pulse, respirations, and blood pressure.
Two additional measures are considered vital signs: Peripheral Oxygen Saturation (SpO2) and pain intensity. The Joint Commission on Accreditation of Health Care Organizations in the U.S. has recommended that pain intensity be considered the 5th Vital Sign. Abbreviation = vitals * Temp: 99 * Pulse: 87 * Respiratory Rate: 16 * Blood Pressure (BP): 167/110 When recording vital signs it is common to simply indicate the numbers in the order of temperature (temp), pulse, respiratory rate, and blood pressure (BP). A nurse would say: The patients vitals are temp 99, pulse 87, respiratory rate 16, and BP 167/110. A nurse would write: 99-87-16 167/110 Temperature: Body temperature is measured in the mouth, ear, axilla, or rectum. In the United States, it is usually expressed in degrees of Fahrenheit. Abbreviation = temp
BEYOND THE BASICS: Febrile Febrile: Having or showing an elevation of body temperature above the normal temperature of 98.6 degrees F or 37 degrees C. A person develops a fever (a noun) and is described as febrile (an adjective). The progress note indicated the patient was exposed to a influenza, and developed a body temperature of 102 degrees Fahrenheit (38.8 degrees Celsius) and then experienced difficulty breathing. This pt is: Febrile. BEYOND THE BASICS: Hypothermia Hypothermia Body temperature below 95 degrees F or 35 degrees C induced by exposure to cold, failure of body mechanisms to control heat loss, or therapeutic treatment wherein body temperature is lowered to decrease metabolism. BEYOND THE BASICS: Hyperthermia Hyperthermia Prolonged elevation of body temperature to 100-101 degrees Fahrenheit or 37.5-38.3 degrees C usually due to prolonged exposure to heat. Sometimes referred to as heat exhaustion or heat stroke. IMPORTANT Fever vs. Hyperthermia Fever is common and often caused by infection resulting in internal reactions including increased core body temperature. Hyperthermia is less common and caused by drugs with the side effect of hyperthermia or from prolonged exposure to external heat and inability to dissipate heat. Pulse: Palpable lift in an artery usually felt (manually) or detected electronically at a point where the pulse is near the surface of the body.
Important Only one carotid pulse should be felt at a time. Feeling both carotids, both sides of the neck, at the same time is very dangerous. You should not feel high on the neck. Stay close to the clavicle/ collar bone when assessing. BEYOND THE BASICS: Character of a pulse Thready: Pulse is very soft; barely perceptible Example: The pulse was very rapid and thready; soon the pulse became irregular as the patients condition deteriorated. BEYOND THE BASICS: Character of a pulse Bounding: Pulse rises forcefully in the artery and can be clearly felt on palpation. Example: As intracranial pressure increased, the pulse became bounding and the pulse rate decreased. Respirations -or- Respiratory Rate: The number of times the patient breathes in and out over one minute. Abbreviation = respirations // rr (written) BEYOND THE BASICS: Dyspnea Dyspnea: When the patient feels that they are unable to breathe well or breathe in enough air or oxygen. SOB In written communication this abbreviation is used to note Short of Breath, which is frequently used instead of dyspnea. BEYOND THE BASICS: Apnea Apnea: Temporary stopping or cessation of breathing BEYOND THE BASICS: Pulse Oximetry Pulse oximetry: A measure of oxygen saturation in the arterial blood often reported with vital signs as SpO2 (saturation of peripheral oxygen). A pulse ox reading is obtained using a small portable non-invasive device placed on the patients finger tip or earlobe. Abbreviation = pulse ox Normal: 98 % BEYOND THE BASICS: Arterial Oxygen Saturation Arterial Oxygen Saturation A measure of the oxygen saturation level in the bloodstream. This measure is read from a pulse ox machine or on the monitor. Abbreviation = SpO2 Also known as: Saturation or sat (common verbalization)
TPR: A common abbreviation using the first letter of temperature, pulse, and respirations. It is more common in written communication but can often be heard in conversation TPR: temp 101, pulse 90 and rr 26 -or- TPR = 101 90 26 Blood Pressure: The pressure of blood flow on the walls of the arteries. Abbreviation = BP Blood Pressure Cuff: Commonly used to refer to the instrument consisting of the cuff, tubing, and a meter which provides a measure of pressure of the blood flow against the walls of the arteries. Also known as a sphygmomanometer, but this term is rarely used. Abbreviation = BP cuff Traditional mercury manometer
Aneroid Digital BEYOND THE BASICS: Systolic Systolic: Measurement of the pressure of blood flow against the arterial walls as the left ventricle contracts. See: 120 84 120 is the systolic BP BEYOND THE BASICS: Diastolic Diastolic: Measurement of the pressure of blood flow against the arterial walls during the period when the heart is at rest between contractions. See: 120 84 84 is the diastolic BP Note: A normal range of BP is 90-140 / 60-90
BEYOND THE BASICS: Hypertension Hypertension (noun): A disease where blood pressure is elevated, usually a systolic reading over 140 or a diastolic reading over 90 is considered hypertension. Abbreviation = HTN (seen only in written form) Hypertensive (adjective) Ex: A hypertensive crisis or emergency is sustained blood pressure above 180 systolic and 120 diastolic.
BEYOND THE BASICS: Hypotension Hypotension: Systolic blood pressure below 90 and diastolic blood pressure below 60. Orthostatic Hypotension: Lowering of BP when the patient moves from recumbent (lying down) position to standing (erect) position. This is also termed postural hypotension. Example: The patient complains of dizziness when getting out of bed. He may be experiencing orthostatic hypotension.
BEYOND THE BASICS: vital signs cart Vital signs cart: The newest equipment for obtaining vital signs is the vital signs cart. BP, pulse, temperature, and SpO2 are measured and results appear on a screen. Abbreviation: vitals cart