Intro and Temp Flashcards
(57 cards)
reflects the physiologic
state which govern the
body’s organs
Vital Signs
temperature, pulse,
respiration, & blood pressure
Vital Signs
What are these?
❖Identify problems
❖Monitor condition
❖Evaluate response/s to intervention/s
❖Basis for clinical problem-solving
❖Part of care in any setting
Purposes of Vital Signs
When to measure VS (there are 9)
- On admission to a health care facility
- When assessing the patient during
home visits - In a hospital on a routine schedule
according to a physician’s or hospital’s
standards of practice - Before and after a surgical procedure
or invasive diagnostic procedure - Before, during, and after transfusion
of blood products - before, during, and after the
administration of medications or
applications of therapies - when the patient’s general
condition changes
-before and after nursing
interventions that influence a VS - when the patient reports
nonspecific symptoms of physical
distress
What is the 1st Guidelines in taking VS?
KNOW THE CLIENT’S NORMAL/ USUAL
RANGE/ LAST MEASUREMENT
what is the 2nd guideline of taking VS?
KNOW THE CLIENT’S MEDICAL HX, THERAPY
& MEDICATION HE IS RECEIVING
CONTROL ENVIRONMENTAL FACTORS THAT
MAY INFLUENCE V/S VALUES
3rd Guideline
MANNER OF APPROACH TO THE CLIENT
MAY ALTER V/S
4th Guideline
What’s the 5th and 6th Guideline?
- MAKE CERTAIN THAT EQUIPMENT IS
FUNCTIONAL & APPROPRIATE - DECIDE FREQUENCY OF VITAL SIGNS
ASSESSMENT
What’s the 7th & 8th Guidelines?
- USE AN ORGANIZED, SYSTEMATIC
APPROACH TO MEASURE VITAL SIGNS - VERIFY & COMMUNICATE SIGNIFICANT
CHANGES
Reflects balance
between the heat
produced and heat lost
from the body
Body Temperature
2 types of temperature
Core & Surface Temperature
What type pf Body Temperature?
- Temperature of the deep tissues of
the body - Remains relatively constant within
a range of 36 C– 37.4 C
CORE
What type of Body Temp?
- Measured in the tympanic or
rectal sites
CORE
Is Core Temperature relatively lower than Surface Temperature?
No, it’s relatively higher
What type of Temperature?
- Temperature of the skin,
subcutaneous tissue and fat - Rises and falls in response to the
environment
Surface
Temperature measured at oral and axillary sites
Surface
What are the 3 regulations of Body Temperature?
- Neural and
vascular control - Maintaining heat
production and
heat loss - Behavioral
control
What happens if your temperature increases?
Sends signal to hypothalamus -> sweating and vasolidation
What happens if your temperature decreases?
sends signal to hypothalamus -> shivering and vasoconstriction
MECHANISMS OF HEAT LOSS
• Transfer of heat by means of waves
• Transfer of heat from one surface to another surface, without contact
Radiation
MECHANISMS OF HEAT LOSS
• Process by which water is converted into steam / vapo
Evaporation
MECHANISMS OF HEAT LOSS
• Transfer / dispersion of heat away by air currents
Convection
MECHANISMS OF HEAT LOSS
• Transfer of heat from one object to another during direct contact
Conduction
