Vital Sign Assessment Flashcards
How should you always begin Vital signs/Assessments ?
With Observation
What are distraction techniques such as stickers, pens, etc,. used during Vital Signs ?
To make sure we get the most accurate set of VS
When going in to get VS or do an Assessment on a child what should you always do first ?
Talk to the parents, even before you talk to the child, to help build that trusting relationship :)
When you get VS, what should you get first ?
The Least Invasive first
You should __________ before touching or even talking to children when getting vital signs ?
Observe
In Pediatrics, what is the Progression for obtaining vital signs ?
- ) Respirations
- ) Heart rate
- ) Blood pressure
- ) Temperature
In infants and toddlers, how should you always count RR and HR ?
why ?
For One full minute
B/c of irregularities due to their immature nervous system regulation
If vital signs cannot be taken without disturbing the child, what should you do ?
Record the behavior with the measurements
Ex: Kicking during BP
What is considered the most reliable route for temperature measurement in infants and children ?
Rectal
Who do you NOT get rectal temps in and why ?
Who: Newborns
Why: Too risky and may perforate the anus
Rectal temperatures are contraindicated in any child with what types of things ?
- Diarrhea
- Rectal lesions
- Receiving chemotherapy
- Immunosuppressed
- Has no rectum
What is having No Rectum referred to as ?
Imperforate Anus OR Anorectal Malformation
Who can axillary temperatures be done in ? and when ?
Can be done in All ages and when an Oral route is not possible
(or not tolerating rectal, etc)
Oral temperatures start when ?
Start at age 5 to 6 years
b/c they are cooperate at this age
Tympanic temperatures can be done on who ?
All ages
