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Vital Signs

Chiba University School of Medicine Physical Exam Class 2
by

Daniel Salcedo

on 17 April 2013

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Transcript of Vital Signs

Vital Signs Daniel Salcedo MD What are Vital Signs A group of measurements that assess basic body functions
These include: Heart rate Respiratory rate Temperature Blood Pressure Heart Rate Take radial or carotid pulse (Covered last session)
Count the number of pulsations:
30 seconds x 2 = beats per minute (bpm)
15 seconds x 4 (Emergencies only) Respiratory Rate Measure the number of respiratory cycles in one minute

Important: DO NOT TELL THE PATIENT
If you tell someone to breathe normally they will change their breathing pattern
Pretend to be taking the pulse
Count the number of respiratory cycles by looking at the chest movement
30 seconds x 2 = Respiratory rate Measuring the Respiratory Rate Quality of Respiratory Movement Respiratory distress in a child Measuring Blood Pressure Equipment Sphygmomanometer Stethoscope Sphygmomanometer Dial Bulb Cuff How to measure Blood Pressure Locate brachial artery
Wrap the cuff around the arm with the marker on the artery
Inflate while feeling the pulse and check the pressure at which the pulse disappears
Deflate the cuff immediately Place the stethoscope bell on the brachial artery
Inflate cuff 20 - 30mgHm above pulse occlusion pressure
Release the air slowly (about 2 mmHg per second)
The first Korotkoff sound will be the systolic blood pressure
Continue deflating until the Korotkoff sounds dissappear, that will the diastolic blood pressure. How to measure Blood Pressure Blood Pressure Reading 120 / 80 mmHg "120 over 80 millimeters of mercury" Systolic Diastolic Normal Blood Pressure JNC-7 Classification Temperature Body temperature is a very useful measurement, it gives us information about the body's function.
It is measured using a... Thermometer Mercury Thermometer Electronic Thermometer Tympanic
Thermometer Thermo-Scanner How to Measure Temperature Oral
Axillary
Anal
Vaginal
Tympanic
Scanner Normal Temperature Reading Temperature C = Celsius
F= Fahrenheit "37 degrees Celsius" Practice Time Work in small groups
Obtain the vital signs of 3 partners
Heart rate (Radial)
Respiratory rate
Blood pressure
Temperature (Axillary) Demonstration Heart rate (Radial)
Respiratory rate
Blood pressure
Temperature (Axillary)
Full transcript