TPRTPR

To play run, tom patton reynolds, talons To play run, tom patton reynolds, talons protruding rooster, toast potato roll, protruding rooster, toast potato roll, totes plenty ready, tell people rally, totes plenty ready, tell people rally,

temperature/pulse/respiration-dodiestemperature/pulse/respiration-dodies

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• Pulse sites are:Pulse sites are:• TemplesTemples• CarotidCarotid• BrachialBrachial• RadialRadial• FemoralFemoral• PoplitealPopliteal• Dorsalis pedisDorsalis pedis• Apical when all else failsApical when all else fails

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• You take a radial on a walkin talkinYou take a radial on a walkin talkin

• You take a carotid/femoral on a You take a carotid/femoral on a bluebloaterbluebloater

• You take a popliteal/dorsalis pedis for You take a popliteal/dorsalis pedis for circulation below the pulse sitecirculation below the pulse site

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• Correct pulse range is 60-100 beats Correct pulse range is 60-100 beats per minuteper minute

• If the pulse is above 100- it is If the pulse is above 100- it is considered tachycardiaconsidered tachycardia

• If the pulse is below 60 it is If the pulse is below 60 it is considered bradycardiaconsidered bradycardia

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• to determine pulse, palpate the to determine pulse, palpate the appropriate arteryappropriate artery

• On a watch with a second hand, time out On a watch with a second hand, time out 10 seconds as you count number of beats 10 seconds as you count number of beats you feel. Multiply this number by 6.you feel. Multiply this number by 6.

• Example: I feel 10 beats in 10 secondsExample: I feel 10 beats in 10 seconds• 10x6=60 normal10x6=60 normal• Example I feel 12 beats in 10 secondsExample I feel 12 beats in 10 seconds• 12x6=72 normal12x6=72 normal

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• Note the quality of the pulse…..Note the quality of the pulse…..

• Is it thready, weak, irregular?Is it thready, weak, irregular?

• Is it strong, bounding, racingIs it strong, bounding, racing

• Note the skin temp as well….Note the skin temp as well….

• Is it warm, hotIs it warm, hot

• Is it cool, clammyIs it cool, clammy

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• Temperature can be taken:Temperature can be taken:• sublingually-children and adultssublingually-children and adults• Tempanic- in the ear, children and adultsTempanic- in the ear, children and adults• Forehead via infrared, children and adultsForehead via infrared, children and adults• Axillary- babies and adults who have had Axillary- babies and adults who have had

something to eat or drink in last 5 minutes or who something to eat or drink in last 5 minutes or who can’t receive it orallycan’t receive it orally

• Rectally- babies, children adults who need a more Rectally- babies, children adults who need a more accurate tempaccurate temp

• Foley cath temp- monitors core temp of the body Foley cath temp- monitors core temp of the body and can be read on the box continuouslyand can be read on the box continuously

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Normal range for temperature would Normal range for temperature would be 98.6 degrees, but may vary by 1 be 98.6 degrees, but may vary by 1 degree either direction throughout degree either direction throughout the daythe day

- Add 1 degree to an axillary temp to Add 1 degree to an axillary temp to determine if it is normaldetermine if it is normal

- Subtract a degree from rectal temp Subtract a degree from rectal temp to see if it is normal rangeto see if it is normal range

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• Temperature above 100.4 F is Temperature above 100.4 F is considered hyperthermia or febrileconsidered hyperthermia or febrile

• Temperature is 95 degrees F and Temperature is 95 degrees F and belowbelow

• Is considered hypothermia, brain and Is considered hypothermia, brain and body function slows to a minimum at body function slows to a minimum at 85 degrees and body functions cease 85 degrees and body functions cease at 65 degrees F core tempat 65 degrees F core temp

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• Respirations- normal respirations will Respirations- normal respirations will be between 12-24 breaths/minbe between 12-24 breaths/min

• Anything below 12 would be Anything below 12 would be considered bradypneaconsidered bradypnea

• Anything above 24 would be Anything above 24 would be considered tachypneaconsidered tachypnea

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• Note the quality of breathingNote the quality of breathing

• Is the patient gasping- this is not Is the patient gasping- this is not breathing! Nasal flaring in infants and breathing! Nasal flaring in infants and guttural sounds is not breathing! Start CPRguttural sounds is not breathing! Start CPR

• Is the patient cyanotic? Indicates a lack of Is the patient cyanotic? Indicates a lack of O2. Get a Pulse Oximeter on the patient O2. Get a Pulse Oximeter on the patient ASAP. Normal reading needs to 95%-ASAP. Normal reading needs to 95%-100% O2 and notify nearest supervisor100% O2 and notify nearest supervisor

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• Pain is always noted on vital sign Pain is always noted on vital sign assessments. It is considered the 5assessments. It is considered the 5thth VS.VS.

• Remember, pain is relative, ALWAYS Remember, pain is relative, ALWAYS BELIEVE YOUR PATIENT! BELIEVE YOUR PATIENT!

Instruct bp---http://www.youtube.com/watch?v=Gmic13mvsgo

What is bp---http://www.youtube.com/watch?v=qWti317qb_w

Record bp---http://www.youtube.com/watch?v=oioFVbsiwEk