Obtain Medical History 1
Something you can see and obverse
Sign (blood pressure, pulse, respiration, skin color)
Process of comparing multiple sets of vital signs from the same patient over time
Trending
Easy, labored, gasping, wheezing, snoring, gurgling,
Breathing types
2 common techniques used to measure blood pressure
Auscultation and requires use of Stethoscope and Palpation
Yellow
Jaundiced
All information you gather about the patients current and previous medical conditions
Medical History
1st set of vitals
Baseline vitals
Why is this so important?
Respiration rate for an adult
12-20
I learned 12 pack and case.
Systolic number above 130
Hypertension
Sweaty
Diaphoretic
Something the patient describes during the secondary assessment
Sympton
Confusion, Deformity
Example of sign
One inhalation plus one exhalation
Respiratory rate
Left Ventricle of the heart contracts, it relaxes and refills. The relaxation phase is
Diastole……..During diastole, the pressure in the arteries falls. When measured, this pressure is called diastolic blood pressure. Is this the top number or bottom number of blood pressure?
Pink, warm, dry, pale, cool, moist
Examples of skin signs for documentation
Questioning the patient about what he or she is feeling or what happened that made them call 911
Chief complaint
Adequate delivery of well oxygenated blood and nutrients to all of body, and the elimination of waste products
Perfusion
Rapid shallow breathing
Shock, Heart problems, Heat injuries, Diabetic emergency, Heart failure, Pneumonia
Pressure generated within the arteries when the heart contracts
Systolic……..top or bottom number of the blood pressur?
Skin that is not being perfused well
Cyanotic (blue)
Chest pain, shortness of breath, back pain
Chief complaint
Fatigue, cough, anxiety
Symptoms
Coughing blood
Chest Trauma, Lung Infection, Puncture Lung, Internal Injuries
Blood pressure is measured in
Mm hg or millimeters of mercury
Tool used evaluate circulation status and perfusion
Capillaries refill