3 Patient identifiers
Patient's name
Patient's DOB
Patients Allergies
normal pulse rate
60-100 bpm
definition for apnea
not breathing
Apnea
no breathing
pulse less than 60bpm
bradycardia
Temp, Blood pressure, Heart rate, Respiratory rate, and Pain
what is Eupnea ?
normal breathing 12-20 R/min
Decrease in body temperature below normal
Hypothermia < 96
pulse greater than 100bpm
tachycardia
Tachypnea
breathing more than 20 R/min
when do we check the patients identification?
When meeting the patient for the first time
When preparing to administer medication or blood products
When preparing to provide care
When taking vital signs/blood glucose
When collecting specimens, have the patient confirm you have correctly labeled the specimen being collected
Before and after transport of the patient to another department
During bedside handoff
When using SBAR Communication
Contraindications to oral temp
Infant or child under 6 years old
Unconscious, confused or disoriented person
Somone who had surgery or injury to the face, neck,
nose, or mouth
Receiving oxygen (O2 > 6 L/min)
Paralysis on one side of the body
Seizure disorder
Cyanosis
a decrease of oxygen in the blood
period of heart muscle contraction
systole
period of heart muscle relaxation
Diastole
Rectal and Indwelling Urinary Catheter
difficulty breathing (SOB)
Bradypnea
breathing less than 12 R/min
blood pressure is checked on what part of the body ?
Brachial artery
what is a normal oxygen saturation?
92-100%
Increase in body temperature
above normal
Hyperthermia (fever) >104
Pulse sites
Carotid, apical, brachial, radial, femoral, popliteal, posterior tibial, dorsalis pedis
what is the normal blood pressure?
120/80
sudden drop in BP from moving like lying, sitting, standing position
Orthostatic
Avoid placing BP cuff in?
Same arm with IV
Same arm with cast
AV shunt
Injured or diseased limb
Mastectomy side
Lymph node swelling
lymphedema