Download temperature, pulse, respirations temperature routes to measure

ROUTES TO MEASURE
TEMPERATURE
TEMPERATURE, PULSE,
RESPIRATIONS
TEMPERATURE
Abbreviated: TPR
The measurement of core body heat
4 Oral: By mouth
4 Rectally: By rectum
4 Axillary: Under the arm in the armpit
4 Tympanic: In the ear
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TYPES OF
THERMOMETERS
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NORMS
4 Rectally: 99.6 - 100.6 degrees Fahrenheit
4 Electronic: All routes. Probes that are
4 Thermoscan - Digital: To be used for
measure as for rectal
4 Mercury or glass: To be used for oral,
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DURATION FOR TAKING
TEMPERATURES
rectal; blue ends oral and axillary.
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BE CAREFUL ON RECTAL
AND AXILLARY TEMPS
4 Tympanic: As long as it takes to push a
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4 Mercury: All routes. Red ends are
4 Axillary: 96.6 - 98.6 degrees Fahrenheit
rectal, and axillary
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red in color for rectal temperatures; blue
in color for oral and axillary.
4 Tympanic - manufacturers say to
tympanic
4
4 Tympanic: Special device with plastic
covers.
rectal, and axillary
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WHAT THERMOMETER
4 Orally: 97.6 - 99.6 degrees Fahrenheit
4 Digital Electronic: To be used for oral,
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READING THE
THERMOMETER
4 Always hold the thermometer in place
button
Electronic: Until the thermometer beeps
Mercury Oral: Three minutes
Mercury Rectal: Three minutes
Mercury Axillary: Ten minutes
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4 Mercury Fahrenheit thermometers are
while measuring both temperatures
read by degree and 0.2 of a degree
4 Long lines indicate degrees
4 Always use lubricant with rectal
4 Short lines indicate 0.2 of a degree
4 Four short lines between each long line
temperatures
(0.2, 0.4, 0.6, 0.8)
4 Always remove clothing around axilla
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PULSE POINTS AND THEIR
LOCATIONS
FIND WHERE TO PULSES
4 At points where the artery is between
PULSE
4 Temporal
4 Radial
4 Carotid
4 Femoral
4 Apical
4 Popliteal
4 Brachial
4 Dorsal Pedalis
finger tips and a bony area
4 Called pulse points
The wave of blood created by the
heart pumping, that travels along
the arteries.
4 Felt with 2-3 fingers, but never the thumb
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NORMS
HOW TO MEASURE?
QUALITY OF PULSE
4 Pulse norms are 60 - 100 beats per minute
4 Measured in beats per minute
4 Rhythm: regular or irregular
4 Pulses between 90 - 100 are in a gray area -
4 Count the waves for 60 seconds
high normal
4 Or, count the waves for 30 seconds -
4 Rate: Within the normal limits
4 Strength: Strong, bounding, thready
4 Faster than 100 - tachycardia
multiply by 2
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4 Slower than 60 - bradycardia
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WHAT AFFECTS PULSE
RESPIRATION
RESPIRATION
4 Body Temperature
4 Measured in breaths per minute
4 Normal range is 12 - 24 breaths per
4 Emotions
minute
The mechanical act of breathing in
air (inspiration) and expelling air
(expiration) from the body
4 Activity Level
4 Greater than 24 is tachypnea
4 Less than 12 is bradypnea
4 Watch for rate, depth, quality of breath,
4 Health of the Heart
and difficulty in breathing
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METHOD OF MEASURING
TPR
CHARTING
4 Chart in order temperature - pulse -
4 If using a mercury thermometer, measure
4 SOB - Short of breath 4 QID - Four times a
day
4 TPR - Temperature,
pulse, and respiration 4 QS - Every shift
respiration.
the pulse and respiration while waiting
for the temperature
4 If using another method of measuring the
temperature, complete the temperature then measure the pulse and respiration
4 Keep you fingers on the pulse while
measuring the respiration
Within normal limits
4 Do not write T =, etc.
4 P.O. - By mouth
4 BID -Twice a day
4 Write (Ax) after axillary temperatures
4 TID -Three times a
day
ABBREVIATIONS
4 QID
4 QS
4 Short of breath
4 Temperature, pulse,
4 Four times a day
4 Every shift
4 WNL
4 PO
4 QD
4 PRN
4 Every day
4 As needed
4 BID
4 TID
4 Ad Lib
4 B/P
and respiration
Within normal limits
4 By mouth
4 Twice a day
4 Three times a day
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TERMS
4 Eupnea - Normal
4
4 At liberty
4 Blood Pressure
4
4
4 Vital Signs
4
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4 Orthopnea
4 Apnea
TERMS
4 Dyspnea
4 Sitting upright to
breathing
4 Dyspnea - Painful or
difficult breathing
4 Tachycardia - Pulse
rate in excess of 100
bpm
4 Bradycardia - pulse
rate less than 60 bpm
breath more easily
4 Fast, deep
breathing
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4 Bounding pulse -
excessively strong
pulse
4 Painful or difficult
breathing
4 Tachycardia
4 Bradycardia
4 Bradypnea - Slow
TERMS
4 Normal Breathing 4 Slow breathing
4 Bradypnea
breathing
Orthopnea - Sitting
upright to breath
more easily
Apnea - No breath
Hyperpnea - Fast,
deep breathing
Tachypnea - Fast,
shallow breathing
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TERMS
4 Eupnea
4 Ad Lib - At liberty
4 B/P - Blood Pressure
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ABBREVIATIONS
4 VS
4 QD - Every day
4 PRN - As needed
4 VS - Vital Signs
4 Write (R) after rectal temperatures
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4 SOB
4 TPR
ABBREVIATIONS
4 Pulse rate in excess of
100 beats per minute
4 Hyperpnea
4 Pulse rate less that 60
4 Thready pulse - Pulse
rate difficult to palpate
because the heart is not
beating hard enough to
produce a strong wave
of blood. Feels as
though there is a piece
of thread running
under the fingertips.
beats per minute
4 Tachypnea
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TERMS
4 Bounding pulse
TERMS
4 Thready pulse
4 Excessively strong
pulse
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4 Pulse difficult to
palpate because heart
not beating heard
enough
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