Normal Vital Signs and Head to Toe Assessment

Slides:

Advertisements

Similar presentations

Elsevier items and derived items © 2010, 2006, 2002 by Saunders, an imprint of Elsevier Inc. Chapter 18 Care of Postoperative Patients.

Advertisements

PEP Course Lecture 3 PEDIATRIC PEDIATRICASSESSMENT TRIANGLE TRIANGLE.

Huda Al-Owairdy Clinical Pharmacy Dept.

Physical Assessment: Breath Sounds Heart Sounds: Apical Pulse CMS of Extremities Bowel Sounds Keith Rischer, RN, MA, CEN, CCRN.

Limmer et al., Emergency Care, 10 th Edition © 2005 by Pearson Education, Inc. Upper Saddle River, NJ CHAPTER 12 Ongoing Assessment.

Braden Q Self Study Guide Answer Key To be used in conjunction with Braden Q in HED Self Study Guide for VCH.

Vital Signs Chapter 15. Vital Signs Various factors that provide information about the basic body conditions of the patient 4 Main Vital Signs 1.Temperature.

Focused History and Physical Examination for Medical Patients CHAPTER 11.

Detailed Physical Examination CHAPTER 12. Detailed Physical Examination Patients Needing a Detailed Examination.

NEO 111 Melanie Jorgenson, RN, BSN.  Inspection: performing deliberate, purposeful observations in a systematic manner  Palpation: using the sense of.

Techniques of the Physical Examination Part 2

Pre and Post Operative Nursing Management

Nursing Care of the Pediatric Patient with Liver Disease and Transplant Presented by Patti Winford R.N., B.S.N.

Physical Assessment: Breath Sounds Heart Sounds: Apical Pulse CMS of Extremities Bowel Sounds Keith Rischer, RN, MA, CEN, CCRN.

Heart Failure: Interactive Fundamental Clinical Reasoning Activity

Orthopedic Assessment Jan Bazner-Chandler CPNP, CNS, MSN, RN.

CHAPTER 12 Ongoing Assessment.

Pediatric Assessment and Management Chapter 32. Scene size up Take note of your surroundings. Scene assessment will supplement additional findings. Observe:

PEDIATRICS…... more than just little people. Airway Differences Larger tongue relative to the mouth Less well-developed rings of cartilage in the trachea.

Grand Rounds St. Thomas 2A Erin Woodby Middle Tennessee State University School of Nursing April 17, 2008.

Pediatric Critical Care Division Child Health Department, Faculty of Medicine University of Indonesia.

2014 – List component of primary assessment. 2.Explain Initial general impression. 3.List Level of consciousness. 4.Discuss ABCs ( Airway – Breathing.

Grand Rounds Presentation Caring for Adult Clients II Spring Semester 2008 Linda J. Calderwood.

EMS 351 Lecture (5) 2014 – 2015 Secondary Assessment

Pre-Operative and Post-Operative Care

PAEDIATRIC TRAUMA. Learning outcomes Approach to patient Approach to patient Differences compared to adult trauma Differences compared to adult trauma.

IED Blast Injury Right Femur Fracture and Left Lower Leg Amputation Skills Practicum.

Chapter 5 Baseline Vital Signs and SAMPLE History.

Chapter 5 Baseline Vital Signs and SAMPLE History.

HEAD TO TOE ASSESSMENT SUMMARY

Baseline Vitals ATHT 241. Objectives Signs and Symptoms RespirationsPulse The Skin Capillary Refill Blood Pressure Level of Consciousness Conclusions.

PHYSICAL EXAMINATION. Midterm Systems Midterm Systems requirements assessment -critical elements-used on care plan -critical elements-used on care plan.

Emergency Care Vital signs : Respiration &Pulse Prepare by: Assist. Prof. Dr.Amira Yahia Teacher :Naglaa Hassan.

Post Anesthesia Care. Post Anesthesia Unit  Specialized critical care area  Also called recovery room or PACU, (post anesthesia care unit)  Usually.

Trauma Assessment Basic Trauma Course The goal of the primary assessment is to rapidly identify potentially life-threatening condition requiring immediate.

How to Conduct a Physical Assessment Cindy Fichera RN MSN.

Division 2 Patient Assessment

Special Care Skills Chapter 22.

Assessment of the Unconscious Athlete

Recognition and Assessment of the Sick Child

Care of Post Op Surgical Patients

Pediatric emergencies

Arm Injury A Case Discussion

Chapter 35 Immobility.

Case Study: Hypoglycemia/Sepsis Baby Boy Bobby Part I

Application in the Clinical Setting

Pre-operative Assessment and Intra operative Nursing Role

TRIAGE,ASSESSMENT AND INITIAL MANAGEMENT OF A CHILD AT THE ER

Overview Responsive Medical Patients Unresponsive Medical Patients

How Do We Comply with all the Rules and Regulations?

Other Important Measurements

Animal Nursing and Assisting

Health History and Physical Assessment

Pediatric Assessment Tools

Immediate Postoperative Assessment

Providing Perianesthia Care and Education

Essential Components of Preoperative Screening

Pediatric Equipment and Supplies

Discharge Teaching Presented by: Danyel Dorn RN, MSN, CPN, Clinical Nurse Educator-Pediatric Service Line.

Pediatric Pain Scales Presented by: Danyel Dorn RN, MSN, CPN, Clinical Nurse Educator-Pediatric Service Line.

Intra operative & Post operative Nursing

Introduction to Clinical Pharmacology Chapter 17 Anesthetic Drugs

Introduction to Clinical Pharmacology Chapter 16 Opioid Antagonists

How Do We Comply with all the Rules and Regulations?

Competency Title : Observations and The Deteriorating Patient for HCAs Competency Lead : Vikki Crickmore, Sister, Critical Care Outreach Team September.

ASSESSMENT OF THE TRAUMA PATIENT

Generalized patient assessment Work from the head down

Attach Capnograph 1. Can You See CO2? NO

PUTTING IT ALL TOGETHER

Introduction to Clinical Pharmacology

Presentation transcript:

Normal Vital Signs and Head to Toe Assessment Presented by: Danyel Dorn RN, MSN, CPN Pediatric Clinical Educator

Purpose In order to provide safe care to pediatric patients recovering from anesthesia requires knowledge of normal vital signs and is impacted by the various stages of growth and development.

Competency Statement The perianesthesia nurse will recognize normal and abnormal vital signs for the pediatric population and identify the required elements of complete head to toe assessment of the patient.

Newborn (0-3 month) Heart Rate: 115-155 bpm BP: 65-85/45-55 RR: 38-53 Temp: 37.5-37.7

Infant 3-6 months 6-12 months Heart Rate: 130-150 BP: 70-90/50-65 RR: 36-50 6-12 months Heart Rate: 115-150 BP: 80-100/55-65 RR: 35-48

Toddlers (1-2 yrs old) Heart rate: 105-135 BP: 83-90/36-46 RR: 27-44 Temp: 37.2-37.7

Preschool (3-5 yrs old) Heart Rate: 90-118 BP: 87-96/45-55 RR: 21-28 Temp: 37-37.2

School-Aged 6-11 year olds 12-14 year olds Heart rate: 75-105 BP: 87-96/45-55 RR: 21-28 Temp: 36.7-37 12-14 year olds Heart Rate: 65-90 BP: 104-113/61-65 RR: 14-20

Adolescent (13-18 years) Heart rate: 65-105 BP: 110-133/63-83 RR: 16-22 Temp: 36.6-37

Neurologic Assessment Patient’s level of consciousness Pupils Level of sedation Presence of pain Sensory and motor function

Respiratory Assessment Airway patency Quality of breathing/bilateral breath sounds Presence of artificial airway Pulse oximetry Ventilator settings (home vent-> have set up in PACU/MD) If patient is on Bipap/Cpap at night, they need to bring it day of procedure/MD

Cardiovascular Abnormal cardiac rhythms Presence and strength of pulses (apical/peripheral) Skin color and general perfusion Presence/patency of IV access BP (upper & lower extremities to R/O cardiovascular abnormalities) Presence of edema

Gastrointestinal Assessment Presence of bowel sounds in all 4 quadrants Inspect/palpate the abdomen Determine NPO status Genitourinary assessment Presence of drains or catheters Determine intake and output

Musculoskeletal Assessment Assess extremities Evaluate for presence of assistive devices, contractures and deformities Identify casts, immobilizers or splints Evaluate skin appearance, cap refill, distal pulses and sensation

Integumentary Assessment Overall appearance, lesions, rashes Identify and document presence of skin conditions, wounds, dressings, abrasions, bruises, redness, ulcerations, breakdown Identify abnormal bruising that may indicate child abuse

Reference ASPAN (2016). A Competency Based Orientation and Credentialing Program for the Registered Nurse Caring for the Pediatric Patient in the Perianesthesia Setting.

Answers A E B C