Mrs. Brodermann
Weight Three types of scales Balance beam scales Dial scales Digital scales Who gets weighed Pregnant patients Infants Children Older adults Medical diagnosis Medication based on weight Conditions such as CHF or Edema
Height Measured using movable ruler found on the back of most balance beam scales Taken in infants and children
Reflects the balance between the heat a person’s body produces and the heat it loses Core temperature Adults – 98.6 (97 to 99 is normal) This person is considered afebrile A febrile patient has a temperature above 99 degrees Farenheit Factors affecting temperature Age – children have a higher body temperature and elderly have lower temp. Gender – women are hotter. Especially during ovulation and pregnancy
Exercise – burning calories raises temperature Time of Day – Cooler in the morning Emotions – rises during stress Illness Sites for measuring temperature Mouth – ranges from Rectum – Axillary – 96.6 – 98.6 Tympanic – Types of thermometers Electronic Tympanic Temporal Disposable
Normal pulse is between beats per minute Factors affecting pulse Time of day – lower in the morning Gender – Women are faster. Body type and size – thin, tall people have lower pulse rate Exercise – higher when exercising Stress or emotions – higher Fever – will increase up to 10 beats per minute Medications – many affect pulse Blood volume – decreased blood volume makes heart beat faster
Pulse sites Carotid artery – runs on either side of the neck Brachial artery – found at the bend of the elbow Radial artery – found in the wrist Femoral artery – at the function of the upper thigh and the torso Popliteal artery – behind the knee Posterior tibial artery – near the rounded bone at the inner ankle Dorsalis pedis artery – top of the foot
Pulse characteristics Rate Rhythm Strength Regular or irregular Arrhythmias Bradycardia Tachycardia Bounding (forceful) Thready Strong weak
Normal respiratory rate is Characteristics Rate per minute Infant 20+ Child – Adult – Rhythm Spacing between breaths Depth Shallow, deep or regular
Factors affecting respiration Medications such as morphine Pain (dyspnea) Position (orthopnea) Periods of no breathing are called apnea Periods lasting longer than 4-6 minutes can cause brain damage or even death. Assessing respiration One full cycle of rise and fall of the chest is one breath Count for a full minute Abnormal sounds Wet Dry (crackles) High-pitched sounds (wheezing)
Systolic Highest pressure level during contraction Diastolic Lower pressure as the artery drops and relaxes Both are measured in millimeters of mercury Normal BP is 120/80 Hypertension/hypotension Many factors can affect blood pressure Age, activity, stress, body position and medications. Orthostatic hypotension – positional drop in pressure Cautions Do not measure BP is arms with IV lines, Dialysis shunts, major cuts or wounds, post mastectomy side.
Includes the following: Date Weight Temp BP Pulse Resp Pulse Ox Pain Initials