1. Temperature, Pulse, and Respiration (TPR) Graphics
Unit 35
Temperature, Pulse, and Respiration (TPR) Graphics

2. Basic Principles of Recording TPR Graphics
Graphics are special records used for recording temperature, pulse, and respiration (TPR) measurements.
They are used most often in hospitals and long-term care facilities but can also be used in medical offices and other health care facilities. They present a visual diagram of variations in a patient’s vital signs.

3. Basic Principles of Recording TPR Graphics
When notations are made on the graphic, be sure to find the right day and time column.
Move down the correct column to the correct reading for temperature, pulse, or respiration.
Place a dot in the middle of the block between the time lines.
To connect readings, use a ruler or straight edge.
This is a legal record and must be accurate, neat, and legible.

4. Basic Principles of Recording TPR Graphics
For pulse and respiration, only dots are used to record a measurement. A plain dot in the temperature column indicates an oral temperature measurement.
In some agencies, drugs that alter or change the temperature or other vital signs are noted on the graphic.

5. TPR Graphics Example: See the TPR graphic below.
What was the patient’s temperature at 4a.m., on 2/3/2___?
According to the chart, the patient’s temperature was 101° at 4 a.m. on 2/3.

6. Practical Problem
Using the chart below, what was the patient’s pulse on 11/28/___ at midnight?
[COMP: insert section of chart on p. 251 (top row and 11/28 and 11/29 portions)]

7. Practical Problem
By tracing down to 12 mn on 11/28/___ you will find that the patient’s pulse was 118.