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SPM 100 SKILLS LAB 2. Emergency Assessment of Vital Signs and Pain Daryl P. Lofaso, M.Ed, RRT Clinical Skills Lab Coordinator. Vital Signs (VS). Temperature Pulse Respiration Blood Pressure Pain Assessment. General Guidelines When Assessing VS. Taken by person caring for patient. - PowerPoint PPT Presentation


<ul><li><p>SPM 100 SKILLS LAB 2Emergency Assessment of Vital Signs and Pain </p><p>Daryl P. Lofaso, M.Ed, RRTClinical Skills Lab Coordinator</p></li><li><p>Vital Signs (VS)TemperaturePulseRespirationBlood PressurePain Assessment</p></li><li><p>General Guidelines When Assessing VSTaken by person caring for patient.Know normal rangesBaseline data for patient i.e. patients normsPatients Diagnosis (Dx)</p></li><li><p>Body Temperature</p></li><li><p>Balance of Body Temperature</p></li><li><p>Temperature Conversion</p></li><li><p>Pulse (Heart Rate HR)Normal60-100/min.</p><p>Abnormal &lt; 60 - Bradycardia &gt; 100 - Tachycardia </p></li><li><p>Arterial Pulse Points</p></li><li><p>Abnormal Pulse Characteristics Weak Pulse stroke volumeBounding Pulse - stroke volumeParadoxical Pulse change with respirations</p></li><li><p>Respiratory RateNormal relaxed breathing is effortless, automatic, regular and even.Normal range:Adult : 12-16/min.Child: 20-30/min.Infant: 35-40/min.</p></li><li><p>Respiratory Patterns</p></li><li><p>Blood PressureB/P = Systolic Pressure / Diastolic PressureSystolic Pressure: max. pressure exerted on the arteries with the LVDiastolic Pressure: the elastic recoil pressure presented by the arterial walls</p></li><li><p>BP FormulasPulse Pressure = systolic pressure diastolic pressureNormal: 30-50 mmHgMean Arterial Pressure = systolic pressure + 2(diastolic pressure) / 3Normal: 70-100 mmHg</p></li><li><p>Shock Index (SI)Define: the ratio of the heart rate to systolic blood pressure. SI = HR (bpm) / Systolic B/P (mmHg)Normal range: 0.5 0.7Elevated SI: &gt; 0.9 - critically ill (poor outcome)Sensitive indicator of Left Ventricular dysfunctionUsed in the Emergency Department (ED) and Intensive Care Unit (ICU)</p></li><li><p>Pain AssessmentRange:Mild: 1 3Moderate: 4 6Severe Pain: 7 - 10 </p></li><li><p>Pain ManagementNon-Pharmacologic Breathing - slowly and deeplyDistractionPharmacologicNon-NarcoticTylenolIbuprofen NarcoticMorphine</p></li><li><p>Hand WashingGOOD HAND WASHING CAN PREVENT NOSOCOMIAL INFECTIONS35% OF NOSOCOMIAL INFECTIONS ARE PREVENTABLE!!!!</p></li><li><p>Professional ConductIntroduce yourselfExplain the procedure / examination to the patientAsk the patient if they have any questionsCover the patient with a sheet. Only expose area examining while performing a procedure/examination</p></li></ul>