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Today’s Lecture    Vital Signs Overview/Context    Temperature    Pulse    Blood Pressure     Respiratory Rate    Oxygen Saturation    Pain    Assignment
Respiration Ventilation ↓ Diffusion ↓ Perfusion
Normal Range Newborn 30-60 breaths/min Infant (6 months) 30-50 breaths/min Toddler (2 yrs) 25-32 breaths/min Child 20-30 breaths/min Adolescent 16-19 breaths/min Adult 12-20 breaths/min Wotton 2009 p568
Influencing R esps Neurological injury Acid/base status Altitude Medications Fever Exercise Stress Smoking Anxiety Acute pain Body position Age  30-60 newborn  -  12-20 adult
Resp Characteristics Rate Depth/Volume Rhythm
Resp Process Tollefson 2007 pp226-229
Resp Process    Covert    Standard Precautions     Arm across abdo/lower chest    Observe & Count Regular = 30 sec (and x2) Irregular = 60 sec    Document    Compare
R esp  Assessment Physical Appearance Accessory Muscles Position/Posture Skin Colour  Neurological Status
Abnormal Resp Hypoventilation Hyperventilation Tachypnoea  Bradypnoea  Apneoa
Abnormal Resp Respiratory Effort  Dyspnoea  Orthopneoa  Stridor  Wheezing
Abnormal Resp Biot’s respirations Cheyne-Stokes Kussmaul Apneustic
Today’s Lecture    Vital Signs Overview/Context    Temperature    Pulse    Blood Pressure     Respiratory Rate    Oxygen Saturation    Pain    Assignment

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Ns1211 2009 Week 4 Part 5

  • 1. Today’s Lecture  Vital Signs Overview/Context  Temperature  Pulse  Blood Pressure  Respiratory Rate  Oxygen Saturation  Pain  Assignment
  • 2. Respiration Ventilation ↓ Diffusion ↓ Perfusion
  • 3. Normal Range Newborn 30-60 breaths/min Infant (6 months) 30-50 breaths/min Toddler (2 yrs) 25-32 breaths/min Child 20-30 breaths/min Adolescent 16-19 breaths/min Adult 12-20 breaths/min Wotton 2009 p568
  • 4. Influencing R esps Neurological injury Acid/base status Altitude Medications Fever Exercise Stress Smoking Anxiety Acute pain Body position Age 30-60 newborn - 12-20 adult
  • 5. Resp Characteristics Rate Depth/Volume Rhythm
  • 6. Resp Process Tollefson 2007 pp226-229
  • 7. Resp Process  Covert  Standard Precautions  Arm across abdo/lower chest  Observe & Count Regular = 30 sec (and x2) Irregular = 60 sec  Document  Compare
  • 8. R esp Assessment Physical Appearance Accessory Muscles Position/Posture Skin Colour Neurological Status
  • 9. Abnormal Resp Hypoventilation Hyperventilation Tachypnoea Bradypnoea Apneoa
  • 10. Abnormal Resp Respiratory Effort Dyspnoea Orthopneoa Stridor Wheezing
  • 11. Abnormal Resp Biot’s respirations Cheyne-Stokes Kussmaul Apneustic
  • 12. Today’s Lecture  Vital Signs Overview/Context  Temperature  Pulse  Blood Pressure  Respiratory Rate  Oxygen Saturation  Pain  Assignment