Nursing 1080A/B Lecture Notes - Lecture 3: Circadian Rhythm, Pulse Wave, Axilla
5 May 2016
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Assessment of cardiovascular health & vital signs (tpr, bp) Outline: learn expected values for tpr & bp, learn correct technique to assess tpr & bp, understand factors that influence vital signs, understand components of cardiovascular assessment. Vital signs tell us how the persons body is responding to stressors. Will most likely use method that is available to you. Rectal (not done for people who are immune compromised) Oral (over 6 yrs, must be able to hold probe in mouth) Age (skin gets thinner as you age, children fluctuate in temp, Febrile [bmr 13% for every c : afebrile, pyrogen. S1 is loudest at apex or left lower sternal border (closing of tricuspid and mitral valves) The top of the heart is the base (the pulmonic and aortic valves) If unable to feel, turn patient onto left side and the heart should move forward into chest cavity allowing it to be easier to feel pmi.
