kul tanda tanda vital

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FAQIH RUHYANUDIN

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Page 1: Kul Tanda Tanda Vital

FAQIH RUHYANUDIN

Page 2: Kul Tanda Tanda Vital

TERMASUK:TERMASUK:1. SUHU TUBUH2. NADI3. PERNAFASAN4. TEKANAN DARAH5. (NYERI : sering

disebut tanda-tanda vital yang ke-5)

Status fisiologis fungsi tubuh seseorang dapat direfleksikan oleh indikator TTV perubahan TTV indikasikan perub. kesehatan

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Vital signVital sign NormalNormal vital vital

signs signs berubah berubah dipengaruhi oleh dipengaruhi oleh : umur,: umur, sex, sex, berat badanberat badan, , AktivitasAktivitas, , dan dan kondisi kondisi (sehat/sakit)(sehat/sakit)

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Pengukuran TTV Sesuai permintaan, untuk melengkapi data

dasar pengkajian Sesuai permintaan dokter Sekali sehari klien stabil Setiap 4 jam 1 /> TTV abnormal Setiap 5 – 15mnt klien tidak stabil atau

resiko perubahan fisiologi secara cepat post op

Ketika kondisi klien tampakberubah

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Setiap menit atau lebih sering, bila ada perubahan signifikan dari hasil pengukuran sebelumnya

Ketika klien merasa tidak seperti biasa Sebelum,selama dan setelah transfusi Sebelum pemberian obat efek

perubahan TTV

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SUHU TUBUH SUHU TUBUH MENUNJUKKAN

KEHANGATANTUBUH MANUSIA Panas tubuh Diproduksi :

exercise dan metabolisme makanan

Hilang : melalui kulit, paru, dan produk sisa melalui proses radiasi, konduksi,konveksi, evaporasi

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Suhu tubuh mencerminkan keseimbangan antara produksi panas dan kehilangan panas, dan diukur dalam unit panas yang disebut derajat.

Ada 2 macam suhu tubuh:1. Suhu inti jaringan dalam tubuh: rongga

abdomen dan rongga pelvic Relatif konstan

2. Suhu permukaan suhu kulit, SC, dan lemak SC naik dan turun merespon thd lingkungan

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FAKTOR-FAKTOR YANG MEMPENGARUHI PRODUKSI PANAS1. BMR : jumlah energi yang digunakan

ubuh untuk melakukan aktivitas utama seperti bernafas

2. AKTIVITAS OTOT: termasuk menggigil, meingkatkan metabolisme rate

3. TYROXINE OUTPUT: meningkatnya output tyroxine akan meningkatkan metabolisme sel seluruh tubuh

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4. Stimulasi/respon Epineprin, norephinephrine, simpatis. Hormon ini dengan seketika meningkatkan metbolisme sel dibeberapa jaringan tubuh

5. Fever, meningkatkan jumlah metabolisme tubuh

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MEKANISME KEHILANGAN PANASRadiasi adalah pemindahan panas dari

permukaan objek tertentu ke permukaan onjek yang lain tanpa adanya kontak antara kedua objek, yang paling sering adalah dengan sinar inframerah. (atau penyebaran panas dengan gelombang elektromagnetik)

Konduksi adalah perpindahan panas ke objek lain melalui kontak langsung

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Evaporasi (penguapan) adalah perubahan dari cairan menjadi uap. Seperti cairan tubuh dalam bentuk keringat menguap dari kulit

Konveksi adalah penyebaran panas oleh karena pergerakan udara dengan kepadatan yang tidak sama. orang yang menggunakan kipas angin

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Mekanisme perpindahan panasMekanisme perpindahan panas

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FAKTOR YANG MEMPENGARUHI SUHU TUBUHCircadian Rhythms perubahan fisiologis, seperti

perubahan suhu dan TTV yang lain secara fluktuatif : pagi hari lebih rendah dibandingkan sore hari, suhu tubuh berfluktuasi 0,28o – 1,1oC selama periode 24jam

Usia suhu tuuh bayi dan anak-anak berubah lebih cepat dalam merespon perubahan panas dan dingin

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Hormonal perempuan cenderung lebih fluktuatif dibandingkan dengan laki-laki, karena perubahan hormon

Stress respon tubuh terhadap stress fisik dan emosi akan meningkatkan produksi epineprin dan nor epineprin sehingga mengakibatkan peningkatan metabolisme rate peningkatan suhu tubuh

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SUHU TUBUH NORMAL Suhu Permukaan : 36,8o – 37,4o C (96,6o – 99,3o

F) Suhu inti : 36,4o – 38o C (97,5o – 100,4o F)

Suhu diukur dengan termometer.

Termometer yang paling dikenal Celsius (C), Reaumur (rankine) (R), Fahrenheit (F), Kelvin (K), dengan perbandingan antara satu dan lainnya mengikuti:

C:R:(F-32) = 5:4:9

Contoh: oC=5/9(F-32) dan F=9/4R+32

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PENGATURAN SUHU PENGATURAN SUHU Suhu manusia dikendalikan

oleh HIPOTHALAMUS

Anterior hilangnya panas

Vasodilatasi dan bengkak

Posterior produksi dan menyimpan panas

1. Menyesuaikan dengan sirkulasi darah

2. Piloerectile (mengatur konstriksi atau dilatasi pori-pori kulit)

3. Respon menggigil

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Hipotalamus meningatkan produksi panas dengan cara meningkatkan metabolisme melalui sekresi hormon thyroid, yaitu epinephrin dan norepinephrin medulla adrenalis

Dalam keadaan normal, hipotalamus menjaga suhu inti “set point”(suhu tubuh optimal) sebesar 1˚C oleh perubahan suhu permukaan tubuh dan darah

Suhu > 41°C, dan < 34°C indikasi kerusakan di pusat pengaturan hipotalamus

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Pengaturan Suhu Tubuh Pengaturan Suhu Tubuh oleh HIPOTALAMUSoleh HIPOTALAMUS

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PENGUKURAN SUHUPENGUKURAN SUHU

1. ORAL

Termometer diletakkan di dibawah lidah sublingual artery

- biasanya hasil pengukuran 0,5 – 0,8 °C dibawah suhu inti

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KONTRA INDIKASI PENGUKURAN SUHU DI ORAL:1. Klien tidak kooperatif

2. Bayi atau toodler

3. Tidak sadar

4. Dalam keadaan menggigil

5. orang yang biasa bernafas dengan mulut

6. Pembedahan pada mulut

7. Pasien tidak bisa menutup mulut

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Untuk menjamin keakuratan hasil pengukuran perlu dikaji:Pengukuran dilakukan 30 menit setelah klien :

1. Mengunyah permen/permen karet

2. Merokok

3. Makan dan minum panas atau dingin

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2. Rektal2. Rektal

Berbeda 0,1°C dengan suhu inti

KontraindikasiKontraindikasi Diare Pembedahan rektal Clotting disorders Hemorrhoids

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3. Aksila 3. Aksila

Hasil pengukuran 0,6°C lebih rendah dibandingkan suhu oral

Paling sering dilakukan mudah, nyaman

Contraindication of axillary temperatureContraindication of axillary temperature Pasien kurus Inflamasi Lokal daerah aksila Tidak sadar, shock Konstriksi pembuluh darah perifer

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TEMPAT PENGUKURAN

CELCIUS

Oral 37°

Rektal (setara) 37,5°

Aksila (setara) 36,4 °

Ekuivalen Pengukuran suhuEkuivalen Pengukuran suhu

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4. Telinga (Aural)4. Telinga (Aural) Riset menunjukkan suhu ditelinga pada

membran timpani paling mendekati suhu inti tubuh

Kesimpulan ini diddasarkan pada 2 fakta anatomi:1. Membran tympani hanya berjarak 3,8 cm dari

hipotalamus

2. Darah pada arteri karotis internadan eksterna, adalah pembuluh darah yang menyuplai hipotalamus dan membran tympani

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Tympanic Thermometer

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PENINGKATAN SUHU PENINGKATAN SUHU TUBUHTUBUH1. Pyrexia : istilah yang digunakan untuk

menggambarkan suhu tubuhlebih tinggi dari set point normal

2. Fever (demam) : suhu tubuh > 37,4°C, tanda dan gejala:

- Kulit kemerahan- Gelisah, - irratibilitas (lekas marah)- Tidak nafsu makan- Pandangan menurun dan sensitif terhadap cahaya

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Banyak KeringatSakit kepalaNadi dan RR meningkatDisorientasi dan bingung (jika suhu terlalu

tinggi)Kejang pada infantdan anak-anak

3. Hiperthermi : suhu tubuh > 40,6°Csangat beriko terjadi kerusakan otak bahkan kematian kerusakan pusat pernafasan

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TAHAPAN DEMAM (FEVER)1. Prodromal phase : gejala tidakspesifik

sebelumpeningkatan suhu

2. Onset or invasion phase (fase serangan)

peningkatan suhu tubuh, menggigil

3. Stationary phase : demam menetap

4. Resolution phase : suhu kembali normal

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Nursing Interventions for Client's with fever:• Monitor vital signs• Assess skin color and temperature• Monitor WBC, HCT, and other laboratory reports for

indications of infection or dehydration• Remove excess blanket when the client feels warm,

but provide extra warmth when the client feels chilled.

• Measure intake and output• Provide adequate nutrition and fluid• Reduce physical activity to limit heat production.

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Administer antipyretic Provide oral hygiene to keep the mucous

membrane moist. Provide a tepid sponge bath to increase heat loss

through conduction. Provide dry clothing and bed linens.

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Hypothermia; is a core body temperature below the lower limit of normal. The three physiologic mechanisms of hypothermia are:

Excessive heat loss Inadequate heat production to counteract heat

loss Impaired hypothalamic thermoregulation

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The clinical signs of hypothermia:Decreased body temperature, pulse, and

respirationSevere shiveringFeelings of cold and chillsPale, cool skinHypotensionDecreased urinary outputLack of muscle coordinationDisorientationDrowsiness progressing to comaFrostbite(nose, fingers, toes)

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Nursing Interventions for Client's with Nursing Interventions for Client's with HypothermiaHypothermia1. Provide a warm environment

2. Provide dry clothing

3. Apply warm blanket

4. Keep limbs close to body

5. Cover the client's scalp with a cap

6. Supply warm oral or intravenous fluids

7. Apply warming pads

Page 35: Kul Tanda Tanda Vital

DIAGNOSA KEPERAWATAN DIAGNOSA KEPERAWATAN BERHUBUNGAN DENGAN SUHU BERHUBUNGAN DENGAN SUHU TUBUHTUBUH

1. Resiko Trauma

2. Hyperthermia

3. Hypothermia

4. Resiko ketidakseimbangan suhu tubuh

5. Ineffektif termoregulasi

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PROSEDUR PEMERIKSAAN SUHU1. Pastikan frekuensi dan cara pemeriksaan

suhu sesuai dengan permintaan dokter atau rencana keperawatan (nursing care plan)

2. Identifikasi pasien3. Jelaskan prosedur pemeriksaan kepada

pasien4. Pastikan termometer dalam keadaan siap

pakai5. Cuci tangan dan gunakan sarung tangan bila

ada indikasi6. Pilih letak pemasangan termometer

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7. Ikuti tahap-tahap pengukuran sesuai pedoman secara berurutan menyesuaikan dengan jenis termometer

8. Cuci tangan

9. catat hasil pengukuran

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PEMERIKSAAN NADIPEMERIKSAAN NADI

Nadi Nadi adalah sensasi denyutan seperti gelombang yang dapat dirasakan/ dipalpasi di arteri perifer, terjadi karena gerakan atau aliran darah ketika konstraksi jantung

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Nadi adalah gelombang darah yang dibuat oleh kontraksi ventrikel kiri jantung

Pada orang dewasa kontraksi jantung 60 – 100 x/mnt saat istirahat

Cardiac output; adalah volume darah yang dipompakan kedalam arteri oleh jantung dan = SVxHR

Nadi Perifer; nadi yang berada jauh dari jantung, ex: kaki, radialis, leher

Nadi apical; nadi central, lokasinya di apex jantung

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KECEPATAN NADI (PULSE RATE) Pulse Rate (jumlah denyutan perifer

yang dirasakan selama 1 menit) dihitung dengan menekan arteri perifer dengan menggunakan ujung jari

Tachycardia: nadi >100 -150 x/mnt jantung overwork oksigenasi sel tidak adequat

Palpitasi Palpitasi : perasaan berdebar-debar, sering menyertai tachycardi

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Denyut Nadi sangat fluktuatif dan meningkat dengan :1.exercise, 2.illness, 3.injury, and 4.emotions. wanita cenderung dibandingkan laki-laki. Athlets, mis. Pelari, bisa jadi heart rates-nya 40 x/mnt dan tidak masalah.

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Bradycardia : denyut nadi < 60 x/mnt kejadian lebih sedikit dibandingkan tachycardia

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FACTOR YANG FACTOR YANG MEMPENGARUHI NADIMEMPENGARUHI NADI

1. Usia; peningkatan usia, nadi berangsur-angsur menurun

2. Jenis Kelamin; pria sedikit lebih rendah daripada wanita (P=60-65 x/mnt ketika istirahat, W=7-8 x/mnt lebih cepat)

3. Circadian rhythm; rata-rata menurun pada pagi hari dan meningkat pada siamg dan sore hari

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4. Bentuk tubuh; tinggi, langsing biasanya denyut jantung lebih pelan dan nadi lebih sedikit dibandingkan orang gemuk

5. Aktivitas dan exercise; nadi akan meningkat dengan aktivitas dan exercise dan menurun dengan istirahat

6. Stress dan emosi; rangsangan syaraf simpatis dan emosi seperti cemas, takut, gembira meningkatkan denyut jantung dan nadi.

Nyeri, adalah stressor yang dapat memacu nadi lebih cepat

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7. Suhu Tubuh; setiap peningkatan 1°F nadi meningkat 10x/mnt, peningkatan 1°C nadi meningkat 15x/mnt. Sebaliknya bila terjadi penurunan suhu tubuh maka nadi akan menurun

8. Volume darah; kehilanngan darah yang berlebihan akan menyebabkan peningkatan nadi

9. obat-obatan; beberapa obat dapat menurunkan atau meningkatkan kontraksi jantung. Golongan digitalisdan sedatifmenurunkan HR, Caffeine, nicotine,cocaine, hormon tyroid, adrenalin meningkatkan HR

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Penghitungan Nadi Penghitungan Nadi NormalNormal

USIA RENTANG NORMAL

RATA-RATA

BBL 120 – 160 140

1 – 12 BL 80 – 140 120

1 – 2 TH 80 – 130 110

3 – 6 TH 75 – 120 100

7 – 12 TH 75 – 110 95

REMAJA 60 – 100 80

DEWASA 60 – 100 80

Page 47: Kul Tanda Tanda Vital

IRAMA NADI

1. REGULER; pola dan jarak waktu denyutan pada tiap denyutan teraba sama/teratur NORMAL

2. IRREGULER (arrhythmia/dysrhythmia); pola dan jarak waktu denyutan pada tiap denyutan teraba tidak sama/tidak teratur

Page 48: Kul Tanda Tanda Vital

ISI DENYUTANISI DENYUTANAdalah kualitas denyutan yang teraba yang

berhubungan dengan julah darah yang dipompakan oleh jantung ketika berkontraksi

Kualitas definisi Deskripsi0 Tidak ada nadi Tidak teraba, meskipun ditekan dengan

kuat

1+ Nadi sangat lemah (thready Pulse)

Pulsasi susah dirasakan, dengan tekanan ringan tidak teraba

2+ Nadi lemah Denyutan Lebih kuat dibanding Thready

3+ Normal Dapt teraba dengan mudah,dengan palpasi ringan denyutan tidak teraba

4+ Denyutan kuat dan teraba dengan palpasi sedang

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PENGUKURAN NADIPENGUKURAN NADI1. Temporal; passes over the

temporal bone of the head. The site is superior and lateral to the eye.

2. Carotid; at the side of the neck between the trachea and the sternocleiodomastoid muscle.

3. Apical; at the apex of the hearty. About 8cm to the left of the sternum and at the fourth and sixth intercostals space.

4. Brachial; at the inner aspect of the biceps muscle of the arm

Page 50: Kul Tanda Tanda Vital

5. Radial; on the thumb side of the inner aspect of the wrist

6. Femoral; alongside the inguinal ligaments

7. Popliteal; behind the knee

8. Posterior tibial; on the medial surface of the ankle

9. Pedal “dorsalis pedis”; over the bones of the feet

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Adalah jumlah frekuensi pernafan seseorang selama satu menit

Frekuensi pernafasan dihitung setiap satu gerakan inhalasi dan ekshalasi

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Mechanics and regulation of breathing

During inhalation, the diaphragm contracts the ribs move upward and outward, and the sternum moves outward, thus enlarging the thorax and permitting the lungs to expand.

During exhalation. The diaphragm relaxes, the ribs move downward and inward, and the sternum moves inward, thus decreasing the size of the thorax as the lungs are compressed.

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Respiration is controlled by (a) respiratory centers in the medulla oblongata and the pons of the brain and (b) by chemo receptors located centrally in the medulla and peripherally in the carotid and aortic bodies.

External respiration; the interchange of oxygen and carbon dioxide between the alveoli of the lungs and the pulmonary blood. Internal respiration; the interchange of these same gases between the circulating blood and the cells of the body tissues.

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The respiratory rate is normally described in breaths per minute, normal in depth and rate called eupnea. Bradypnea; abnormally slow respirations. Tachypnea; abnormally fast respirations. Apnea; the absence of breathing.

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Abnormal Respiratory Rate

Respiration rates over 25 or under 12 breaths per minute (when at rest) may be considered abnormal

under 12 breathsunder 12 breaths

over 25 breathsover 25 breaths

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Respiratory Rate

Normal respiration rates at rest range from 15 to 20 breaths per minute. In the cardio-pulmonary illness, it can be a very reliable marker of disease activity.

1515

2020

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Factors affecting Respirations

Factors increase the rate:○Exercise○ Increase metabolism○Stress○ Increased environmental temperature○Lowered oxygen concentration

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Factors decrease respiration rate: Decreased environmental temperature Certain medications such as narcotics Increased intra cranial pressure

 

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Respiration depth; is generally described as normal, deep, or shallow. Deep respirations; large volume of air is inhaled and exhaled, inflated most of the lungs.

Shallow breathing involve the exchange of a small volume of air and often the minimal use of a lung tissue

Hyperventilation; refers to very deep, rapid respiration.

Hypoventilation; refers to very shallow respirations

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Respiratory rhythm refers to the regularity of the expirations and the inspirations .An respiratory rhythm can be described as regular or irregular.

- Cheyne-stokes breathing, from very deep to very shallow breathing and temporary apnea.

 

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Breath sounds

- Stridor, harsh sound heard during inspiration with laryngeal obstruction

- Stertor, snoring respiration usually due to a partial obstruction of the upper airway.

- Wheeze, continuous, high pitched musical sound occurring on expiration when air moves through narrowed or partially obstructed air way.

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Secretions and coughing

- Hemoptysis, the presence of blood in the sputum

- Productive cough, a cough accompanied by expectorated secretions

- Nonproductive cough, a dry, harsh cough without secretions

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Preparation for measurement Patient should

abstain from eating, drinking, smoking and taking drugs that affect the blood pressure one hour before measurement. 

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Remember the following for accuracy of your readings Instruct your patients

to avoid coffee, smoking or any other unprescribed drug with sympathomimetic activity on the day of the measurement

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Preparation for measurement

Because a full bladder affects the blood pressure it should have been emptied.

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Preparation for measurement Painful procedures

and exercise should not have occurred within one hour. 

Patient should have been sitting quietly for about 5 minutes.

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Preparation for measurement BP take in quiet room

and comfortable temperature, must record room temperature and time of day.

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Position of the Patient Sitting position Arm and back are

supported. Feet should be

resting firmly on the floor

Feet not dangling. 

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Position of the arm

The measurements should be made on the right arm whenever possible. 

Patient arm should be resting on the desk and raised (by using a pillow)

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Position of the arm

Raise patient arm so that the brachial artery is roughly at the same height as the heart. If the arm is held too high, the reading will be artifactually lowered, and vice versa.

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Position of the arm

Palm is facing up.  The arm should remain somewhat bent and

completely relaxed

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In order to measure the Blood Pressure (equipment) Pediatric Cuff size

Minimum Cuff Width: 2/3 length of upper arm

Minimum Cuff length: Bladder nearly encircles arm

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In order to measure the Blood Pressure (equipment)

Adult Cuff size Cuff Width: 40% of

limb's circumference Cuff Length: Bladder at

80% of limb's circumference

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In order to measure the Blood Pressure (equipment) Adult Cuff size

Indications for large cuff or thigh cuff ○ Upper arm

circumference >34 cm

Indications for forearm cuff (with radial palpation) ○ Upper arm

circumference >50 cm

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Blood Pressure If it is too small, the

readings will be artificially elevated. The opposite occurs if the cuff is too large. Clinics should have at least 2 cuff sizes available, normal and large.

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In order to measure the Blood Pressure (Cuff Position) Patient's arm

slightly flexed at elbow

Push the sleeve up, wrap the cuff around the bare arm

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In order to measure the Blood Pressure (Cuff Position) Cuff applied directly

over skin (Clothes artificially raises blood pressure )

Position lower cuff border 2.5 cm above antecubital

Center inflatable bladder over brachial artery

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Measurement of the pulse rate

The manometer scale should be at eye level, and the column vertical. The patient should not be able to see the column of the manometer

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In order to measure the BP

Feel for a pulse from the artery coursing through the inside of the elbow (antecubital fossa).

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In order to measure the BP Wrap the cuff around

the patient's upper arm

Close the thumb-screw.

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In order to measure the BP With your left hand

place the stethoscope head directly over the artery you found. Press in firmly but not so hard that you block the artery.

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Technique of BP measurement Use your right hand

to pump the squeeze bulb several times and Inflate the cuff until you can no longer feel the pulse to level above suspected SBP

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Technique of BP measurement

If you immediately hear sound, pump up an additional 20 mmHg and repeat

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Technique of BP measurement

Deflate cuff slowly at a rate of 2-3 mmHg per second until you can again detect a radial pulse

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Technique of BP measurement Listen for auditory

vibrations from artery "bump, bump, bump" (Korotkoff)

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In order to measure the BP Systolic blood

pressure is the pressure at which you can first hear the pulse.

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In order to measure the BP

Diastolic blood pressure is the last pressure at which you can still hear the pulse

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In order to measure the BP Avoid moving your

hands or the head of the stethescope while you are taking readings as this may produce noise that can obscure the Sounds of Koratkoff.

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Technique of BP measurement BP must take

in both arms and one lower extremity.

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In order to measure the BP The two arm

readings should be within 10-15 mm Hg. Differences greater then 10-15 imply differential blood flow.

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In order to measure the BP If you wish to repeat

the BP measurement you should allow the cuff to completely deflate, permit any venous congestion in the arm to resolve and then repeat a minute or so later.

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Remember the following for accuracy of your readings If the BP is

surprisingly high or low, repeat the measurement towards the end of your exam (Repeated blood pressure measurement can be uncomfortable).

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In order to measure the BP

You can verify the SBP by palpation. Place the index and middle fingers of your right hand over the radial artery.

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In order to measure the BP Diastolic blood

pressure allow free flow of blood without turbulence and thus no audible sound. These are known as the Sounds of Koratkoff.

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Blood pressure The minimal SBP

required to maintain perfusion varies with the individual. Interpretation of low values must take into account the clinical situation.

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Blood pressure for adult Physician will want to

see multiple blood pressure measurements over several days or weeks before making a diagnosis of hypertension and initiating treatment.

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What Abnormal Results Mean

Pre-high blood pressure: systolic pressure consistently 120 to 139, or diastolic 80 to 89

Stage 1 high blood pressure: systolic pressure consistently 140 to 159, or diastolic 90 to 99

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What Abnormal Results Mean Stage 2 high blood

pressure: systolic pressure consistently 160 or over, or diastolic 100 or over

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What Abnormal Results Mean Hypotension (blood

pressure below normal): may be indicated by a systolic pressure lower than 90, or a pressure 25 mmHg lower than usual

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Hypertension

High blood pressure greater than 139-89..

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Blood pressure (mm Hg) Normal blood

pressure 100/60 and 139/89.

Prehypertension 120,139-80,89…

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Blood pressure may be affected by many different conditions Cardiovascular

disorders Neurological

conditions Kidney and urological

disorders

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Blood pressure may be affected by many different conditions Pre eclampsia in

pregnant women Psychological factors

such as stress, anger, or fear

EclampsiaEclampsia

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Blood pressure may be affected by many different conditions

Various medications "White coat hypertension" may occur if the

medical visit itself produces extreme anxiety

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Remember the following for accuracy of your readings Orthostatic (postural)

measurements of pulse and blood pressure are part of the assessment for hypovolemia.

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Remember the following for accuracy of your readings First measuring BP

when the patient is supine and then repeating them after they have stood for 2 minutes, which allows for equilibration.

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Remember the following for accuracy of your readings Systolic blood

pressure does not vary by more then 20 points when a patient moves from lying to standing.

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Remember the following for accuracy of your readings Orthostatic

measurements may also be used to determine if postural dizziness (diabethic autonomic nervous system dysfunction) is the result of a fall in blood pressure.

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Vital signs

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Oxygen Saturation Over the past

decade, Oxygen Saturation measurement of gas exchange and red blood cell oxygen carrying capacity has become available in all hospitals and many clinics.

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Oxygen Saturation Oxygen Saturation

provide important information about cardio-pulmonary dysfunction and is considered by many to be a fifth vital sign.

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Oxygen Saturation For those suffering

from either acute or chronic cardio-pulmonary disorders, Oxygen Saturation can help quantify the degree of impairment.