Chapter 32Vital SignsNRS 102.ppt

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Chapter32VitalSignsNRS102GeneralSurveyPhysicalappearanceAgeSexLevelofconsciousnessSkincolorFacialfeaturesGeneralSurveyBodystructureStatureNutritionSymmetryPosturePositionBodybuild,contourMobilityGaitRangeofmotionGeneralSurveyBehaviorFacialexpressionMoodandaffectSpeechDressPersonalhygieneGuidelinesforMeasuringVitalSignsEstablishabaselineforfutureassessments.Beabletounderstandandinterpretvalues.municatefindings.Ensureequipmentisinworkingorder.Accuratelydocumentfindings.BodyTemperaturePhysiologyBodytemperature:HeatproducedHeatlostTemperaturerange:98.6°Fto100.4°For36°Cto38°CTemperaturesites:Oral,rectal,axillary,tympanicmembrane,temporalartery,esophageal,pulmonaryarteryBodyTemperatureRegulationNeuralandvascularcontrolHeatproductionHeatlossSkintemperatureregulationBehavioralcontrolThermoregulationFactorsAffectingBodyTemperatureAgeExerciseHormonallevelCircadianrhythmEnvironmentTemperaturealterationsAbnormalBodyTempHypothermiaHeatlossduringprolongedexposuretocoldClassifiedbycoretemp(mild-severe)Maybeintentional(surgery)Earlysigns-uncontrolledshivering,lossofmemory,poorjudgmentLatersigns-Cyanosis,decreasedVS,cardiacdysrhythmias,lossofconsciousnessFrostbite-bodyexposuretosubnormaltempsAbnormalBodyTempHyperthermiaElevatedbodytemprelatedtobody’sinabilitytopromoteheatlossorreduceheatproductionHeatstroke-prolongedexposuretosunorhighenvironmentaltemp.HeatdepresseshypothalamusfunctionHeatExhaustion-profusediaphoresisresultinfluid&electrolyteloss 内容来自淘豆网www.taodocs.com转载请标明出处.