Health Assessment Vital

Cards (31)

  • To take blood pressure manually, have the patient sit down and be calm for about 3-5 minutes.
  • Tell the patient that their arm should be at heart level if they're anxious or nervous.
  • Put the cuff on the patient's arm and stick two fingers underneath the cuff if it fits the right sized cuff.
  • Ask the patient which arm to use for taking their blood pressure.
  • Make sure the patient has not had an AV, IV, or PICC line, mastectomy, or blood loss before taking a blood pressure in that type of arm.
  • Put the stethoscope in your brachial artery on the patient's elbow.
  • Inflate the cuff with the rubber bulb to 180-200 mmHg.
  • Start the rubber valve and start releasing air slowly.
  • The first sound you hear is the systolic.
  • The second sound you hear is the diastolic.
  • Open the valve right away until the air comes out.
  • Normal blood pressure is defined as less than 120 for the systolic and less than 80 for the diastolic.
  • Elevated blood pressure is defined as 120-129 for the systolic and less than 80 for the diastolic.
  • Hypertension Stage I is defined as 130-139 for the systolic and less than 80 for the diastolic.
  • Hypertension Stage II is defined as greater than 140 for the systolic and less than 80 for the diastolic.
  • Adult temperature normal range is 97-99°F (36.1-37.2°C).
  • Average body temperature is 98.6°F (37°C).
  • Child temperature normal range is 97.4-100°F (36.33-37.78°C).
  • 100.4°F (38°C) is a fever for both adults & children.
  • Rectal temperature is the most accurate route when taking temperature.
  • Skin, armpit, oral, axillary, and temporal temperatures are higher than rectal temperature.
  • Normal far pulse rate is 60-100 km.
  • Radial pulse is the most commonly used site for counting pulse rate.
  • Regular pulse count should be done for 30 seconds and the result multiplied by 2.
  • Irregular pulse rate is counted for one minute.
  • Pulse scale includes "Normal", "Bounding", "41", "O", "Pulse is Absent", "14", "2+", "34", "Weak", and "Normal Range for respiratory rate is 12-20 bpm".
  • Respiratory rate should be counted during inspiration and expiration.
  • To calculate respiratory rate, count the number of breaths while still holding the radial pulse site.
  • The normal range for respiratory rate is 12-20 bpm.
  • During respiratory rate calculation, the chest of the patient should be observed and the rising and falling of the chest should be counted for 30 seconds.
  • The result of the 30-second count should be multiplied by 2 to get the respiratory rate.