*dizziness and shortness of breath may indicate tachy and
bradycardia *measure for 1min.
Temperature ✔✔Normal: 97.6-99.6 F (36.4-37.6 C)
Fever (oral): >100 F (37.8 C)
Fever (rectal/ear): >101 F
Fever (pediatric rectal): > 100.4 F (38 C)
*most common method to measure: orally
*most accurate method to measure: rectally
Supine Position ✔✔Pt lies flat facing upward
,Blood Pressure ✔✔Normal: <120 / <80
Prehypertension: 120--89
Hypertension Stage I: 140--99
Hypertension Stsge II: >160 / >100
Hypertensive Crisis: >180 / >110
Hypotensive: <90 / <60
Respiration ✔✔Normal: 12-20 breaths/min
*deviation may be due to injury or illness
*observe for pale, ashen, cyanoic, or cold skin for pts with reading out of the 12-20 breaths/min
range
Systolic ✔✔Pressure in blood vessels when your heart beats (ventricles contract)
Diastolic ✔✔Pressure in blood vessels when your heart rests between beats (ventricles relax)
Sphygmomanometer ✔✔Blood pressure cuff
*palpate brachial atery in antecubical region of arm
, *center bladder of cuff over brachial artery with the tube away from pt body and bulb close to
pt body
*position cuff 1in. above bend in elbow with guage at eye level to read
*release dial slowly at 2mm/sec
*1st beat = systolic reading
*when the best stops = diastolic reading
Dorsal Recumbent Positon ✔✔Pt lies face up with knees bent (vaginal US position)
Fowler's Position ✔✔Pt lies on table with head of table elevated to 90*
Semi-Fowler's Position ✔✔Pt lies on table with head of table elevated at 45*
Prone position ✔✔Pt lies facedown
Sims Position ✔✔Pt lies on left side with right leg sharply bent and knees on table (rectal
exam position)
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