Summary
NUR 181 Chapter 9 Summary
This is a comprehensive and detailed summary on Chapter 9; general survey,vital signs and pain for Nur 181. *Essential Study Material!!
[Show more]
Connected book
Book Title:
Author(s):
- Edition:
- ISBN:
- Edition:
Content preview
Chapter 9,10: General Survey, Vital Signs, PainI. Acute Assessment
1. Indicators of acute situations:
● Extreme anxiety, acute distress, pallor (pale appearance)
● Cyanosis (blue discoloration), change in mental status
2. Interventions begin while continuing assessment
3. Normal BP: 120/80
4. Normal Oral Temp: (resting person) 98.6 (range between 96.4-99.1)
● Rectal temp is one degree higher
● Axillary temp is one degree lower
5. Normal Resting HR:60-100bpm
6. Adult Respiratory Rate: 10-20 breaths/min
7. Normal pulse oximetry: SpO2 from 92-100%
● SpO2 of 85-89% acceptable for patients with chronic conditions like
emphysema
8. Rapid response team may be called for:
● Acute change in mental status
● Stridor ( a harsh vibrating noise when breathing caused by windpipe or
larynx obstruction)
● Respirations of less than 10 or >32 breaths per min
● Increased effort to breathe
● Oxygen saturation <92%
● Pulse <55 bpm or >120 bpm
● Systolic BP <100 or >170
● Temp is <35C or >39.5C
● New onset of chest pain
● Agitation or restlessness
II. General Survey
1. First component of assessment
2. Forms global impression of person or broad idea
3. Difference btwn light and deep palpation (ch.8)
4. ASSESS: overall appearance, hygiene and dresss, skin color, body structure and
development, behavior, facial expression, level of consciousness, speech (slow,
normal monotone?), mobility
5. ANTHROPOMETRIC MEASUREMENTS: height, weight, BMI
6. VITAL SIGNS: reflect health status, cardiopulmonary fxn, overall body fxn, need
to assess patient medications first, frequency, baseline
7. TEMPERATURE: normal range depends on route used
8. PULSE: arterial pulse points
● More than 100 = tachycardia
● Less than 50 = bradycardia
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller anyiamgeorge19. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $7.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
80467 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now