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vital sign 身体体系测量 - Coggle Diagram
vital sign 身体体系测量
temperature
-axillary
1. Place the probe under the arm, at the center of the axilla
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-temporal
1. Place the sensor on the client's forehead, and press and hold the button while moving the sensor slowly across the forehead and down behind the ear
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-oral
1. Place under the tongue, close the lips without biting
2. wait 15-30 mins after eating, drinking/ smoking/ 02
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-rectal
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4. Gently insert probe, adult 1.5 inch, child 1 inch, infant 0,5 inch
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6. contraindications for cardiac, diarrhea, newborn less than 1 month
before
1. Identify the client with 2 identifiers ( name, date of birth)
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after
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3. Abnormal/unexpected findings, we need to notify the provider
blood pressure
Avoid extremity with IV infusing or surgery, or arteriovenous fistula, select the appropriate cuff side
manual
1. Position arm with palm up, level with the heart
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4. Close the valve on the bulb and inflate the cuff approximately 30 mm Hg above the client's estimated systolic pressure
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6. The first sound will be systolic pressure, and the last will be diastolic pressure
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