Vital Signs Assessment of Vital Signs Temperature

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1/20/2011Chill Phase• Signs andSymptoms• shivering• blood vesselsconstrict• absence of sweating• Care• assessment• blankets• fluids• nourishment• OxygenFever Phase• Temp at new setpoint• Signs andSymptoms• flushed skin• warm skin• weak, muscle aches• drowsy, restless• Care• Comfort• Hydration• Prevent shivering• Limit physical activity• Oral hygiene• Environmentaltemperature controlFlush or Crisis Phase• Signs andSymptoms• profuse diaphoresis• less shivering• flushed, warm skin• Care• fluids• light clothing• hypothermia blanket• Medications• Oral hygiene• Environmentaltemperature control4
1/20/2011Subnormal Temperature• Hypothermia• Chemical reactions slowed• Metabolic demands for oxygendecreasedAssessing Temperature• Glass thermometers• oral = blue, thin bulb• rectal = red, blunt tip• Electronic• oral = blue• rectal = red• Temperature sensitive patches5
Page 1 and 2: 1/20/2011Vital SignsAssessment of V
Page 3: 1/20/2011Rectal Temperature• Reli
Page 7 and 8: 1/20/2011Pulse Quality or Amplitude
Page 9 and 10: 1/20/2011Respiratory Terms• Apnea
Page 11: 1/20/2011Proper Measurement• Corr

Vital Signs Assessment of Vital Signs Temperature

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