Today’s Lecture

Vital Signs Overview/Context Temperature Pulse Blood Pressure Respiratory Rate Oxygen Saturation Pain

Assignment

Respiration

Ventilation↓

Diffusion↓

Perfusion

Normal Range

Newborn 30-60 breaths/minInfant (6 months) 30-50 breaths/minToddler (2 yrs) 25-32 breaths/minChild 20-30 breaths/minAdolescent 16-19 breaths/minAdult 12-20 breaths/min

Wotton 2009 p568

Influencing RespsAge - 30-60 newborn

- 12-20 adult

Body position

Acute pain

Anxiety Smoking Stress

Exercise Fever Medications

Altitude Acid/base status

Neurological injury

Resp Characteristics

Rate

Depth/Volume

Rhythm

Resp Process

Tollefson 2007 pp226-229

Resp Process

Covert Standard Precautions Arm across abdo/lower chest Observe & Count

Regular = 30 sec (and x2)Irregular = 60 sec

Document Compare

Resp Assessment

Physical Appearance

Accessory Muscles

Position/Posture

Skin Colour

Neurological Status

Abnormal Resp

HypoventilationHyperventilation

Tachypnoea Bradypnoea

Apneoa

Abnormal Resp

Respiratory Effort Dyspnoea

Orthopneoa Stridor

Wheezing

Abnormal Resp

Biot’s respirationsCheyne-Stokes

KussmaulApneustic

Today’s Lecture

Vital Signs Overview/Context Temperature Pulse Blood Pressure Respiratory Rate Oxygen Saturation Pain

Assignment