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生命体征的评估和护理(Evaluation and nursing of vital signs)
生命体征的评估和护理(Evaluation and nursing of vital signs)
This chapter focuses on
The emphasis of this chapter is to explain the concept of continued fever, intermittent fever, fever, intermittent pulse, pulse deficit, tidal breathing, intermittent breathing, difficulty breathing, hypertension, hypotension; body temperature, pulse and respiration, blood pressure in the normal range, measurement methods and precautions; nursing patients with high fever and dyspnea patients. This chapter is difficult to fill and draw a single temperature measurement technology, short pulse.
Vital signs: the body temperature, pulse, respiration, and blood pressure.
The formation of body temperature: sugar, fat, protein, three major nutrients produced by oxidation and decomposition
Normal range
The axillary temperature ranged from 36 to 37 and 36.5 degrees
The oral temperature is 36.3 to 37.2, 37 centigrade
The anal temperature ranged from 36.5 to 37.7, 37.5 degrees
(two) physiological changes
Body temperature may fluctuate with age, age, sex, exercise, medication and other factors, but its range of change is very small, generally not more than 0.5~l.0 degrees centigrade.
Diurnal variation: 2-6 in the morning and 2-8 in the afternoon
Age differences: children adults older people
Gender differences: women men; post ovulation lowest before ovulation (progesterone)
Exercise status: measured in patients quiet state
Medication effect:
Two, abnormal temperature assessment and buried
(1) excessive temperature: excessive temperature is also called fever. Refers to the body in pyrogen under thermoregulation (hypothalamus) tuning point moves caused by regulatory body temperature. When the body temperature rises above the normal value of 0.5 degrees Celsius or a day and night, the body temperature fluctuations above L degrees Celsius can be called fever.
1. clinical grading (taking oral temperature as an example)
Low heat: 37.5 ~ 37.9 DEG C
Moderate heat: 38 ~ 38.9 DEG C
High fever: 39 ~ 40.9 DEG C
Su
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