护理学 5英文生命体征的观察与护理1.pptVIP

The Tirteenth Charpter The Observation and Nursing Of Vital Signs The First Section The Observation and Nursing Of Temperature Teaching Goal 1.Grasps the definition of excessively high temperature and excessively low temperature,clinical minute,nursing and the disinfection and inspection of thermometers 2.Familiar normal body temperature and the physiology change, the clinical process of pyrexia and common hot. 3.Understands the production and physiology adjustment of the body temperature and the type and structure of the thermometer. Course content Vital signs is the floorboard of temperature,pulse,respiration and blood pressure。 Normal temperature Clinical indexing Oral temperature as an example: Mild： 37.5~37.9 ℃（99.5~100.2 ℉） Moderate:38.0~38.9℃ （100.4~102.0 ℉） Sever： 39. 0~40.9℃ （102.2~105.6 ℉） Profound： 41.0℃（105.8 ℉）and above Clinical process Patterns of Fever Classification of hypothermia Mild：32~35℃ (89.6~95.0℉) Moderate：30~32℃ (86.0~89.6℉) Severe：30℃ (86℉) Profound：23~25℃ (73.4~77.0℉) The antisepsis of thermometer Use by oneself：Rinse in chemical solution after use, wash down with cold water and wipe it dry before use. Take temperature collectivity： Rinse in chemical solution after use with 5min ,wash down and wipe it dry ，and then rinse in another chemical solution with 30min, wash down with cold water and wipe it dry before use. Check-up the thermometer Shake thermometer to 35 ℃，rinse in water which is below 40 ℃（36~40 ℃ ），check it after 3min. 1. Oral temperature measurement （1）Wait 20 to 30min before if the client has ingested hot or cold liquids or food ,or just smoked,bathed,hip bathed,or had cleansing enema,much exercise. 1. Oral temperature measurement （2）Place the thermometer at the base of tongue to the right or left of the frenulum in the postrrior sublingual pocket. Ask the client to close the lips but not the teeth,around the thermometer. Leave thermometer in place for 3 to 5min 2. A