护理学 6英文生命体征的观察与护理2.pptVIP

The Tirteenth Charpter The Observation and Nursing Of Vital Signs Teaching Goal Course content 1.Normal pulse and the physiology change 2. The observation and nurses of unusual pulse Pulse rate abnormal Pulse rhythm abnormal The intensity of pulse abnormal Artery mural abnormal 3. Measuring of pulse The second sectinon The observation and nurses of pulse Pulse： The pulse js the rhythmical throbbing of arteries produced by the regular contractions of the heart,especially as palpated at the wrist or in the neck.The arterial walls beat rhythmically with the contraction and diastole of the ventricles,this movement can be spread along the arterial wall,and can be felt at the shallow arterial.This is called pulse. 2、obersvation and nursing of abonaomal pulse 1. Pulse rate abnormal 2. Pulse rhythm abnormal 3. The strength of pulse abnormal 4. The equality of pulse abnormal The abrupt distention and quick collapse of the pulse is palpated following the increased caradiac output with resultant pulse pressure surges. Water hammer pulse A pulse in one extremity may be unequal in strength pr absent in many diseasea,such as thrombosis, aberrant blood vessels,or aortic dissection. The nursing of Abnoral pulse The Tirteenth Charpter The Observation and Nursing Of Vital Signs The third section The observation and nursing of blood pressure Teaching Goal Course content 1.Normal blood pressure and the physiology change 2.The observation and nurses of unusual blood pressure 3.Measuring of blood pressure The form of blood pressure Blood volume Cardiac output Factors affecting blood pressure The normal number and Physiological change blood pressure Physiology change of blood pressure 1.Hypertension Systolic≥140mmHg and/or Diastolic≥90mmHg 2.Hypotension Hypotension is generlly considered when the systolic blood pressure falls to 90mmHg or bel