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Vital Signs

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Hello, guys!

I'm Jhovelyn Abel, and today we'll discuss about vital signs and how
to obtain them.
So, what is the first thing that leaps to mind when you hear the phrase "VITAL
SIGNS"?

Vital signs are measurements of the body's most basic functions. The four main
vital signs routinely monitored by medical professionals and health care providers
include the following:

 Body temperature
 Pulse rate
 Respiration rate (rate of breathing)
 Blood pressure (Blood pressure is not considered a vital sign but is often
measured along with the vital signs.)

Moreover, vital signs are useful in detecting or monitoring medical problems. Vital
signs can be measured in a medical setting, at home, at the site of a medical
emergency, or elsewhere.

Let’s proceed to the number 1—Body temperature.

What is body temperature?

The normal body temperature of a person varies depending on gender, recent


activity, food and fluid consumption, time of day, and, in women, the stage of the
menstrual cycle. Normal body temperature can range from 97.8 degrees F (or
Fahrenheit, equivalent to 36.5 degrees C, or Celsius) to 99 degrees F (37.2
degrees C) for a healthy adult. A person's body temperature can be taken in any of
the following ways:

 Orally. Temperature can be taken by mouth using either the classic glass


thermometer, or the more modern digital thermometers that use an electronic
probe to measure body temperature.
 Rectally. Temperatures taken rectally (using a glass or digital thermometer)
tend to be 0.5 to 0.7 degrees F higher than when taken by mouth.
 Axillary. Temperatures can be taken under the arm using a glass or digital
thermometer. Temperatures taken by this route tend to be 0.3 to 0.4 degrees
F lower than those temperatures taken by mouth.
 By ear. A special thermometer can quickly measure the temperature of the
ear drum, which reflects the body's core temperature (the temperature of the
internal organs).
 By skin. A special thermometer can quickly measure the temperature of the
skin on the forehead.

The most usual route that we use is via the axillary. This is how it is done:

1. Check that the thermometer if it is on.


2. With the tip of the thermometer pointing at the child, have the child lift their
arm, slide the thermometer under their arm, with the tip gently pressed
against the center of the armpit.
3. Have the child put their arm down, close against the body so the
thermometer stays in place.
4. Wait for the thermometer to take its reading. This will take about a minute or
until it beeps.
5. Remove the thermometer from their armpit and read the temperature.
6. Clean the thermometer and store for its next use.
When cleaning up the thermometer, before and after you use it, you must
wipe down the thermometer with alcohol-based wipes (at least 70% alcohol) or
rubbing alcohol.

Next one is the pulse rate. It is a measurement of the heart rate, or the number of
times the heart beats per minute. As the heart pushes blood through the arteries, the
arteries expand and contract with the flow of the blood. Taking a pulse not only
measures the heart rate, but also can indicate the following:

 Heart rhythm
 Strength of the pulse

The normal pulse for healthy adults’ ranges from 60 to 100 beats per minute. The
pulse rate may fluctuate and increase with exercise, illness, injury, and emotions.
Females ages 12 and older, in general, tend to have faster heart rates than do males.
Athletes, such as runners, who do a lot of cardiovascular conditioning, may have
heart rates near 40 beats per minute and experience no problems.
How to check your pulse rate?

 Using the first and second fingertips, press firmly but gently on the arteries
until you feel a pulse.
 Begin counting the pulse when the clock's second hand is on the 12.
 Count your pulse for 60 seconds (or for 15 seconds and then multiply by
four to calculate beats per minute).
 When counting, do not watch the clock continuously, but concentrate on the
beats of the pulse.
 If unsure about your results, ask another person to count for you.

Thirdly, what is the respiration rate?

The respiration rate is the number of breaths a person takes per minute. The rate is
usually measured when a person is at rest and simply involves counting the number
of breaths for one minute by counting how many times the chest rises. Respiration
rates may increase with fever, illness, and other medical conditions. When
checking respiration, it is important to also note whether a person has any
difficulty breathing.

Normal respiration rates for an adult person at rest range from 12 to 16 breaths per
minute.

How do I count a person's respirations?

 Ask the person to sit upright.


 Try to count the other person's respirations without his knowing. If he
knows, he may try to control his breathing. This can give a false respiratory
rate.
 Use a watch with a second hand and count his breaths for 60 seconds. Use
any of the following methods to count:
o Look at his chest rise and fall. One rise and one fall are counted as 1
breath.
o Listen to his breaths.
o Place your hand on the person's chest to feel the rise and fall.

And the last one is the blood pressure.


Blood pressure is the force of the blood pushing against the artery walls during
contraction and relaxation of the heart. Each time the heart beats, it pumps blood
into the arteries, resulting in the highest blood pressure as the heart contracts.
When the heart relaxes, the blood pressure falls.

Two numbers are recorded when measuring blood pressure. The higher number, or
systolic pressure, refers to the pressure inside the artery when the heart contracts
and pumps blood through the body. The lower number, or diastolic pressure, refers
to the pressure inside the artery when the heart is at rest and is filling with blood.
Both the systolic and diastolic pressures are recorded as "mm Hg" (millimeters of
mercury).

HOW TO TAKE MANUAL BLOOD PRESSURE IN 7 EASY STEPS


1. Roll up the sleeve (if you wear a long-sleeved shirt).

2. Sit down on a chair and rest the patient’s arm on a table at your
heart level. Use a pillow if needed.

3. Place the Cuffs on the bare skin. Make sure they are tight.

4. Position the stethoscope at the crease of the arm to locate the


strongest pulse.

5. Inflate and deflate the cuff (check the video below on how to take
blood pressure manually).

6. Listen for a first and second “thump” sound. The first occurrence
of rhythmic sounds will indicate the systolic blood pressure, while
the second, the diastolic blood pressure.

7. Take a second reading. To check the accuracy of the blood


pressure, take a second reading on the other arm too. Wait a few
minutes between readings.

THANK YOU FOR WATCHING! I HOPE YOU’VE LEARNED SOMETHING


FROM THIS VIDEO, BYE GUYS!

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