Chapter 19 Vital Sians 生命体征的评估与护理 Nursingfaculty, Xi'an medical college
Chapter 19 Vital Signs 生命体征的评估与护理 Hu Minhua Nursing faculty, Xi’an medical college
●●● ●●●● ●●●●● ●●●● ●●●● ●● 生命体征( vital signs) 体温、脉搏、呼吸与血压是生命维持的 基本指征,是机体内在活动的客观反映, 是衡量机体健康状况的指标,合称为生 命体征 2021/1/30
2021/1/30 2 生命体征(vital signs)—— 体温、脉搏、呼吸与血压是生命维持的 基本指征,是机体内在活动的客观反映, 是衡量机体健康状况的指标,合称为生 命体征
●●● ●●●● 生命体征测量的意义 ●●●●● ●●●● ●●●● ●● ●判断生命体征有无异常 ●动态监测生命体征变化,分析异常状况及 伴随症状 ●协助诊断,为预防、治疗、康复护理提供依据 2021/1/30
2021/1/30 3 生命体征测量的意义 ⚫ 判断生命体征有无异常 ⚫ 动态监测生命体征变化,分析异常状况及 伴随症状 ⚫ 协助诊断,为预防、治疗、康复护理提供依据
●●● ●●●● Guidelines for Taking Vital Signs 9988 ●● ● Measure Analyze Explain Decide interventions 2021/1/30
2021/1/30 4 Guidelines for Taking Vital Signs ⚫ Measure Analyze Explain Decide interventions
●●● ●●●● Guidelines for Taking Vital Signs 9988 ●● Equipment functional and appropriate ● Normal range o Medical history therapies, medications Environmental factors ● Systematic method o Frequency of sign assessment o Indication for medication administration ● Ongoing health status o When to take vital signs 2021/1/30
2021/1/30 5 Guidelines for Taking Vital Signs ⚫ Equipment functional and appropriate ⚫ Normal range ⚫ Medical history ,therapies, medications ⚫ Environmental factors ⚫ Systematic method ⚫ Frequency of sign assessment ⚫ Indication for medication administration ⚫ Ongoing health status ⚫ When to take vital signs
●●● Key terms ●●●●●● T (Temperature) igns Vitals Hyperthermia Fever constant fever remittent fever intermittent fever irregular fever Radiation Conduction Convection Evaporation 2021/1/30
2021/1/30 6 Key Terms Vital Signs T(Temperature) Hyperthermia Fever constant fever remittent fever intermittent fever irregular fever Radiation Conduction Convection Evaporation
●●● ●●●● ●●●●● body temperature ●●●● ●●●● ●● ·学习目标( earning objectives) ●熟悉发热程度的区分及临床常见的4种热型 ●熟悉体温计的消毒与检查 ●掌握体温的评估、观察与护理 ●掌握正确测量病人体温的方法 7 2021/1/30
2021/1/30 7 body temperature ⚫ 学习目标(learning objectives) ⚫ 熟悉发热程度的区分及临床常见的4种热型 ⚫ 熟悉体温计的消毒与检查 ⚫ 掌握体温的评估、观察与护理 ⚫ 掌握正确测量病人体温的方法
●●● ●●●● Review ●●●●● ●●●● ●●●● ●● 定义:体核温度( body temperature 体表温度( shell temperature) ●体温的产生? 产热与散热过程 体温的调节 2021/1/30
2021/1/30 9 Review ⚫ 定义:体核温度 (body temperature) 体表温度(shell temperature) ⚫ 体温的产生? 产热与散热过程 体温的调节