Airway & Oxygen Normal Breathing Rates: Adult: Child: Infant: Adequate Breathing Rates- repertory rate within normal range & a regular breathing pattern. Breath sounds that are present and free of unusual noises. Chest expansion that is adequate and equal with minimum effort. Adult: Child: Infant: Inadequate Breathing- is characterized by shallow respirations, mental status changes, and shows effort in breathing, gasping/grunting, and slow heart rate. Airway Maintenance ***Most common cause of airway obstruction in an unresponsive patient is the ______________. Reasons why: 1) 2) 3) 1 Methods for opening the airway 1) 2) 2 Vital Signs Skills Assignment Name:_____________________________ Working with a partner, you will go threw each section and complete the task listed. Record your answers in the space provided for each section. Once you are finished gathering your data, compare your results with each chart and determine whether your results coincide with the recommended number listed. Pulse: should be assessed for both rate and quality. Characterized by: WEAK OR STRONG REGULAR OR IRREGULAR How to take a pulse: # of beats felt in 30 seconds multiplied by 2 Irregular should be assessed for a full minute!!! Your Pulse Results #1: _________ Your Pulse Results #2:_________ Your Partner’s Reading of your Pulse: ________ Where do you fall in accordance to the chart? ______________ Respiration: assessed by watching the rise and fall of the patient’s chest. Respiration should be assessed for both rate and quality. Characterized by: o Normal- average chest wall movement, no accessory muscle use o Shallow- only slight chest or abdominal movement o Noisy- snoring, wheezing, gurgling, etc. o Labored- an increase in the effort of breathing 3 Taking your rate of respiration: Count # of breaths a patient takes in 30 seconds and multiply by 2. Your rate of respiration Results #1: ______ Your rate of respiration Results #2: ______ Your Partner’s Reading of your rate of respiration: ______ Where do you fall in accordance to the chart? ___________ Blood Pressure: A measurement of the force being exerted by the heart when it pumps. Blood pressure is recorded as a fraction such as 110/70. The systolic pressure is the top number and the diastolic number is the bottom number. 1. Sit with your arm slightly bent and resting comfortably on a table so that your upper arm is on the same level as your heart. 2. Wrap the blood pressure cuff around your bare upper arm. The lower edge of the cuff should be about 1 in (2.5 cm) above the bend of your elbow. 3. Close the valve on the rubber inflating bulb. Squeeze the bulb rapidly with your opposite hand to inflate the cuff. Keep squeezing until the dial or column of mercury reads about 240 mm Hg. 4. The pressure in the cuff will temporarily stop all blood flow in your arm. 5. Put the stethoscope over the large artery slightly above the inside of your elbow. You can find this artery by feeling for its pulse with the fingers of your other hand. 6. Open the valve on the bulb just slightly. The numbers on the pressure dial or mercury tube should fall gradually—about 2 to 3 mm Hg per second. 7. Listen through the stethoscope. As you watch the pressure slowly fall, note the number on the dial or tube when you first start to hear a pulsing or tapping sound. The sound is caused by the blood starting to move through the closed artery. This is your systolic blood pressure. 8. Continue letting the air out slowly. The sounds will become muffled and finally will 4 disappear. Note the number when the sounds completely disappear. This is your diastolic blood pressure. Finally, let out all the remaining air to take the cuff off. Take your blood pressure 2 times. Wait 5 minutes between recordings to let the blood flow back into your arm. Your readings (must be done by your partner): #1_________ #2___________ Where do you fall in accordance to the chart? ___________ Skin: Assessed by the patient’s skin color in the nail beds, lips, gums, an inside eyelids. 5 *Vital Sign Reference Charts* Normal Pulse Resting Respiration Age Normal Average Newborn 1 year 3 year 6 year 10 Year 14 Year Adult 100-170 80-170 80-130 75-120 70-110 60-110 60-100 Age Newborn 1 year 3 Year 6 Year 14 Year Adult 140 120 110 100 90 90 80 Normal 30-50 20-40 20-30 16-22 14-20 12-20 Average 40 30 25 19 17 18 Normal Body Temp adult oral - 98.6 axillary - 97.6 Blood Pressure Age Newborn Infant 3 Year 6 Year 10 Year 14 Year Adult Systolic 65-95 65-115 76-122 85-115 93-125 99-137 100-140 Diastolic 30-60 42-80 46-84 48-64 46-68 51-71 60-90 Average 80-60 90-61 99-65 100-56 109-58 118/61 120-80 6