Tpr procedure in english

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2. Introduction TPR is a procedure to check temperature pulse and respiration of a patient. It is also known as checking vital signs when we include checking of blood pressure in the procedure.

3. P reparation of articles TPR tray should contain- 1.One jar with 3-4 thermometers which contains 1:40 antiseptic solution 2.Another jar which contains 1:40 antiseptic solution

4. P reparation of articles 3.Third jar with clean water to rinse the thermometers 4.Cotton swabs in a container. 5.Kidney tray 6.Paper bag 7.Pen and TPR chart.

5. P reparation of articles If we are using digital thermometer than take a digital thermometer with few probe covers. Than you can skip articles no. 1 to 5. now a days digital thermometer is recommended as mercury is a big environmental hazard

6. P reparation of articles

7. P reparation of patient. Explain the procedure to patient or relative of the patient. Ensure that client have not eaten anything cold or hot food or fluid 15 minute prior to the procedure. The patient should be in comfortable position preferably in lie down position.

8. S teps of procedure Wash hands before starting the procedure. Take out a thermometer from antiseptic solution jar and rinse in water. Clean the bulb of thermometer from bulb to stem with cotton swab. Discard the swab in kidney tray

9. S teps of procedure Read the mercury level by holding thermometer against light. It should be below 95 degree F. If it is above 95 degree F than shake the thermometer and read the level of mercury again.

10. S teps of procedure Ask the patient to open the mouth and place bulb of thermometer under the tongue. Ask the patient to hold the thermometer using lips not the teeth for 2 minutes. For taking temperature by axilla place thermometer (for 5 minutes) in axilla after cleaning the axilla by a clean cloth.

11. S teps of procedure Now count radial pulse for full one minute if pulse is irregular or for half minute and multiply by 2 if pulse is regular. Now start counting respiration by watching rise and fall of the chest while still holding the hand without knowing the patient that you are counting the respiration.

12. S teps of procedure count respirations for full one minute if breathing is irregular or for half minute and multiply by 2 if breathing is regular . After 2 minutes remove the thermometer from oral cavity or after 5 minutes from axilla. Clean the thermometer from stem to bulb

13. S teps of procedure Check temperature by holding the thermometer at eye level. Place the thermometer in another jar with antiseptic solution. Wash hands and record the temperature, pulse and respiration in patient’s TPR chart. If you are using a digital thermometer than you can change some steps as -

14. S teps of procedure Switch on the thermometer and wait till it show Lo in the screen. Put probe cover on the probe and place in axilla or oral cavity. Wait till beep sound. Remove thermometer, discard probe cover in paper bag and read the temperature.

15. S teps of procedure Wash hands and record the temperature, pulse and respiration in patient’s TPR chart . Explain result of procedure to the patient. place all the instruments to their proper place after cleaning and disinfecting.

16. By – SURESH KUMAR ( Nursing Tutor )