UNIT 5vital sign respiration.pptx for nurses

Vital signs for nurses

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2. Respiration PREPARED BY Nursing instructor; Momal menghwar Bhitai College of Nursing and Allied health sciences 4/6/2022 2

3. Objectives By the end of the session, the participants will be able to: Define Respiration Discuss types of breathing Discuss normal range of respiration List the factors affecting respiration Describe how to assess respiration 4/6/2022 3

4. Respiration Is the mechanism the body use to exchange gases between atmosphere and the blood and to the cells. Is the act of breathing it includes intake of oxygen and output of carbon dioxide. 4/6/2022 4

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7. Respiration involves Ventilation, Diffusion and Perfusion. 4/6/2022 7

8. Never estimate the respiration always measure accurately Inhalation/Inspiration 1-1.5 Seconds o Exhalation/Expiration 2-3 Seconds Normal respiration rate 12 to 20b/min 4/6/2022 8

9. Factors Affecting Respiration Body position Pain. Anxiety Exercise Smoking Medications 4/6/2022 9

10. Trauma Infection Blood, Respiratory and cardiovascular disease Alteration in fluids, electrolytes, acid- base balances 4/6/2022 10

11. ASSESSMENT OF RESPIRATION DATA NORMAL ABNORMAL 1. Rate 12-20/min Eupnoea Tachypnea (>20/min) Bradypnea (<12/min) Apnea (no breathing) 2. Rhythm Regular Irregular 3. Depth Normal Deep(Hyper ventilation ) Shallow (hypoventilation) 4. Sound Silent Abnormal sounds 5. Effort Effortless Dyspnea difficult or labored breathing Orthopnea ability to breathing in sitting or standing position) 4/6/2022 11

12. ASSESSMENT Evaluate by measuring Oxygen saturation. A pulse oximeter (LED) is a noninvasive device that estimates a client's arterial blood oxygen saturation (Sa02) by means of a sensor attached to the client's finger , toe, nose, earlobe, or forehead (or around the hand or foot of a neonate) 4/6/2022 12

13. The pulse oximeter can detect hypoxemia before clinical signs and symptoms, such as dusky skin color and dusky nail beds color develop. It should be above 90% 4/6/2022 13

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