vital signs and the physical examination

... Gable and Stephanie Elliott for their research help History of the Vital Signs CHAPTER 1 History of the Vital Signs The Thermometer and Temperature The first primitive thermometer, a glass tube with ... types of thermometers and several locations on the body, including the axilla, mouth and rectum His favorite site was the Vital Signs and Resuscitation axilla In the typical case, the thermometer, ... bringing the arm to the side) some time before the thermometer is put there The thermometer is then introduced deep into the axilla (under the anterior or pectoral fold), and the axilla closed,...

Ngày tải lên: 09/08/2014, 15:20

... the cessation of blinking indicates the reading The device does not measure tissue temperature, as does the glass thermometer, but rather the 24 Vital Signs and Resuscitation temperature of the ... error The patient is positioned on the left side with the right thigh and knee flexed Small children and infants are positioned on their backs and the thighs and knees are flexed while they are ... that the pulse rate is inversely related, and the blood pressure directly related, to body size He also found that the cardiac output is the product of the pulse rate and the volume of the left...

Ngày tải lên: 09/08/2014, 15:20

... newborns, and the elderly are prone to hypothermia In the case of infants the reason is because of the developing hypothalamic thermoregulatory mechanism (see Chapter 7) With the elderly the regulatory ... wave of the EKG, the P-wave The atrioventricular node (AV node), lying at the interatrial septum, depolarizes and the wave spreads down the interventricular septum to the ventricles The ventricles ... depolarize and create the QRS-wave on the EKG Contraction of the ventricles then takes place (systole) The T-wave is repolarization of the ventricles (the wave for atrial repolarization is masked by the...

Ngày tải lên: 09/08/2014, 15:20

... In the antecubital fossa, the brachial artery divides into the radial and ulnar arteries The ulnar goes deep and the radial crosses the biceps tendon and runs laterally down the forearm If the ... the alveolar walls stretch, and the air sacs of the lungs expand During expiration, the external intercostals and diaphragm relax In diseases such as asthma and COPD accessory muscles Vital Signs ... in the obese patient and others a radial and brachial pulse cannot be felt, and one cannot hear a heart beat If the patient is comatose, palpate the femoral It is the easiest to find (in the...

Ngày tải lên: 09/08/2014, 15:20

... palpate) The systolic pressure is 20 mmHg higher than the brachial systolic pressure The diastolic is the same The cuff may be wrapped around the leg just above the malleoli Either the dorsal ... auscultated, and systolic pressures as low as 30 mmHg may be detected (the diastolic cannot be measured) The cuff is placed around the arm and inflated, the Doppler is placed over the artery and the systolic ... arteriosus, the connection between the pulmonary artery and aorta remains open in the adult In the fetus, the ductus arteriosus carries blood from the pulmonary artery to the aorta, bypassing the lungs,...

Ngày tải lên: 09/08/2014, 15:20

... dehydration Vital Sign #4: Blood Pressure 87 Fig 5.4 Orthostatic Vital Signs Orthostatic vitals are recorded as follows: the patient lies for three minutes and the blood-pressure and heart-rate ... heart-rate and blood-pressure readings adjacent to the figure An older term, the tilt test, is occasionally encountered in the literature The test was originally designed with the patient lying, then the ... for the response is the following: at a loss of about 15% body fluid/blood, sympathetic activity is increased and vasoconstriction and tachycardia occur As blood loss approaches 30% and the systolic...

Ngày tải lên: 09/08/2014, 15:20

... APGAR Score Vital Signs and Resuscitation, by Joseph V Stewart ©2003 Landes Bioscience 114 Vital Signs and Resuscitation Temperature The Newborn The temperature of the newborn is normally the same ... 6.7, 6.8) Physical Examination Vital signs may give a clue to the etiology Hypothermia (including metabolic causes such as hypothyroidism, hypoadrenalism, hypoglycemia and sepsis) and hyperthermia ... present in the house? If so, they should be brought to the emergency department Family and friends and neighbors and bystanders should be questioned A handy mnemonic device for remembering the multiple...

Ngày tải lên: 09/08/2014, 15:20

... overdoses and some bradycardias and tachycardias Excluding the hospitalized patient, the reason for the arrest is usually unknown and the only information is the rhythm on the monitor and tenuous vital ... abdomen, slightly above the navel The fist is grasped with the other hand and pressed upward quickly and forcefully as many times as needed to dislodge the object If the person becomes unconscious, ... 6.4) 132 Vital Signs and Resuscitation Fig 8.3 Intubation with In-line Immobilization AIRWAY: Airway control is the critical first step in resuscitation The head is tilted and either the jaw thrust...

Ngày tải lên: 09/08/2014, 15:20

... between the shoulder blades with the heel of the right hand Then the infant is turned over, with the head lower than the body, and quick chest thrusts are delivered on the lower third of the sternum ... In the infant, the jaw is supported with Resuscitation 145 the base of the middle and 4th fingers In older children, the fingertips of the 3rd, 4th and 5th fingers are placed on the ramus of the ... parts, round candies and aluminum “pop-tops” Complete obstruction in an infant is treated by a variation of the Heimlich maneuver: the infant is held prone in the left hand and forearm and back blows...

Ngày tải lên: 09/08/2014, 15:20

... coma scales during the rise of trauma centers in the 1970s The first of these Injury Severity Scores was the Trauma Index, developed by Kirkpatrick and Youmans in 1971 In 1980, the American Trauma ... often sidestep the issue, and instead discuss whether the response of the infection/fever to antipyretics suggests a life-threatening fever/infection (the results of which during the past ten years ... leucocytes Br J Haematol 1975; 29:273 162 Vital Signs and Resuscitation APPENDIX Appendix Vital Signs and Resuscitation, by Joseph V Stewart ©2003 Landes Bioscience 163 Appendix Appendix 164...

Ngày tải lên: 09/08/2014, 15:20

... consisted of a theoretical section, painting therapy, medical training therapy (MTT), group psychotherapy, relaxation therapy, medical motion therapy, and physiotherapeutic, psychotherapeutic and/ or ... BioMedicine 2004, physical strength and fitness of our patients remained stable during the IOPP The results of the physical components of the SF-36 appeared to correlate with those of the assessment ... specific to pain Physical and psychological health Physical, psychological and social function, role behavior caused by physical and psychogenic disorder, general health, pain and vitality Beck...

Ngày tải lên: 11/08/2014, 08:20

... analysed and interpreted data, and drafted the manuscript JvB interpreted data and helped to draft the manuscript PM performed the statistical analyses JR and SS conceived the study JB conceived and ... death The AUROC was 0.66 (95% CI = 0.52 to 0.80, p = Table Vital signs in survivors (S) and non-survivors (NS) on arrival of the ambulance on the scene (T1) and just before or on arrival at the ... significance even after the effect of the other parameters (systolic blood pressure, heart rate and GCS) had been taken into account in the multivariable Cox PH model Of the variables, only the change in...

Ngày tải lên: 13/08/2014, 11:23

... properties of the multi-component ceramics based on PZT and the relaxor ferroelectric materials The objective of the thesis is: (i) Fabrication and research the effects of Pb(Zr0,47Ti0,53)O3 on the structure, ... move and significantly increase the conductivity of the material which should increase the dielectric loss The size of the hysteresis loops depend on dielectric loss of the material Therefore, the ... properties of the multi-component ceramics based on PZT and the relaxor ferroelectric materials, Pb(Zn1/3Nb2/3)O3 and Pb(Mn1/3Nb2/3)O3 The results of the thesis will open up prospects for the fabrication...

Ngày tải lên: 04/12/2014, 02:54

... History, Pertinent Physical Examination, and Laboratory Data: Describe the course of the patient's disease up until the time that the patient came to the hospital, including physical exam and laboratory ... obstruction, catheterization Physical Examination General Appearance: Signs of dehydration, septic appearance Note whether the patient appears ill, well, or malnourished Vital Signs: Temperature ... spirometry Physical Examination General Appearance: Respiratory distress, dyspnea, pallor, diaphoresis Note whether the patient appears ill, well, or in distress Fluid input and output balance Vital Signs: ...

Ngày tải lên: 16/12/2013, 13:15

Ngày tải lên: 22/02/2014, 08:20

... their employees what action they will be taking to meet the requirements of these Regulations and ensure that employees are aware of and understand the meaning of safety signs and signals either ... also help the operator see the signaller The use of other items such as signalling bats and reflective arm bands may also help the operator see and understand the signals Codes of hand signals ... signs What may differ is the shape and, to a lesser extent, the colour of the signs 45 Where signs or labels are used they may be supplemented by additional information, such as the name of the...

Ngày tải lên: 27/02/2014, 10:20

... Research at the Intersection of the Physical and Life Sciences Research at the Intersection of the Physical and Life Sciences Committee on Research at the Intersection of the Physical and Life Sciences ... dedicated to the furtherance of science and technology and to their use for the general welfare Upon the authority of the charter granted to it by the Congress in 1863, the Academy has a mandate that ... reserved Research at the Intersection of the Physical and Life Sciences  R e s e ar c h at the Intersection of the Physical and Life Sciences about the big objectives of the field and why it is worthy...

Ngày tải lên: 14/03/2014, 10:20

... University The Netherlands Ellen Kampman PhD Wageningen University The Netherlands Marije Schouten PhD Wageningen University The Netherlands Bianca Stam MSc Wageningen University The Netherlands Claudia ... University The Netherlands Maureen van den Donk PhD Wageningen University The Netherlands Marian Bos MSc Wageningen University The Netherlands Anouk Geelen PhD Wageningen University The Netherlands ... University The Netherlands Salome Scholtens MSc Wageningen University The Netherlands Evert-Jan Bakker PhD Wageningen University The Netherlands Jan Burema MSc Wageningen University The Netherlands...

Ngày tải lên: 22/03/2014, 16:21

... perceive their experiences, what they believe about issues, and how their interactions with others influence these attitudes and values These scholars study the concept of social construction, or the ... experiences and the meaning they assign to their situations and environments They also enhance their reports with quotes that showcase the participants’ voices and the essence of the study’s findings ... S199) These authors set the stage for the study, eased readers into the material, and then ended with a statement outlining the multifaceted nature of the topic Mensch and Ennis next explain the...

Ngày tải lên: 22/03/2014, 20:20

... right, and then edit the shape of the curve itself The more gentle the curve, the smoother the transition between the two materials will be Points can be added on the curve simply by clicking the ... the Y axis, from one edge of the plane to the other The other wave will move along the Z normal of the plane, creating a swelling effect Using the two Wave modifiers together will help make the ... to tweak the contrast and brightness of the factor value going into the Mix node Connect the Mix node to the RGB Curves node, and the RGB Curves node to the Fac connection point on the Mix node,...

Ngày tải lên: 03/04/2014, 13:17