Evaluating Signs & Symptoms by Springhouse

By Springhouse

This quantity of the hot Nursing Know-How sequence deals how-to counsel at the most recent options for comparing over 250 vital signs. each one signal or symptom is gifted on a web page or two-page unfold in bulleted layout. various illustrations and move charts supplement the text.

Know-How Nugget icons supply specialist tips for eliciting or assessing an indication or symptom. Case Clip icons current real-life responses to an pressing signal or symptom—the nurse's evaluation findings and the quick reaction team's interventions. Quick Action! icons current pressing responses to an alarming signal or symptom and interventions for warding off a life-threatening emergency.

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Qxd 8/17/08 3:25 PM Page 41 Blood pressure, increased heart rate, and weakness follow stressful, painful, or claustrophobic experiences. Other causes 41 Ⅲ For patients with vasovagal syncope, discuss how to avoid triggers. Ⅲ Discuss the need for a cane or walker. Diagnostic tests Blood pressure, increased histamine, and X-ray studies, using contrast media, may cause low blood pressure. Elevated blood pressure—an intermittent or sustained increase in blood pressure exceeding 140/90 mm Hg—strikes more men than women and twice as many blacks as whites.

Typically, the indwelling urinary catheter is clamped for 30 to 60 minutes to permit vessel compensation. History Ⅲ Ask about voiding patterns and characteristics. Ⅲ Find out the time and amount of the patient’s last voiding. Ⅲ Determine the amount of fluid consumed since last voiding. Ⅲ Obtain a medical history, including urinary tract obstruction or infections; sexually transmitted disease; neurologic, intestinal, or pelvic surgery; lower abdominal or urinary tract trauma; and systemic or neurologic disorders.

The sounds will become muffled and then disappear. The last Korotkoff sound you hear is the diastolic pressure. Ⅲ Pulse rhythm is irregular, and heart rate is greater than 100 beats/minute or less than 60 beats/minute. Cardiac tamponade Ⅲ Systolic pressure falls more than 10 mm Hg during inspiration (paradoxical pulse). Ⅲ Other signs and symptoms include restlessness, cyanosis, tachycardia, jugular vein distention, muffled heart sounds, dyspnea, and Kussmaul’s sign. Cardiogenic shock Ⅲ Systolic pressure falls to less than 80 mm Hg or 30 mm Hg below baseline.

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