A Vital Sign Reading of X The following paper will discuss about X’s complete five day vital signs measurement, documentation, and analysis. X’s vital signs include lying, sitting and standing blood pressure readings and also a pulse with each blood pressure readings, as well as a respiratory rate take with lying position. The purpose of this assignment is to address abnormal readings and explain why these trends occur and also to addressing two logical and in-depth analyses for each vital sign. The individual’s name being interviewed for this assignment will remain confidential and anonymous. The individual will be documented as X. The individual was informed that my teacher and myself will read the data provided and consent. Blood pressure (BP) is the force of the blood pushing against the side of its container, the vessel wall (Jarvis, 2009). The systolic pressure (SBP) is the maximum pressure felt on the artery during left ventricular contraction. The diastolic pressure (DBP) is the elastic recoil, or resting, pressure that the blood exerts constantly between each contraction (Jarvis, 2009). The average BP for the young adult is 120/80 mm Hg. X’s vital sign record show up two abnormal readings one is on November 23rd and seconds on December 4th. Normally X’s baseline BP readings around 100/85mm Hg but on November 23rd BP recorded 114/92 mm Hg. By looking through X’s integrated patient record it states that on November 23rd she had two medium coffees only, no breakfast and she feels very tired. According to this data X had significant elevation in response to caffeine, compared to her baseline SBP and DBP. There is acute effect of caffeine on BP, with increases in the r... ... middle of paper ... ... References Cohen, D.L., MD., & Tounsend, R.R., MD. (2007). Exaggerated systolic blood pressure response to exercise. The Journal of Clinical Hypertension, 9(4), 291-292. Farag, N.H., M.D, PhD., Whitsett, T.L., M.D., McKey, B.S., RN.,MBA., Wilson, M.F., MD, Vincent, A.S., PhD., Everson Rose, S.A., PhD., & Lovallo, W.R., PhD. (2010). Caffeine and blood pressure response: sex, age and hormonal status. Journal of Women’s Health, 19(6), 1171 – 1176. Doi:1089/jwh.2009.1664 Jarvis, C. (2009). Physical examination and health assessment (1st Canadian ed.). Philadelphia: Saunders. Marieb, E.N., & Hoehn, K. (2010). Human Anatomy and Physiology (8th ed). United states of America: Benjamin cummings. Schiff, W., & Durant, M. (2011). Nutrition for healthy living. McGraw – Hill Ryerson Higher Education.
Pre-exercise: For this activity, each group member needed to be familiar with taking and reading another group member’s blood pressure. Many types of instruments exist for measurin...
High blood pressure is called the “silent killer” because it often has no warning signs or symptoms, and many people don’t know they have it. For most patients, high blood pressure is found when they visit their health care provider or have it checked elsewhere. Because there are no symptoms, people can develop heart disease and kidney problems without knowing they have high blood pressure. Some people may experience: bad headache, mild dizziness, and blurry vision. Traditionally, diagnosis of high blood pressure (BP) has relied on consecutive checks of clinic BP over a 2 to 3 month period, with hypertension confirmed if BP remains persistently raised over 140/90 mmHg. This method of diagnosis has significant limitations because the BP measured for an individual patient in a clinic setting may not reflect their BP in day-to-day life. The main concern is that as a result of the “white coat syndrome”, hypertension may be over-diagnosed when checked in the clinic setting; resulting ...
The mercury sphygmomanometer has been “gold-standard” for measuring blood pressure since it’s invention in 1881 (Ostchega et al, 2011). However, mercury is now considered to be an environmental risk and many hospitals and clinical practices worldwide have banned the use of mercury (Myers, 2010). There are now many mercury free alternatives to the sphygmomanometer such as the aneroid sphygmomanometer, digital monitors like the x or ambulatory blood pressure monitors which can take an individual’s blood pressure over a 24-hour period.
6. Nutrition for Foodservice & Culinary Professionals 5th Edition; Karen Eich Drummond and Lisa M. Brefere. Copyright 2004 by John Wiley & Sons, Inc.
The aim of this assignment is to discuss blood pressure and its relation to its contribution and relevance to contemporary professional nursing practice.
Wardlaw, G.M. and Smith. Contemporary Nutrition: Issues and Insights. 5th Edition. Boston: McGraw-Hill, pp 85, 2004.
Hypertension, also known as high blood pressure, is a disease by which the force of the arteries raises the blood pressure in the body. The continuous elevation of the high blood pressure will ultimately lead to major health issues. Boedthjer & Aalkjaer (2013) states, "frequently described causes for hypertension involve changes in the kidneys, the resistance vasculature, and the autonomic nervous system" (p.1). Blood pressure is assessed by the strength of blood that depresses against the vessel walls. Consequently, an increase in an individual 's blood pressure will tighten the arteries and cause the heart to pump more blood.
Dr. Murray, the chief resident who arrived around 8:00pm, charted Lewis’ heart rate as normal and noteds a probable ileus; however, nursing documentation at the same time recorded a heart rate of 126 beats per minute (Monk, 2002). Subsequent heart rates at midnight and 4:00am arewere charted as 142 and 140 beats per minute respectively without documented intervention (Monk, 2002 ). On Monday morning Lewis noted that his pain suddenly stopped after being very constant and staff charted that they were unable to get a blood pressure recording in either arm or leg from 8:30-10:15am despite trying multiple machines (Monk, 2002; Solidline Media, 2010).
Proper nutrition is important in maintaining a long and healthy life. Most Americans are rushed due to their busy work schedules, and do not take the time to plan their diets properly. Like me, most Americans are unaware of the importance of eating a healthy diet and consume too many foods without the proper nutrients. Throughout my life I have been fortunate. I have not had any major health problems, and have been able to consume most foods without having to worry about gaining weight. These last two years, however, I started to gain weight and have become concerned with my diet. Changing my poor eating habits has been difficult for me, however, having this assignment has taught me that it is not as difficult as I previously imagined.
Anesthesiologists have many responsibilities. 3They measure the patient’s temperature, pulse, heart rate, and breathing rate while under the sedative. They have...
Blood pressure is defined as an outward force that distends blood vessel walls, “dependent on the energy of the heart action, elasticity of the arterial walls and volume and viscosity of the blood” (Dorland’s 1995). The standard unit of expressing blood pressure is in millimeters of mercury (mmHg). While testing, there are different sounds or phases heard when using a stethoscope to find blood pressure. These sounds define the measurable blood pressure. The first sound is the systolic BP, which indicates the pressure against the brachial artery as the heart contracts. The last sound heard relates to the diastolic BP, which is the pressure exerted when the heart is relaxed. When recording the BP, the systolic is over the diastolic BP (systolic/diastolic). Measuring resting blood pressure is ...
Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure. The seventh report of the joint national committee on prevention, detection, evaluation, and treatment of high blood pressure. International Medical Pub., 2003.
The patient that came into the hospital on your job rotation was a chronic smoker, meaning he had smoked cigarettes for a long period of time now and it has became to be really hard for him stop smoking. The patient was suffering from Chronic Hypertension or also known as high blood pressure. This is a symptom in the body when the blood pressure in your system flows usually higher then normal in a long period of time. Adults have chronic hypertension when they’re blood pressure is higher then 139 millimeters of mercury. In high blood pressure the heart is the central pump to all other parts of the body, every time it pumps, a large volume of blood is released to all parts of the body. The patient my have different types of chronic hyperextension, Essential and Secondary. Essential is the most common and secondary results from other medical conditions.
This reflection of vital signs will go into discussion about the strengths and weaknesses of each vital sign and the importance of each of them. Vital signs should be assessed many different times such as on admission to a health care facility, before and after something substantial has happened to the patient such as surgery and so forth (ref inter). I learned to assess blood pressure (BP), pulse (P), temperature (T) and respiration (R) and I will reflect and discuss which aspects were more difficult and ways to improve on them. While pulse, respiration and temperature were fairly easy to become skilled at, it was blood pressure which was a bit more difficult to understand.