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NUR 112 Vital Signs
Vital Signs - Adult
Temperature (96.8-100.4 Degrees F) (36-38 Degrees C)
Rectal - Remove 1 Degree
Axillary - Add 1 Degree
Oxygen Saturation (94%-100%)
Blood Pressure (<120/80)
Flushed skin, warm to touch
Change in LOC
Provide adequate fluids
Monitor Electrolytes and Fluid
Monitor vital signs, esp temperature
Remove excess clothing and blankets
Sponge bath with tepid water
Blood Pressure Classification (JNC 7)
Systolic (< 120)
Diastolic (< 80)
Systolic +20 (120-139)
Diastolic +10 (80-89)
Stage 1 Hypertension
Systolic +20 (140-159)
Diastolic +10 (90-99)
Stage 2 Hypertension
Systolic + > 20 (160)
Diastolic + > 10 (100)
Systolic > 180
Diastolic > 110
High Blood Pressure Response
Atria Release Atrial Natriuretic Peptide
Na+ and Water Excreted
Low Blood Pressure Response
Posterior Pituitary Releases Vasopressin
Adrenal Cortex Releases Aldosterone
Increased Na+ and H2O Reabsorption
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