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Nebraska - Vital Signs
Anterior Pituitary Stimulated Through the Hypophyseal Portal
CRF Released During Stress
Posterior Pituitary Stimulated Through Neural Control
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
Decreases Heart Rate and Contractility
Decreases Peripheral Vascular Resistance
Decreases Renin Release
Asthma and Heart Block Patients
Assess Blood Pressure and Heart Rate
Masking Signs of Hypoglycemia
Do Not Stop Abruptly
Vital Signs - Adult
Temperature (96.8-100.4 Degrees F) (36-38 Degrees C)
Oxygen Saturation (94%-100%)
Blood Pressure (<120/80)
Weight Reduction and Exercise
Encourage Self Monitoring
Average 2 Sets, 2 Minutes Apart
After 2 or More Visits (within 1-4 weeks)
Take BP Both Arms
Common in African Americans
Calcium Channel Blockers (Verapamil and Diltiazem)
Mechanism of Action
Slows AV Conduction
Remove From Environment
Remove Wet Clothing
Warm IV Solutions
Warm Gastric Lavage
Warm Trunk BEFORE Extremities
Stages of Hypothermia
32 to 35°C (90 to 95°F)
28 to 32°C (82 to 90°F)
Obvious Motor Impairment
< 28°C (< 82°F)
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