Vital Signs 1/8

[triooveschoiminhwan]

i think @Tuber274 is referring to the Fahrenheit (Temperature: 96.8 to 99.5). :)

[15chame]

uhm, some assessment procedures are wrong, the pt. should be at relaxed position or might be the pt. seated on a chair. To take the pulse it should be support client's wrist by grasping outer aspect with thumb. Is that multiplied by 2 the respiration in 30 secs.?

[MBH96]

U MAY OR MAY NOT , WHATTT?

[Starfly08]

I thought you multiply by 2. ??

[SNAKEYE408]

I'm pretty sure she messed up by putting her thumb on the stethoscope because the thumb has a pulse of itself. Which can lead to a false pulse reading.

[DVDluvr123]

@SNAKEYE408 You are correct. She is holding it wrong. The stethoscope should be held on the rim.

[myaddiction2010]

ive known that do not used thumb becoz it has own pulse..that can cause false reading

[myaddiction2010]

ive known that do used thumb becoz it has own pulse..that can cause false reading

[cindylou0183]

In the video when she is inflating the cuff she isn't palpating the brachial artery.....might help if they got the video right.

[gumidek1000]

I want too measure blood pressure

[disasterousatm]

this video is good but im not sure it displays best practice, Ive been taught to count for 30 second then multiply by two for a better chance at detecting abnormalities, also the person should be laying in a comfortable position with their elbow slighlt bent. Its also advisable to take the blood pressure from the left brachial region (arm).

[xanevia]

It should not make any difference if the thumb is there, if it is used correctly the top part of it is off and the bottom part is on to hear the sounds.

[durant1983]

I am sorry your thumb was in the way...i am not here to bad mouth you, but next time be careful..The thumb has a pulse of its own, so if you put your thumb you will get a wrong reading....try again.. Thank you

[fawkesee]

@durant1983 I suppose if you are holding your thumb against the actual plastic diaphragm could auscultate the thumb's pulse, but since you are holding the stethoscope on the metal side you will not get a reading from your thumb.

[liftooo]

Its true that the thumb has a pulse but the structures located in the heart are the only ones able to make sounds, unless you have some kind of problem in the major arteries (ie a malformation) -those can cause a sound but not a pulsation sound in any case. So, you can hold the stethoscope with your thumb

[myaddiction2010]

@liftooo :..well i did not read it in the book..

[redbike2008]

They did it for me.

[wintercinders]

temperature is a vital sign, along with pulse, respiration & blood pressure, possibly including pulse oximetry.

[DVDluvr123]

@wintercinders Temperature is not a vital sign. Pulse oximetry is an electronic device.

[WiccanMann04]

One Question: what is the difference between Systallic and Diastallic Pressure?

[XP210]

diastolic is the second measurement of blood pressure: phase when the heart relaxes or rests and systolic is the first measurement of blood pressure when the heart is at work contracting & pushing the blood from the left ventricle of the heart.

[garybarr007]

I have also been told not to hold the stethoscope diaphragm with your thumb because your own thumb has a pulse and can cause a false reading.

[aboutagirrl]

yep thats true

[fawkesee]

@garybarr007 this is totally false. You thumb does have a pulse, but the stethoscope diaphragm (the actual plastic part on the underside) is what  is used to auscultate the blood pressure (not the outside metal of the diaphragm, or the bell). Someone has gotten taking a pulse and taking a blood pressure confused and started a fallacy.

[prmgad187]

@garybarr007 yyeah i agree

[platinumman04]

@garybarr007 It doesn't matter because based on the orientation of your stethoscope (twisted so the diaphragm side is active), only that side should transmit sound. This is the case at least for littman stethoscopes, but I believe it is followed by all stethoscopes with a diaphragm and a bell.

[exohitslexohex]

@garybarr007 that's a myth

[pacemy]

Typing on YouTube ; blood safety

[anccert]

Also, read the instruction manual of your instruments. Some manufacturers recommend using the bell side of the stethoscope for BP readings if it's a combination stethoscope such as the one featured in the video.

[anccert]

Be sure to keep the diaphragm of the stethoscope separate from the BP cuff, making sure the BP cuff is NOT overlapping the diaphragm of the stethoscope. Overlapping of the two instruments can interfere with auscultation causing erroneous readings. In the video it shows the inappropriate placement, with the diaphragm shoved under the BP cuff. -Happy BP readings:-)

[lauradreamerprincess]

Thanks so much for posting this videos!Even for doctors are very useful!Thanks again!

[MarioNess]

Cool video, but I have some observation:

1.- Isn't temperature a vital sign?

2.- Palpatory and Auscultatory methods of measuring AP must be separated?

3.- there must a more comfortable way! the poor examiner seemed very uncomfortable.

[eraf]

temperature is not a vital sign. it is only usually checked at the same time as vital signs because it is a convenient time to do so.

[erwinkae]

temeperature is a vital sign...vital signs are five: body temperature, blood pressure, respiration, pulse.

[kc958]

@erwinkae I'm pretty sure pain is being considered a V/S now

[erwinkae]

@kc958 yeop they say its the 5th

[myaddiction2010]

@kc958 : yup..getting a pain scale..

[DVDluvr123]

@kc958 You are joking, right?

[kc958]

@DVDluvr123 About what?

[misscarolyn91]

@erwinkae pain should be included as well

[Tuber274]

@erwinkae

And the normals for each:

Temperature: 96.8 to 99.5

Blood Pressure: SYS: <140 DIA: <90

Pulse: For someone age 20, a resting HR of around 75-90 bpm is normal. HR decreases with age.

[CanogaParker]

@erwinkae

haha

named four!

[juvihaleem]

@erwinkae and pain is the fifth vital sign

[Weazell]

it is

[Kefkanus]

nice tool

[didamona2020]

nice exam show!

[vampelf23]

In my mind....getting a physical exam is more relaxing that getting a back rub.

[airwolfman]

interesting