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Adequate Oxygenation
Exchange between O2 & CO2
Adequate fluid/volume
Balance of fluid intake and output
Sufficient hydration
Adequate perfusion
Sufficient supply of blood flow
Organs, tissues
Normal temperature range
97.7 F - 99.5 F
PERRLA
Penlight
Evaluate pupils size, shape, and reaction
Integrity of the nervous system
Minimum Oxygen saturation
O2 SAT >90%
What is respiratory rate, what is normal?
Breathes per minute
10/20 breaths/minute
Depth of breathing importance?
Amount of air exchanged each breath.
Ventalation
Rhythm of breathing, what is normal?
Pattern of breathing
Smooth, even, regular breathing
Symmetry in breathing, why important?
Evenness of chest movement during breathing
Air entry and ventilation in both lungs
Effort in breathing, why important?
Ease of breathing
no excessive work to breathe
Normal Heart Rate
60-100 beats per minute
Systolic Blood Pressure
90-130 mmHG
Diastolic Blood Pressure
60-80 mmHG
Normal Urine Output
30ml/hour
Clear, yellow, odorless
Vagus nerve function?
Connects vital organs to brain
Vagus nerve regulate oxygenation?
Altering blood vessel diameter & heart rate
Vagus nerve contribute to perfusion?
Regulating vascular resistance (vessel diameter)
Hold Narcotics
Respiratory rate; <10
SBP; <90