CCMA Mod 3 Respiratory Rate, Pulse Oximetry, Temperature

respiration

one complete inhalation and exhalation, indicated by the rise and fall of the chest with each breath

hyperventilation

fast/rapid breathing caused by intense pain, anxiety, or panic attacks

hyperpnea

excessively deep breathing caused by extreme pain or anxiety

dyspnea

difficult or painful breathing caused by chronic obstructive pulmonary disease, pneumonia, asthma, high altitudes, or physical exertion

orthopnea

difficulty breathing unless in the upright position due to congestive heart failure or COPD

wheezing

whistling sound during breathing due to asthma

rales

small clicking, bubbling, or rattling sounds due to fluid in air sacs or pneumonia

rhonchi

large airway sounds due to COPD, chronic bronchitis or pneumonia

taking respiration rate

after taking pulse, keep fingers on pulse and count rise and fall of chest or shoulders/back to determine respiratory rate without telling patient. informing pt may cause them to control their breathing to a certain extent. measure for 30 seconds and multiply by 2, listen for rales, wheezing or dry/moist rhonchi

30 to 53

1 to 12 months respiratory rate

22 to 37

1 to 2 years respiratory rate

20 to 28

3 to 5 years rate

18 to 25

6 to 15 years rate

12 to 20 rate

adolescent and older rate

pulse oximetry

valuable tool and simple procedure to ascertain percentage of oxygen saturation in the blood, also display the heart rate which is why it is termed oximetry. nail polish and artificial nails block the infared light and interfere with results. readings below 90% should be reported (hypoxemia) and reading 95% or higher is considered normal. can be placed on earlobe if finger is not an option

tympanic thermometer

measure temp by the ear, will not provide accurate reading if pt has history of impacted cerumen in both ears

temporal artery scanner

moved across the forehead and behind the ear to produce a temp reading. pediatricians prefer, more accurate

98.2 F, 36.8 C

newborn (axillary) temperature norm

99.7 F, 37.6 C

1 year (tympanic) temperature norm

98.6 F, 37 C

6 years to adult (oral) temp norm

96.8 F, 36 C

older adults over age 70 (oral) temp norm

C = (F - 32) / 1.8

F to C calculation

F = ( C x 1.8) + 32

C to F calculation